Higher dietary fiber intake is associated with lower cardiovascular disease mortality risk among maintenance hemodialysis patients: a multicenter prospective cohort study

2021 ◽  
pp. 1-25
Author(s):  
Zizhen Lin ◽  
Xianhui Qin ◽  
Yaya Yang ◽  
Yan Huang ◽  
Jieyu Wang ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Dietary Fiber ◽  
Mortality Risk ◽  
Dietary Guidelines ◽  
Chinese Patients ◽  
Maintenance Hemodialysis ◽  
Fiber Intake ◽  
Dialysis Patients ◽  
Dietary Fiber Intake ◽  
Cvd Mortality

Abstract High fiber intake is associated with reduced mortality risk in both general and chronic kidney disease populations. However, in dialysis patients such data is limited. Therefore, the association between dietary fiber intake (DFI) and the risk of all-cause and cardiovascular disease (CVD) mortality was examined in this study. A total of 1044 maintenance hemodialysis (MHD) patients from eight outpatient dialysis centers in China were included in this study. Data on DFI was collected using 24-h dietary recalls for three days in a week and was normalized to actual dry weight. The study outcomes included all-cause and CVD mortality. Over a median of 46 months of follow-up, 354 deaths were recorded, of which 210 (59%) were due to CVD. On assessing DFI as tertiles, the CVD mortality risk was significantly lower in patients in tertile 2-3 (≥0.13g/kg/d; hazard ratio [HR]: 0.71; 95% confidence interval [CI]: 0.51-0.97) compared to those in tertile 1 (<0.13g/kg/d). A similar, but non-significant trend was found for the association between DFI (tertile 2-3 vs. tertile 1; HR: 0.83; 95%CI: 0.64-1.07) and all-cause mortality. In summary, higher DFI was associated with lower CVD mortality risk among Chinese patients of MHD. This study emphasized the significance of dietary fiber intake in MHD patients, and provided information that is critical for the improvement of dietary guidelines for dialysis patients.

Abstract P221: Relationship of Dietary Carbohydrate and Fiber Intake to Risk of Cardiovascular Disease Mortality in Japanese: NIPPON DATA80

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Itsuko Miyazawa ◽  
Katsuyuki Miura ◽  
Naoko Miyagawa ◽  
Keiko Kondo ◽  
Aya Kadota ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Fatty Acids ◽  
Mortality Risk ◽  
Fiber Intake ◽  
Cvd Risk ◽  
Dietary Fiber Intake ◽  
Relationship Of ◽  
The Relationship ◽  
Cvd Mortality

Aims: The association between carbohydrate intake and cardiovascular disease (CVD) risk has been investigated; however, it remains unclear. Carbohydrate quality is considered to be more important than its amount. Carbohydrate consists of fiber and available carbohydrate which includes starch and sugar. The aim of this study was to examine the relationship of each of carbohydrate, available carbohydrate, starch and fiber intake to the long-term CVD mortality risk in Japanese population. We also examined the relationship of the ratios of carbohydrate, available carbohydrate or starch-to-fiber to CVD risk. Methods: We prospectively followed 8,925 participants (3,916 men and 5,009 women) aged 30-79 years without CVD who participated in the National Nutrition Survey in 1980 from 300 randomly selected areas in Japan. The participants were followed for 24 years. To identify the cause of death, the National Vital Statistics database of Japan was used. Food intake survey using weighed food records over three days in each household was conducted. The nutrient intake reported for each household was proportionally allocated to each household member according to the mean consumption rate by age and sex in 1995. Ratios of carbohydrate, available carbohydrate or starch intake (g/day) divided by dietary fiber intake (g/day) were also calculated. Cox proportional hazards models were used to estimate multivariable-adjusted hazard ratios (HRs) for CVD mortality by sex-specific quartiles of fiber (g/1000kcal), carbohydrate (%kcal), available carbohydrate (%kcal), starch (%kcal) and their ratios. HRs were adjusted for age, sex, lifestyle factors (smoking status, drinking status, BMI, medication of hypertension, past history of diabetes mellitus), and dietary factors (intakes of sodium, saturated fatty acids and long-chain n-3 polyunsaturated fatty acids). Results: During 24-years of follow up, 823 CVD deaths were observed (419 men and 404 women). Adjusted HR for CVD mortality was lower in the highest quartile (Q4) of fiber intake (0.71, 95%CI: 0.57-0.89, P -trend 0.003) compared with the lowest (Q1). However, carbohydrate, available carbohydrate and starch intake were not associated with CVD mortality (Adjusted HR for Q4 compared with Q1: 1.00, 95%CI: 0.76-1.32, P -trend 0.875; 1.07, 0.82-1.40, 0.757; 0.92, 0.71-1.20, 0.619; respectively). The ratios of carbohydrate, available carbohydrate or starch-to-fiber were all positively associated with CVD mortality (Adjusted HR for Q4 compared with Q1: 1.40, 95%CI: 1.13-1.73, P -trend 0.003; 1.33, 1.08-1.64, 0.006; 1.23, 0.99-1.52, 0.032; respectively). Conclusions: Dietary fiber intake was inversely related to long-term CVD mortality risk in Japanese. The ratios of carbohydrate, available carbohydrate or starch-to-fiber were positively associated with long-term CVD mortality risk; they might be useful indexes to predict future CVD risk.

scholarly journals Dietary Fiber Intake Is Associated with Reduced Risk of Mortality from Cardiovascular Disease among Japanese Men and Women

2010 ◽  
Vol 140 (8) ◽  
pp. 1445-1453 ◽  
Author(s):  
◽  
Ehab S. Eshak ◽  
Hiroyasu Iso ◽  
Chigusa Date ◽  
Shogo Kikuchi ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Dietary Fiber ◽  
Fiber Intake ◽  
Japanese Men ◽  
Men And Women ◽  
Dietary Fiber Intake ◽  
Risk Of Mortality ◽  
Reduced Risk

scholarly journals Dietary fiber intake and risk factors for cardiovascular disease in French adults

2005 ◽  
Vol 82 (6) ◽  
pp. 1185-1194 ◽  
Author(s):  
Denis Lairon ◽  
Nathalie Arnault ◽  
Sandrine Bertrais ◽  
Richard Planells ◽  
Enora Clero ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Dietary Fiber ◽  
Fiber Intake ◽  
Dietary Fiber Intake

scholarly journals A prospective study of dietary fiber intake and risk of cardiovascular disease among women

2002 ◽  
Vol 39 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Simin Liu ◽  
Julie E Buring ◽  
Howard D Sesso ◽  
Eric B Rimm ◽  
Walter C Willett ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Prospective Study ◽  
Dietary Fiber ◽  
Fiber Intake ◽  
Dietary Fiber Intake ◽  
A Prospective Study
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