| Autor: |
Picard K RD BSc; Department of Agricultural, Food & Nutritional Sciences, Li Ka Shing Centre for Health Innovation, University of Alberta, Edmonton, AB., Senior PA MBBS PhD FRCP(E) FRCP; Department of Medicine, Division of Endocrinology & Metabolism, University of Alberta, 9-114F Clinical Sciences Building, Edmonton, AB., Wilmott A BSc; Department of Agricultural, Food & Nutritional Sciences, Li Ka Shing Centre for Health Innovation, University of Alberta, Edmonton, AB., Jindal K MD FRCPC; Department of Medicine, Division of Nephrology, University of Alberta, 11-107 Clinical Sciences Building, Edmonton, AB., Richard C RD PhD; Department of Agricultural, Food & Nutritional Sciences, Li Ka Shing Centre for Health Innovation, University of Alberta, Edmonton, AB., Mager DR RD PhD; Department of Agricultural, Food & Nutritional Sciences, Li Ka Shing Centre for Health Innovation, University of Alberta, Edmonton, AB. |
| Abstrakt: |
There is no specific diet quality tool recommended for adults living with chronic kidney disease (CKD). Identifying how diet quality tools assess nutritional adequacy and correlate with potassium and phosphorus (nutrients of interest in CKD) is warranted. Our aim was to compare Mediterranean Diet Scores (MDS), Healthy Eating Index (HEI), and Healthy Food Diversity (HFD) to determine their correlation with nutrient intake in adults living with diabetes and CKD. Using data from a longitudinal study of 50 participants with diabetes and CKD, diet quality was assessed at baseline and 1 or more times at annual visits up to 5 years (complete diet records n = 178). Diet quality was investigated for correlation with nutrient intake. Compared with HEI and HFD, MDS was poorly correlated with nutrient intake (all r values <0.40). HFD and HEI were moderately correlated with potassium ( r = 0.66, P < 0.01 and r = 0.57, P < 0.01, respectively). HEI was weakly correlated with phosphorus ( r = 0.365, P < 0.01). MDS recommends moderation of dairy and meat, this may have specific benefits for CKD as these are both sources of phosphorus, as such high MDS were associated with lower phosphorus intake. This study suggests that development of a renal specific diet quality assessment tool may be useful; however, further studies are needed. |
