Alcohol intake and the risk of chronic kidney disease: results from a systematic review and dose–response meta-analysis
| Autor: | H. C. Yuan, H. Bai, Liyong Chen, Q. T. Yu, Hongzhao Xu, P. Gu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Inverse Association 030109 nutrition & dietetics Nutrition and Dietetics business.industry Medicine (miscellaneous) 030209 endocrinology & metabolism Alcohol Random effects model Lower risk medicine.disease 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine chemistry Meta-analysis Relative risk Internal medicine Medicine business Prospective cohort study Kidney disease |
| Zdroj: | European Journal of Clinical Nutrition. 75:1555-1567 |
| ISSN: | 1476-5640 0954-3007 |
| Popis: | Many prospective cohort studies have investigated the association between the consumption of alcohol and CKD risk and have revealed inconsistent results. In the present study, we aimed to perform a meta-analysis of these studies to assess this association.We searched the PubMed and Embase databases up to 2020 and reviewed the reference lists of relevant articles to identify appropriate studies. We calculated the pooled relative risks with 95% CIs using random effects models, and then performed subgroup and meta-regression analyses. Dose-response meta-analyses were performed by sex separately. We identified 25 eligible prospective cohort studies, including 514,148 participants and 35,585 incident CKD cases. Compared with the category of minimal alcohol intake, light (RR = 0.90, I2 = 49%), moderate (RR = 0.86, I2 = 40%), and heavy (RR = 0.85, I2 = 51%) alcohol intake were associated with a lower risk of CKD. Subgroup meta-analysis by sex indicated that light (RR = 0.92, I2 = 0%), moderate (RR = 0.83, I2 = 39%) and heavy (RR = 0.76, I2 = 40%), alcohol consumption were inversely associated with CKD risk in male. Dose-response meta-analyses detected a nonlinear inverse association between alcohol consumption and the risk of CKD in all participants and linear inverse association in female participants. This meta-analysis shows that light ( 24 g/day) alcohol consumption are protective against chronic kidney disease in adult participants especially in males. |
| Databáze: | OpenAIRE |
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