Dietary and lifestyle interventions in ADPKD – a review of current literature

Background and aim. Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary nephropathy. The only approved therapeutic option is tolvaptan, which has limited availability. Disease-modifying interventions are a topic of strong interest, and with growing understanding of me...

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Main Authors: Martyna Skweres, Szymon Pucyło
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-07-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/61451
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author Martyna Skweres
Szymon Pucyło
author_facet Martyna Skweres
Szymon Pucyło
author_sort Martyna Skweres
collection DOAJ
description Background and aim. Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary nephropathy. The only approved therapeutic option is tolvaptan, which has limited availability. Disease-modifying interventions are a topic of strong interest, and with growing understanding of metabolic pathways that are disrupted in ADPKD, new therapeutic possibilities are being explored. This review discusses the promising role of dietary and lifestyle interventions in management of ADPKD. Materials and methods. The paper analyzes studies in databases such as PubMed, Google Scholar, ResearchGate, and other scientific databases. Clinical trials, double-blind randomized controlled trials, meta-analyses, systematic reviews, and other review articles were included in the study. Conclusions. Among interventions that have established disease-modifying potential in pre-clinical studies are dietary interventions leading to induction of ketosis, which has been shown to slow cyst growth in pre-clinical studies. However, little is known about long term benefits and safety of such interventions. Increased water intake and low salt consumption also have the potential to slow cystogenesis, but current research remains inconclusive regarding their efficacy. Lifestyle interventions such as physical activity and cessation of smoking play an important role in management of common comorbidities and help improve quality of life. Further research is necessary in order to establish optimal dietary treatment that corresponds to ADPKD patients’ specific metabolic needs.
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spelling doaj-art-10025a2a5c944bb0aba7c078d1b093962025-08-20T02:35:57ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-07-014310.12775/QS.2025.43.61451Dietary and lifestyle interventions in ADPKD – a review of current literatureMartyna Skweres0https://orcid.org/0009-0003-1228-7918Szymon Pucyło1https://orcid.org/0009-0007-0143-7115National Medical Institute of the Ministry of the Interior and Administration, Wołoska 137, 02-507 Warsaw, PolandMiedzylesie Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland Background and aim. Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary nephropathy. The only approved therapeutic option is tolvaptan, which has limited availability. Disease-modifying interventions are a topic of strong interest, and with growing understanding of metabolic pathways that are disrupted in ADPKD, new therapeutic possibilities are being explored. This review discusses the promising role of dietary and lifestyle interventions in management of ADPKD. Materials and methods. The paper analyzes studies in databases such as PubMed, Google Scholar, ResearchGate, and other scientific databases. Clinical trials, double-blind randomized controlled trials, meta-analyses, systematic reviews, and other review articles were included in the study. Conclusions. Among interventions that have established disease-modifying potential in pre-clinical studies are dietary interventions leading to induction of ketosis, which has been shown to slow cyst growth in pre-clinical studies. However, little is known about long term benefits and safety of such interventions. Increased water intake and low salt consumption also have the potential to slow cystogenesis, but current research remains inconclusive regarding their efficacy. Lifestyle interventions such as physical activity and cessation of smoking play an important role in management of common comorbidities and help improve quality of life. Further research is necessary in order to establish optimal dietary treatment that corresponds to ADPKD patients’ specific metabolic needs. https://apcz.umk.pl/QS/article/view/61451autosomal dominant kidney diseasechronic kidney diseaseketogenic dietphysical activitydietary intervention
spellingShingle Martyna Skweres
Szymon Pucyło
Dietary and lifestyle interventions in ADPKD – a review of current literature
Quality in Sport
autosomal dominant kidney disease
chronic kidney disease
ketogenic diet
physical activity
dietary intervention
title Dietary and lifestyle interventions in ADPKD – a review of current literature
title_full Dietary and lifestyle interventions in ADPKD – a review of current literature
title_fullStr Dietary and lifestyle interventions in ADPKD – a review of current literature
title_full_unstemmed Dietary and lifestyle interventions in ADPKD – a review of current literature
title_short Dietary and lifestyle interventions in ADPKD – a review of current literature
title_sort dietary and lifestyle interventions in adpkd a review of current literature
topic autosomal dominant kidney disease
chronic kidney disease
ketogenic diet
physical activity
dietary intervention
url https://apcz.umk.pl/QS/article/view/61451
work_keys_str_mv AT martynaskweres dietaryandlifestyleinterventionsinadpkdareviewofcurrentliterature
AT szymonpucyło dietaryandlifestyleinterventionsinadpkdareviewofcurrentliterature