Diet-induced acidosis: is it real and clinically relevant?

The concept of diet-induced ‘acidosis’ as a cause of disease has been a subject of interest for more than a century. The present article reviews the history of our evolving understanding of physiological pH, the physiological support for the concept of ‘acidosis’, the causes of acidosis, how it is r...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:British journal of nutrition 2010-04, Vol.103 (8), p.1185-1194
Hauptverfasser: Pizzorno, Joseph, Frassetto, Lynda A., Katzinger, Joseph
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1194
container_issue 8
container_start_page 1185
container_title British journal of nutrition
container_volume 103
creator Pizzorno, Joseph
Frassetto, Lynda A.
Katzinger, Joseph
description The concept of diet-induced ‘acidosis’ as a cause of disease has been a subject of interest for more than a century. The present article reviews the history of our evolving understanding of physiological pH, the physiological support for the concept of ‘acidosis’, the causes of acidosis, how it is recognised, its short-term effects as well as the long-term clinical relevance of preventative measures, and the research support for normalisation of pH. Further, we suggest differentiation of the terms ‘acidosis’ and ‘acidaemia’ as a way to resolve the conflation of these topics which has led to confusion and controversy. The available research makes a compelling case that diet-induced acidosis, not diet-induced acidaemia, is a real phenomenon, and has a significant, clinical, long-term pathophysiological effect that should be recognised and potentially counterbalanced by dietary means.
doi_str_mv 10.1017/S0007114509993047
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733879870</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S0007114509993047</cupid><sourcerecordid>2007053281</sourcerecordid><originalsourceid>FETCH-LOGICAL-c506t-934aead26c3be32790c82b8f39af533b2095a54e5f6492fd8cee8f183bb876013</originalsourceid><addsrcrecordid>eNp1kFtv1DAQhS0EokvhB_ACERLiKWB74ltfKlhgQaq4qFRCvFgTx65cskmxE0T_PY52aSUQT7Znvjnjcwh5yOhzRpl6cUopVYw1ghpjgDbqFlmxRomaS8lvk9XSrpf-AbmX80V5akbNXXLAyxUkFyty9Dr6qY5DNzvfVehiN-aYj6qYqzhVyWNf4dBVro9DdNj3V6XW-584TMf3yZ2AffYP9uchOXv75sv6XX3ycfN-_fKkdoLKqTbQoMeOSwetB64MdZq3OoDBIABaTo1A0XgRZGN46LTzXgemoW21kpTBIXm2071M44_Z58luY3a-73Hw45ytAtDKaEUL-eQv8mKc01A-ZzkDDZIZXSC2g1wac04-2MsUt5iuLKN2idX-E2uZebQXntut764n_uRYgKd7AHOJKSQcXMw3HJdaGFiW1zsu5sn_uu5j-m6lAiWs3Hy2X-mnD9_Wr8BuCv94xwccLZ6nonl2yksotAREgS6bYW8Ht22K3bm_Mf1_Q78BiB-kEA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>213836198</pqid></control><display><type>article</type><title>Diet-induced acidosis: is it real and clinically relevant?</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Free Full-Text Journals in Chemistry</source><source>Cambridge University Press Journals Complete</source><creator>Pizzorno, Joseph ; Frassetto, Lynda A. ; Katzinger, Joseph</creator><creatorcontrib>Pizzorno, Joseph ; Frassetto, Lynda A. ; Katzinger, Joseph</creatorcontrib><description>The concept of diet-induced ‘acidosis’ as a cause of disease has been a subject of interest for more than a century. The present article reviews the history of our evolving understanding of physiological pH, the physiological support for the concept of ‘acidosis’, the causes of acidosis, how it is recognised, its short-term effects as well as the long-term clinical relevance of preventative measures, and the research support for normalisation of pH. Further, we suggest differentiation of the terms ‘acidosis’ and ‘acidaemia’ as a way to resolve the conflation of these topics which has led to confusion and controversy. The available research makes a compelling case that diet-induced acidosis, not diet-induced acidaemia, is a real phenomenon, and has a significant, clinical, long-term pathophysiological effect that should be recognised and potentially counterbalanced by dietary means.</description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114509993047</identifier><identifier>PMID: 20003625</identifier><identifier>CODEN: BJNUAV</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>acid-base balance ; acidemia ; Acidosis ; Acidosis - blood ; Acidosis - etiology ; Acidosis - physiopathology ; Acids ; Acid–base equilibrium ; Algorithms ; Bicarbonates - analysis ; Biological and medical sciences ; Bone Density ; Bone Resorption - etiology ; Carbon Dioxide - analysis ; Diet ; Diet-induced acidosis ; diet-related diseases ; disease diagnosis ; Endogenous acid production ; etiology ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; history ; Homeostasis ; Human and Clinical Nutrition ; human diseases ; human nutrition ; human physiology ; Humans ; Hydrogen-Ion Concentration ; insulin resistance ; Kidney Calculi - complications ; Kidney Calculi - etiology ; Kidney Calculi - prevention &amp; control ; literature reviews ; medical treatment ; Metabolic acidosis ; Middle Aged ; Muscle, Skeletal - physiology ; muscles ; Nutrition research ; Phosphorus ; Physiology ; Protons ; renal calculi ; Renal net acid excretion ; Respiratory Physiological Phenomena ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>British journal of nutrition, 2010-04, Vol.103 (8), p.1185-1194</ispartof><rights>Copyright © The Authors 2009</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-934aead26c3be32790c82b8f39af533b2095a54e5f6492fd8cee8f183bb876013</citedby><cites>FETCH-LOGICAL-c506t-934aead26c3be32790c82b8f39af533b2095a54e5f6492fd8cee8f183bb876013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114509993047/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22685938$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20003625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pizzorno, Joseph</creatorcontrib><creatorcontrib>Frassetto, Lynda A.</creatorcontrib><creatorcontrib>Katzinger, Joseph</creatorcontrib><title>Diet-induced acidosis: is it real and clinically relevant?</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>The concept of diet-induced ‘acidosis’ as a cause of disease has been a subject of interest for more than a century. The present article reviews the history of our evolving understanding of physiological pH, the physiological support for the concept of ‘acidosis’, the causes of acidosis, how it is recognised, its short-term effects as well as the long-term clinical relevance of preventative measures, and the research support for normalisation of pH. Further, we suggest differentiation of the terms ‘acidosis’ and ‘acidaemia’ as a way to resolve the conflation of these topics which has led to confusion and controversy. The available research makes a compelling case that diet-induced acidosis, not diet-induced acidaemia, is a real phenomenon, and has a significant, clinical, long-term pathophysiological effect that should be recognised and potentially counterbalanced by dietary means.</description><subject>acid-base balance</subject><subject>acidemia</subject><subject>Acidosis</subject><subject>Acidosis - blood</subject><subject>Acidosis - etiology</subject><subject>Acidosis - physiopathology</subject><subject>Acids</subject><subject>Acid–base equilibrium</subject><subject>Algorithms</subject><subject>Bicarbonates - analysis</subject><subject>Biological and medical sciences</subject><subject>Bone Density</subject><subject>Bone Resorption - etiology</subject><subject>Carbon Dioxide - analysis</subject><subject>Diet</subject><subject>Diet-induced acidosis</subject><subject>diet-related diseases</subject><subject>disease diagnosis</subject><subject>Endogenous acid production</subject><subject>etiology</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>history</subject><subject>Homeostasis</subject><subject>Human and Clinical Nutrition</subject><subject>human diseases</subject><subject>human nutrition</subject><subject>human physiology</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>insulin resistance</subject><subject>Kidney Calculi - complications</subject><subject>Kidney Calculi - etiology</subject><subject>Kidney Calculi - prevention &amp; control</subject><subject>literature reviews</subject><subject>medical treatment</subject><subject>Metabolic acidosis</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - physiology</subject><subject>muscles</subject><subject>Nutrition research</subject><subject>Phosphorus</subject><subject>Physiology</subject><subject>Protons</subject><subject>renal calculi</subject><subject>Renal net acid excretion</subject><subject>Respiratory Physiological Phenomena</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>0007-1145</issn><issn>1475-2662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kFtv1DAQhS0EokvhB_ACERLiKWB74ltfKlhgQaq4qFRCvFgTx65cskmxE0T_PY52aSUQT7Znvjnjcwh5yOhzRpl6cUopVYw1ghpjgDbqFlmxRomaS8lvk9XSrpf-AbmX80V5akbNXXLAyxUkFyty9Dr6qY5DNzvfVehiN-aYj6qYqzhVyWNf4dBVro9DdNj3V6XW-584TMf3yZ2AffYP9uchOXv75sv6XX3ycfN-_fKkdoLKqTbQoMeOSwetB64MdZq3OoDBIABaTo1A0XgRZGN46LTzXgemoW21kpTBIXm2071M44_Z58luY3a-73Hw45ytAtDKaEUL-eQv8mKc01A-ZzkDDZIZXSC2g1wac04-2MsUt5iuLKN2idX-E2uZebQXntut764n_uRYgKd7AHOJKSQcXMw3HJdaGFiW1zsu5sn_uu5j-m6lAiWs3Hy2X-mnD9_Wr8BuCv94xwccLZ6nonl2yksotAREgS6bYW8Ht22K3bm_Mf1_Q78BiB-kEA</recordid><startdate>20100428</startdate><enddate>20100428</enddate><creator>Pizzorno, Joseph</creator><creator>Frassetto, Lynda A.</creator><creator>Katzinger, Joseph</creator><general>Cambridge University Press</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100428</creationdate><title>Diet-induced acidosis: is it real and clinically relevant?