Association between dietary patterns, cadmium intake and chronic kidney disease among adults

Background: We analyzed the dietary patterns of Brazilian individuals with a self-declared diagnosis of chronic kidney disease (CKD) and explored associations with treatment modality. Methods: Weekly consumption of 14 food intake markers was analyzed in 839 individuals from the 2013 Brazil National Health Survey with a self-declared diagnosis of CKD undergoing nondialysis (n = 480), dialysis (n = 48), or renal transplant (n = 17) treatment or no CKD treatment (n = 294). Dietary patterns were derived by exploratory factor analysis of food intake groups. Multiple linear regression models, adjusted by sociodemographic and geographical variables, were used to evaluate possible differences in dietary pattern scores between different CKD treatment groups. Results: Two food patterns were identified: an “Unhealthy” pattern (red meat, sweet sugar beverages, alcoholic beverages, and sweets and a negative loading of chicken, excessive salt, and fish) and a “Healthy” pattern (raw and cooked vegetables, fruits, fresh fruit juice, and milk). The Unhealthy pattern was inversely associated with nondialysis and dialysis treatment (β: −0.20 (95% CI: −0.33; −0.06) and β: −0.80 (−1.16; −0.45), respectively) and the Healthy pattern was positively associated with renal transplant treatment (β: 0.32 (0.03; 0.62)). Conclusions: Two dietary patterns were identified in Brazilian CKD individuals and these patterns were linked to CKD treatment modality.

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Cadmium intake and chronic kidney disease: Response to Kawada T

Clinical Nutrition ◽

10.1016/j.clnu.2018.06.976 ◽

2018 ◽

Vol 37 (5) ◽

pp. 1774 ◽

Cited By ~ 2

Author(s):

Zumin Shi ◽

Anne W. Taylor ◽

Malcolm Riley ◽

Julie Byles ◽

Jianghong Liu ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Disease Response ◽

Cadmium Intake

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Dietary Patterns and Risk of Chronic Kidney Disease Progression and All-Cause Mortality: Findings from the CRIC study

Current Developments in Nutrition ◽

10.1093/cdn/nzaa061_043 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1415-1415

Author(s):

Emily Hu ◽

Josef Coresh ◽

Cheryl Anderson ◽

Lawrence Appel ◽

Morgan Grams ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Healthy Eating ◽

Dietary Patterns ◽

Lower Risk ◽

Healthy Eating Index ◽

Dietary Guidelines ◽

Ckd Progression ◽

Adjusted Risk ◽

All Cause Mortality

Abstract Objectives Current dietary guidelines recommend that chronic kidney disease (CKD) patients reduce intake of individual nutrients, such as sodium, potassium, phosphorus, and protein. This approach can be difficult for patients to implement and ignores important nutrient interactions. Our objective was to define the association of healthy dietary patterns with risk of CKD progression and all-cause mortality among people with CKD. Methods We analyzed data from 2403 participants aged 21–74 years with an estimated glomerular filtration rate (eGFR) of 20–70 mL/min/1.73 m2 and dietary data in the Chronic Renal Insufficiency Cohort (CRIC) study. Healthy Eating Index-2015 (HEI-2015), Alternative Healthy Eating Index-2010 (AHEI-2010), alternate Mediterranean diet (aMed), and Dietary Approaches to Stop Hypertension (DASH) diet scores were calculated using data collected from food frequency questionnaires. We analyzed the association between these dietary patterns and two main outcomes: 1) CKD progression defined as ≥50% eGFR decline, kidney transplantation, or dialysis, and 2) all-cause mortality. Cox proportional hazards regression models adjusted for demographic, lifestyle, and clinical covariates were used to estimate hazard ratios (HR) and 95% confidence intervals (CI). Results There were 855 cases of CKD progression and 773 deaths over a maximum of 14 years. Compared with participants with the lowest adherence, the most highly adherent tertile of AHEI-2010, aMed, and DASH had lower adjusted risk of CKD progression with the strongest association for aMed (HR: 0.75, 95% CI: 0.62–0.90). Nuts and legumes were independently associated with lower risk of CKD progression. Compared with participants with the lowest adherence, the highest adherence tertiles for all four scores had a 24–31% lower adjusted risk of all-cause mortality. Conclusions Greater adherence to a healthy dietary pattern is associated with a lower risk of CKD progression and all-cause mortality among people with CKD. Guidance to adopt healthy dietary patterns should be incorporated into guidelines for individuals with CKD. Funding Sources NIH (NHLBI, NIDDK).

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Dietary Patterns and Risk of Chronic Kidney Disease Among Tehranian Adults with High Blood Pressure

International Journal of Endocrinology and Metabolism ◽

10.5812/ijem.89709 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Niloofar Naderinejad ◽

Hanieh-Sadat Ejtahed ◽

Golaleh Asghari ◽

Parvin Mirmiran ◽

Fereidoun Azizi

Keyword(s):

Blood Pressure ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

High Blood Pressure ◽

Dietary Patterns

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Direct association between high fat dietary pattern and risk of being in the higher stages of chronic kidney disease

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000260 ◽

2019 ◽

Vol 89 (5-6) ◽

pp. 261-270 ◽

Cited By ~ 2

Author(s):

Mohammad Hossein Rouhani ◽

Mojgan Mortazavi Najafabadi ◽

Ahmad Esmaillzadeh ◽

Awat Feizi ◽

Leila Azadbakht

Keyword(s):

