Options for Low-Acid Foods to Manage Acid Reflux: Fruit and Vegetable Suggestions
In a recent study published in the journal Nutrients, researchers explored the potential benefits of plant-based diets for promoting health among Black Americans living in the United States. While the focus was on plant-based diets, the study also delved into the potential benefits of an alkaline diet, which emphasizes foods that promote a balanced pH in the body.
The American Institute for Cancer Research (AICR) has information on alkaline diets, but the evidence regarding the benefits of an alkaline diet on chronic kidney disease, overall health, cancer risk, and metabolic syndrome is limited and mixed.
Chronic Kidney Disease (CKD): Research suggests that reducing dietary acid load (by increasing alkaline foods like fruits and vegetables) can benefit CKD patients by decreasing acid retention, which in turn may reduce kidney stress and slow disease progression. This aligns with the general idea that maintaining body pH balance supports metabolic functions and mineral preservation.
Overall Health: The alkaline diet emphasizes foods that promote a balanced pH in the body, largely fruits and vegetables rich in minerals such as magnesium and potassium. This can improve energy levels, immune function, and bone health due to enhanced mineral intake and reduced acid load. However, the body's systemic pH is tightly regulated by the kidneys and lungs, so diet impact is indirect via metabolic processes rather than changing blood pH itself.
Cancer Risk: While cancer cells thrive in acidic microenvironments, the idea that an alkaline diet can prevent or cure cancer is not supported by robust evidence. Some studies suggest that sodium bicarbonate (baking soda) may improve the efficacy of certain cancer treatments by neutralizing acidity in the tumor microenvironment, but this is preliminary and mostly in vitro or animal research. The body's overall pH remains stable regardless of diet, making the direct anticancer effect of an alkaline diet doubtful at this stage.
Metabolic Syndrome: There is no clear scientific evidence about the direct benefits of an alkaline diet on metabolic syndrome. However, the diet’s emphasis on fruits, vegetables, and minerals may positively influence weight management and metabolic health markers, as some recent research has investigated alkaline diets for weight loss.
In summary, the benefits of an alkaline diet largely stem from increased consumption of mineral-rich, plant-based foods rather than from altering systemic pH. While more high-quality human studies are needed for confirmation, the potential benefits of plant-based diets for promoting health among Black Americans are worth exploring further.
References:
- Nefrologia. (2019). Dietary Acid-Base Load and Its Health Repercussions.
- Journal of Environmental and Public Health. (2012). The Alkaline Diet: Is There Evidence That an Alkaline pH Diet Benefits Health?
- Gastroenterology Research and Practice. (2017). Vegetal and Animal Food Proteins Have a Different Impact in the First Postprandial Hour of Impedance-pH Analysis in Patients with Heartburn.
- Journal of Diabetes Investigations. (2017). Lower Vegetable Protein Intake and Higher Dietary Acid Load Associated with Lower Carbohydrate Intake are Risk Factors for Metabolic Syndrome in Patients with Type 2 Diabetes.
- Iranian Journal of Kidney Diseases. (2019). Dietary Acid-Base Load and Risk of Chronic Kidney Disease in Adults: Tehran Lipid and Glucose Study.
- BMJ. (2015). Systematic Review of the Association Between Dietary Acid Load, Alkaline Water and Cancer.
- AICR. (n.d.). Alkaline Diets.
- Science Buddies. (n.d.). Acids, Bases and the pH Scale.
- National Kidney Foundation. (n.d.). Kidney Stone Diet and Prevention.
- Memorial Sloan Kettering Cancer Center. (n.d.). What I Should Know About Barrett's Esophagus and Risk for Esophageal Cancer.
- Oklahoma State University. (n.d.). The Importance of Food pH in Commercial Canning Operations.
- Clemson University. (n.d.). pH Values of Common Foods and Nutrients.
- T. Colin Campbell Center for Nutrition Studies. (n.d.). The Myth of Alkalizing Your Body.
- MD Anderson Cancer Center. (n.d.). The alkaline diet: What you need to know.
- Journal of Renal Nutrition. (2017). Reducing the Dietary Acid Load: How a More Alkaline Diet Benefits Patients With Chronic Kidney Disease.
- Gastroenterology Research and Practice. (2018). Vegetal and Animal Food Proteins Have a Different Impact in the First Postprandial Hour of Impedance-pH Analysis in Patients with Heartburn.
- Iranian Journal of Kidney Diseases. (2016). Dietary Acid-Base Load and the Risk of Chronic Kidney Disease in Adults: Tehran Lipid and Glucose Study.
- Journal of Environmental and Public Health. (2012). The Potential Benefits of an Alkaline pH Diet for Overall Health.
- The alkaline diet, with its focus on fruits and vegetables, may indirectly improve health outcomes for individuals with chronic kidney disease (CKD) by decreasing dietary acid load, potentially reducing kidney stress and slowing disease progression.
- Adopting a healthy, plant-based diet enriched with alkaline foods can lead to improved overall health due to enhanced mineral intake and reduced acid load, potentially improving energy levels, immune function, and bone health.
- The current evidence regarding the direct benefits of an alkaline diet on metabolic syndrome and cancer risk is limited and mixed, suggesting that this area warrants further investigation in high-quality human studies.