Fig. 1From: Renal health benefits of sustainable diets in Japan: a reviewThe diet-environment-health trilemma is superimposed by dialysis therapy for patients with end-stage kenal disease. Diet and nutrition, health, and the environment all mutually interact. When focusing on kidney health, maintenance dialysis is essential for individuals with end-stage kenal disease and generates health care-related greenhouse gas emissions (GHGE). Drugs, hospitalization, capital investment, labor costs, water, electricity, waste, and plastics should all be recognized as having environmental impactsBack to article page