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Landmark 81/100

Dietary acid load and CKD progression

In plain English

Higher dietary acid load (typical of animal-protein-heavy diets) was associated with faster progression to end-stage renal disease in adults with CKD. Plant-based diets generate less acid that the kidney must excrete, plausibly preserving function.

Why it matters

Higher dietary acid load → faster CKD progression.

Informs: Kidney Disease

Provenance

Design
Prospective cohort
Sample size (n)
1,486
Follow-up
14 years
Peer-reviewed
Yes
Replications
2
Funding
Public / academic
Funders
US NIH (NIDDK)
Institutions
University of California San Francisco, Johns Hopkins

decades.plus score

A transparent 0–100 weighted sum across six components. Higher scores reflect bigger, cleaner, more replicated work.

Landmark 81/100
  • Study design 20/25
  • Sample size 10/20
  • Funding independence 20/20
  • Journal + peer review 15/15
  • Institution tier 10/10
  • Replication 6/10

Caveats

Dietary acid load is calculated, not measured, from food-frequency data. Mechanism is well-established but absolute effect varies with baseline kidney function.