</title><author>Pizzorno, Joseph ; Frassetto, Lynda A. ; Katzinger, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-934aead26c3be32790c82b8f39af533b2095a54e5f6492fd8cee8f183bb876013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>acid-base balance</topic><topic>acidemia</topic><topic>Acidosis</topic><topic>Acidosis - blood</topic><topic>Acidosis - etiology</topic><topic>Acidosis - physiopathology</topic><topic>Acids</topic><topic>Acid–base equilibrium</topic><topic>Algorithms</topic><topic>Bicarbonates - analysis</topic><topic>Biological and medical sciences</topic><topic>Bone Density</topic><topic>Bone Resorption - etiology</topic><topic>Carbon Dioxide - analysis</topic><topic>Diet</topic><topic>Diet-induced acidosis</topic><topic>diet-related diseases</topic><topic>disease diagnosis</topic><topic>Endogenous acid production</topic><topic>etiology</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>history</topic><topic>Homeostasis</topic><topic>Human and Clinical Nutrition</topic><topic>human diseases</topic><topic>human nutrition</topic><topic>human physiology</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>insulin resistance</topic><topic>Kidney Calculi - complications</topic><topic>Kidney Calculi - etiology</topic><topic>Kidney Calculi - prevention &amp; control</topic><topic>literature reviews</topic><topic>medical treatment</topic><topic>Metabolic acidosis</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - physiology</topic><topic>muscles</topic><topic>Nutrition research</topic><topic>Phosphorus</topic><topic>Physiology</topic><topic>Protons</topic><topic>renal calculi</topic><topic>Renal net acid excretion</topic><topic>Respiratory Physiological Phenomena</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pizzorno, Joseph</creatorcontrib><creatorcontrib>Frassetto, Lynda A.</creatorcontrib><creatorcontrib>Katzinger, Joseph</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pizzorno, Joseph</au><au>Frassetto, Lynda A.</au><au>Katzinger, Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diet-induced acidosis: is it real and clinically relevant?</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2010-04-28</date><risdate>2010</risdate><volume>103</volume><issue>8</issue><spage>1185</spage><epage>1194</epage><pages>1185-1194</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><coden>BJNUAV</coden><abstract>The concept of diet-induced ‘acidosis’ as a cause of disease has been a subject of interest for more than a century. The present article reviews the history of our evolving understanding of physiological pH, the physiological support for the concept of ‘acidosis’, the causes of acidosis, how it is recognised, its short-term effects as well as the long-term clinical relevance of preventative measures, and the research support for normalisation of pH. Further, we suggest differentiation of the terms ‘acidosis’ and ‘acidaemia’ as a way to resolve the conflation of these topics which has led to confusion and controversy. The available research makes a compelling case that diet-induced acidosis, not diet-induced acidaemia, is a real phenomenon, and has a significant, clinical, long-term pathophysiological effect that should be recognised and potentially counterbalanced by dietary means.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>20003625</pmid><doi>10.1017/S0007114509993047</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0007-1145
ispartof British journal of nutrition, 2010-04, Vol.103 (8), p.1185-1194
issn 0007-1145
1475-2662
language eng
recordid cdi_proquest_miscellaneous_733879870
source MEDLINE; EZB-FREE-00999 freely available EZB journals; Free Full-Text Journals in Chemistry; Cambridge University Press Journals Complete
subjects acid-base balance
acidemia
Acidosis
Acidosis - blood
Acidosis - etiology
Acidosis - physiopathology
Acids
Acid–base equilibrium
Algorithms
Bicarbonates - analysis
Biological and medical sciences
Bone Density
Bone Resorption - etiology
Carbon Dioxide - analysis
Diet
Diet-induced acidosis
diet-related diseases
disease diagnosis
Endogenous acid production
etiology
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
history
Homeostasis
Human and Clinical Nutrition
human diseases
human nutrition
human physiology
Humans
Hydrogen-Ion Concentration
insulin resistance
Kidney Calculi - complications
Kidney Calculi - etiology
Kidney Calculi - prevention & control
literature reviews
medical treatment
Metabolic acidosis
Middle Aged
Muscle, Skeletal - physiology
muscles
Nutrition research
Phosphorus
Physiology
Protons
renal calculi
Renal net acid excretion
Respiratory Physiological Phenomena
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Diet-induced acidosis: is it real and clinically relevant?
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T02%3A29%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Diet-induced%20acidosis:%20is%20it%20real%20and%20clinically%20relevant?&rft.jtitle=British%20journal%20of%20nutrition&rft.au=Pizzorno,%20Joseph&rft.date=2010-04-28&rft.volume=103&rft.issue=8&rft.spage=1185&rft.epage=1194&rft.pages=1185-1194&rft.issn=0007-1145&rft.eissn=1475-2662&rft.coden=BJNUAV&rft_id=info:doi/10.1017/S0007114509993047&rft_dat=%3Cproquest_cross%3E2007053281%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=213836198&rft_id=info:pmid/20003625&rft_cupid=10_1017_S0007114509993047&rfr_iscdi=true