Chronic Kidney Disease ◽

Renal Function ◽

Kidney Disease ◽

Dietary Patterns ◽

Dietary Pattern ◽

Fruits And Vegetables ◽

Cross Sectional Study ◽

High Fat ◽

Cross Sectional ◽

Simple Carbohydrate

Abstract. Background: Although there are some reports on the association of dietary patterns and chronic kidney disease (CKD), no data exists regarding the relation between dietary pattern and CKD from developing countries. Objective: To examine the association between major dietary patterns, renal function and progression of CKD. Methods: Two hundred twenty one subjects with diagnosed CKD were selected for this cross-sectional study. Dietary intake of patients was assessed by a validated food frequency questionnaire. Major dietary patterns were extracted by factor analysis. Renal function was measured by blood urea nitrogen (BUN) and serum creatinine (Cr) level as well as estimated glomerular filtration rate (eGFR). Results: Three major dietary patterns were identified: high fruits and vegetables, high simple carbohydrate and sugar and high fat. Subjects in the second quartile of high fat dietary pattern score had lower Cr and higher eGFR in compared with the first quartile after adjusting for covariates (P = 0.02 for both). After adjusting for confounders (age, physical activity, socioeconomic status, height, weight, systolic and diastolic blood pressure and energy intake), patients in the top quartile of high fat dietary pattern score were found to be at greater risk of being in the higher stages (stage 3 vs. stages 4 and 5) of CKD (odds ratio: 3.09; 95% CI: 1.23, 7.76; P for trend = 0.02). Conclusion: We observed that a high fat dietary pattern was directly associated with progression of CKD.

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Chili Intake Is Inversely Associated with Chronic Kidney Disease among Adults: A Population-Based Study

Nutrients ◽

10.3390/nu11122949 ◽

2019 ◽

Vol 11 (12) ◽

pp. 2949 ◽

Cited By ~ 2

Author(s):

Zumin Shi ◽

Ming Zhang ◽

Jianghong Liu

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Dietary Patterns ◽

Large Population ◽

Population Based ◽

Food Record ◽

Nutrition Survey ◽

Population Based Study ◽

Household Food Inventory ◽

Definition Of

We aimed to assess the association between chili consumption and kidney function and chronic kidney disease (CKD). Data from 8429 adults attending the China Health and Nutrition Survey were used. Chili intake was assessed using a 3 day, 24 h food record in combination with household food inventory between 1991 and 2009. CKD was defined as an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m2, as measured in 2009. Logistic regression was used to assess the association. Of the 8429 participants, 1008 (12.0%) fit the definition of CKD. The prevalence of CKD was 13.1% in non-consumers of chili and 7.4% among those with chili intake above 50 g/day. After adjusting for demographics, lifestyle factors (i.e., smoking, alcohol drinking, physical activity), dietary patterns, and chronic conditions, the odds ratio (OR) (95% CI) for CKD across chili consumption levels of none, 1–20 g/day, 20.1–50 g/day, ≥50.1 g/day were 1.00 (reference), 0.82 (0.67–1.01), 0.83 (0.65–1.05), and 0.51 (0.35–0.75), respectively (p for trend 0.001). There was no interaction between chili intake with gender, income, urbanization, hypertension, obesity, or diabetes. This longitudinal large population-based study suggests that chili consumption is inversely associated with CKD, independent of lifestyle, hypertension, obesity, and overall dietary patterns.

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Association Between Dietary Patterns and Kidney Function in Patients With Chronic Kidney Disease: A Cross-Sectional Analysis of the German Chronic Kidney Disease Study

Journal of Renal Nutrition ◽

10.1053/j.jrn.2019.09.008 ◽

2020 ◽

Vol 30 (4) ◽

pp. 296-304 ◽

Cited By ~ 3

Author(s):

Judith Heindel ◽

Seema Baid-Agrawal ◽

Casey M. Rebholz ◽

Jennifer Nadal ◽

Matthias Schmid ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Kidney Function ◽

Dietary Patterns ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Disease Study ◽

Sectional Analysis

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Dietary patterns and chronic kidney disease risk: a systematic review and updated meta-analysis of observational studies

Nutrition Journal ◽

10.1186/s12937-020-00661-6 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Ling-Qiong He ◽

Xu-Hong Wu ◽

Yi-Qian Huang ◽

Xiao-Yan Zhang ◽

Long Shu

Keyword(s):

Systematic Review ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Dietary Patterns ◽

Dietary Pattern ◽

Lower Risk ◽

Observational Studies ◽

Meta Analysis ◽

Drinking Pattern ◽

Healthy Dietary Pattern

Abstract Background A number of studies have reported the association between dietary patterns and the risk of chronic kidney disease (CKD), however a consistent perspective hasn’t been established to date. Herein, we conducted this systematic review and meta-analysis of observational studies to assess the association between dietary patterns and CKD. Methods MEDLINE, EBSCO and references from eligible studies were searched for relevant articles published up to 9 May 2020 that examined the association of common dietary patterns and CKD. The heterogeneity among studies was assessed by Cochran’s Q test and I2 methods. Results Seventeen eligible studies, involving 149,958 participants, were included in our systematic review and meta-analysis. The highest compared with the lowest category of healthy dietary pattern was significantly associated with a lower risk of CKD (OR=0.69; CI: 0.57, 0.84; P=0.0001). A higher risk of CKD was shown for the highest compared with the lowest categories of Western-type dietary pattern (OR=1.86; CI: 1.21, 2.86; P=0.005). There were evidence of a lower risk of CKD in the highest compared with the lowest categories of light-moderate drinking pattern (OR=0.76; CI: 0.71, 0.81; P< 0.0001) and heavy drinking pattern (OR=0.67; CI: 0.56, 0.80; P< 0.0001). Conclusions The results of this systematic review and meta-analysis show that a healthy dietary pattern and alcohol drinking were associated with lower risk of CKD, whereas a Western-type dietary pattern was associated with higher risk of CKD.

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