"A healthy diet high in fruits vegetables fish legumes cereals whole grains and fiber and low in red meat salt and refined sugars was linked with a reduced risk of early death in an analysis of  studies. Chronic kidney disease affects  to  of adults. Newswise  Washington DC December    A diet that emphasizes healthy foods rather than individual nutrients may help patients with chronic kidney disease live longer. The findings appear in an upcoming issue of the Clinical Journal of the American Society of Nephrology CJASN.  Patients with chronic kidney disease are advised to follow dietary recommendations that restrict individual nutrients such as phosphorus potassium protein and sodium however empirical evidence suggests that these restrictionswhich can be difficult to abide byhave limited effects on reducing patients risk of premature death. Emerging evidence indicates that overall eating patterns may have greater effects on patients health and longevity. To investigate a tem led by Giovanni Strippoli MD PhD University of Bari in Italy and Diaverum in Sweden and Jaimon Kelly Bond University in Australia analyzed the medical literature finding  relevant studies that included a total of  participants. Healthy dietary patterns were generally higher in fruits vegetables fish legumes cereals whole grains and fiber and they were lower in red meat salt and refined sugars. In  studies healthy dietary patterns were consistently associated with a  to  lower rate of mortality with  fewer deaths per  people over  years. There was no significant association between healthy dietary patterns and risk of kidney failure.  Chronic kidney disease now affects about  to  of the adult population and substantially increases risks of cardiovascular complications and early death said Prof. Strippoli. In the absence of randomized trials and large individual cohort studies this study is the best available evidence to drive clinical decisionmaking by patients and doctors on whole dietary approaches in chronic kidney disease. Study coauthors include Suetonia Palmer PhD Shu Ning Wai MSc Marinella Ruospo MSc JuanJesus Carrero PhDand Katrina Campbell PhD. Disclosures The authors reported no financial disclosures. The article entitled Healthy Dietary Patterns Mortality and EndStage Kidney Disease in CKD A MetaAnalysis of Cohort Studies will appear online at httpcjasn.asnjournals.org on December   doi .CJN. ."