Evidence map›Paper›PMID 32873954›Full record

ReviewEuropean journal of clinical nutrition2020

How metabolic acidosis and kidney disease may accelerate the aging process.

Lynda Ann Frassetto, Anthony Sebastian, Thomas Durward DuBose

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Physiological responses to mask-associated COFrontiers in public health · 2026
    Review
  2. Urine organic anion increases with age and its effects on renal acid excretion vary with pKa.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  3. Article
  4. Article
  5. Dietary acid load in health and disease.Pflugers Archiv : European journal of physiology · 2024
    Review
  6. Review
  7. Article
  8. Structural and Functional Changes in Aging Kidneys.International journal of molecular sciences · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Lynda Ann FrassettoUniversity of California San Francisco, San Francisco, CA, USA. lynda.frassetto@ucsf.edu.
Anthony SebastianUniversity of California San Francisco, San Francisco, CA, USA.
Thomas Durward DuBoseWake Forest School of Medicine, Winston-Salem, NC, USA.
University of California, San Francisco · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Consuming a lower acid (and particularly lower phosphate) diet and/or supplementing the diet with base precursors, such as bicarbonate, might have a number of mitigating effects on the aging process. These include: (1) slowing progression of fibrosis by reduction of high endogenous acid production to preserve net acid excretion and minimize the degree of systemic acidosis; (2) avoiding the downregulation of klotho, a membrane and soluble factor associated with aging. Klotho declines when constant high dietary phosphate intake leads to an increase in FGF23 production; and (3) increasing activity of the enzyme telomerase, an important factor in maintaining telomere length, another factor associated with longer lifespan. Current evidence is based on studies in invertebrate and small animal models. These results, and extrapolations of associated human studies, suggest that low acid-producing diets, or neutralization of the low grade metabolic acidosis seen in humans with age-related renal dysfunction could potentially lead to a longer, healthier lifespan.

Indexed as

AcidosisKidney DiseasesAgingAnimalsBicarbonatesDietFibroblast Growth Factor-23HumansKidneyBicarbonatesFGF23 protein, humanFibroblast Growth Factor-23

Identifiers

PMID32873954
OpenAlexW3082661272

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.