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Review

Dietary Acid Load and Cardiometabolic Risk Factors—A Narrative Review

Department of Clinical Dietetics, Faculty of Health Sciences, Medical University of Warsaw, E Ciołka Str. 27, 01-445 Warsaw, Poland
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Nutrients 2020, 12(11), 3419; https://doi.org/10.3390/nu12113419
Received: 15 October 2020 / Revised: 3 November 2020 / Accepted: 4 November 2020 / Published: 7 November 2020
(This article belongs to the Special Issue Diet, Nutrition and Chronic Degenerative Diseases)
The Western, diet rich in acidogenic foods (e.g., meat, fish and cheese) and low in alkaline foods (e.g., vegetables, fruits and legumes), is deemed to be a cause of endogenous acid production and elevated dietary acid load (DAL), which is a potential cause of metabolic acidosis. Multiple authors have suggested that such a dietary pattern increases the excretion of calcium and magnesium, as well as cortisol secretion. In addition, it is associated with decreased citrate excretion. All of these seem to increase blood pressure and insulin resistance and may contribute to the development of cardiometabolic disorders. However, there are inconsistencies in the results of the studies conducted. Therefore, this narrative literature review aims to present the outcomes of studies performed in recent years that investigated the association between DAL and the following cardiometabolic risk factors: blood pressure, hypertension, carbohydrate metabolism and lipid profile. Study outcomes are divided into (i) statistically significant positive association, (ii) statistically significant inverse association, and (iii) no statistically significant association. View Full-Text
Keywords: dietary acid load; hypertension; insulin resistance; type 2 diabetes mellitus; lipid profile dietary acid load; hypertension; insulin resistance; type 2 diabetes mellitus; lipid profile
MDPI and ACS Style

Ostrowska, J.; Janiszewska, J.; Szostak-Węgierek, D. Dietary Acid Load and Cardiometabolic Risk Factors—A Narrative Review. Nutrients 2020, 12, 3419. https://doi.org/10.3390/nu12113419

AMA Style

Ostrowska J, Janiszewska J, Szostak-Węgierek D. Dietary Acid Load and Cardiometabolic Risk Factors—A Narrative Review. Nutrients. 2020; 12(11):3419. https://doi.org/10.3390/nu12113419

Chicago/Turabian Style

Ostrowska, Joanna, Justyna Janiszewska, and Dorota Szostak-Węgierek. 2020. "Dietary Acid Load and Cardiometabolic Risk Factors—A Narrative Review" Nutrients 12, no. 11: 3419. https://doi.org/10.3390/nu12113419

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