Dietary pattern and incidence of chronic kidney disease among adults: a population-based study
Abstract Background & Aims Although dietary patterns have been linked to chronic diseases such as cardiovascular disease, sparse data are available for a relationship between dietary patterns and incident chronic kidney disease (CKD) in West Asian populations. The aim of this study was to evalua...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | Nutrition & Metabolism |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12986-018-0322-7 |
| _version_ | 1811269917631053824 |
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| author | Golaleh Asghari Mehrnaz Momenan Emad Yuzbashian Parvin Mirmiran Fereidoun Azizi |
| author_facet | Golaleh Asghari Mehrnaz Momenan Emad Yuzbashian Parvin Mirmiran Fereidoun Azizi |
| author_sort | Golaleh Asghari |
| collection | DOAJ |
| description | Abstract Background & Aims Although dietary patterns have been linked to chronic diseases such as cardiovascular disease, sparse data are available for a relationship between dietary patterns and incident chronic kidney disease (CKD) in West Asian populations. The aim of this study was to evaluate the association of population-based dietary pattern with the risk of incident CKD after 6.1 years of follow-up. Methods At baseline, habitual dietary intakes of 1630 participants of the Tehran Lipid and Glucose Study (TLGS) who were free of CKD was assessed by a valid and reliable food-frequency questionnaire. The following three major dietary patterns were identified using a principal components analysis: Lacto-vegetarian dietary pattern, traditional Iranian dietary pattern, and high fat, high sugar dietary pattern. Estimated glomerular filtration rate (eGFR) was calculated, using the Modification of Diet in Renal Disease (MDRD) Study equation and CKD was defined as eGFR < 60 mL/min/1.73m2. Odds ratio (OR) using multivariable logistic regression was calculated for the association of incident CKD with the extracted dietary patterns. Results After adjusting for age, sex, smoking, total energy intake, physical activity, body mass index, diabetes, and hypertension the OR for participants in the highest compared with those in the lowest tertile of the lacto-vegetarian dietary pattern was 0.57 (95% confidence interval [CI]: 0.41 to 0.80, P-trend = 0.002). In contrast, the high fat, high sugar dietary pattern was positively associated with the incidence of CKD (OR for the third tertile compared with first tertile: 1.46; 95% CI: 1.03–2.09; P-trend = 0.036). Traditional Iranian dietary pattern was not associated with incident CKD. Conclusion The high fat, high sugar dietary pattern was associated with significantly increased (46%) odds of incident CKD, whereas a lacto-vegetarian dietary pattern may be protective against the occurrence of CKD by 43%. |
| first_indexed | 2024-04-12T21:51:43Z |
| format | Article |
| id | doaj.art-3a72c98c327d41508443b0ff6f46bd6f |
| institution | Directory Open Access Journal |
| issn | 1743-7075 |
| language | English |
| last_indexed | 2024-04-12T21:51:43Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Nutrition & Metabolism |
| spelling | doaj.art-3a72c98c327d41508443b0ff6f46bd6f2022-12-22T03:15:27ZengBMCNutrition & Metabolism1743-70752018-12-0115111110.1186/s12986-018-0322-7Dietary pattern and incidence of chronic kidney disease among adults: a population-based studyGolaleh Asghari0Mehrnaz Momenan1Emad Yuzbashian2Parvin Mirmiran3Fereidoun Azizi4Student Research Committee, Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesNutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesNutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesNutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesAbstract Background & Aims Although dietary patterns have been linked to chronic diseases such as cardiovascular disease, sparse data are available for a relationship between dietary patterns and incident chronic kidney disease (CKD) in West Asian populations. The aim of this study was to evaluate the association of population-based dietary pattern with the risk of incident CKD after 6.1 years of follow-up. Methods At baseline, habitual dietary intakes of 1630 participants of the Tehran Lipid and Glucose Study (TLGS) who were free of CKD was assessed by a valid and reliable food-frequency questionnaire. The following three major dietary patterns were identified using a principal components analysis: Lacto-vegetarian dietary pattern, traditional Iranian dietary pattern, and high fat, high sugar dietary pattern. Estimated glomerular filtration rate (eGFR) was calculated, using the Modification of Diet in Renal Disease (MDRD) Study equation and CKD was defined as eGFR < 60 mL/min/1.73m2. Odds ratio (OR) using multivariable logistic regression was calculated for the association of incident CKD with the extracted dietary patterns. Results After adjusting for age, sex, smoking, total energy intake, physical activity, body mass index, diabetes, and hypertension the OR for participants in the highest compared with those in the lowest tertile of the lacto-vegetarian dietary pattern was 0.57 (95% confidence interval [CI]: 0.41 to 0.80, P-trend = 0.002). In contrast, the high fat, high sugar dietary pattern was positively associated with the incidence of CKD (OR for the third tertile compared with first tertile: 1.46; 95% CI: 1.03–2.09; P-trend = 0.036). Traditional Iranian dietary pattern was not associated with incident CKD. Conclusion The high fat, high sugar dietary pattern was associated with significantly increased (46%) odds of incident CKD, whereas a lacto-vegetarian dietary pattern may be protective against the occurrence of CKD by 43%.http://link.springer.com/article/10.1186/s12986-018-0322-7Dietary patternGlomerular filtration rateDiet qualityWestern dietary pattern |
| spellingShingle | Golaleh Asghari Mehrnaz Momenan Emad Yuzbashian Parvin Mirmiran Fereidoun Azizi Dietary pattern and incidence of chronic kidney disease among adults: a population-based study Nutrition & Metabolism Dietary pattern Glomerular filtration rate Diet quality Western dietary pattern |
| title | Dietary pattern and incidence of chronic kidney disease among adults: a population-based study |
| title_full | Dietary pattern and incidence of chronic kidney disease among adults: a population-based study |
| title_fullStr | Dietary pattern and incidence of chronic kidney disease among adults: a population-based study |
| title_full_unstemmed | Dietary pattern and incidence of chronic kidney disease among adults: a population-based study |
| title_short | Dietary pattern and incidence of chronic kidney disease among adults: a population-based study |
| title_sort | dietary pattern and incidence of chronic kidney disease among adults a population based study |
| topic | Dietary pattern Glomerular filtration rate Diet quality Western dietary pattern |
| url | http://link.springer.com/article/10.1186/s12986-018-0322-7 |
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