Diet quality and incident chronic kidney disease in the general population: The Lifelines Cohort Study
| Autor: | Gerjan Navis, Stephan J. L. Bakker, Qingqing Cai, Martin H. de Borst, Petra C Vinke, Eva Corpeleijn, Louise H. Dekker |
|---|---|
| Přispěvatelé: | Reproductive Origins of Adult Health and Disease (ROAHD), Groningen Institute for Organ Transplantation (GIOT), Groningen Kidney Center (GKC), Value, Affordability and Sustainability (VALUE) |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Population eGFR decline Critical Care and Intensive Care Medicine Lower risk Logistic regression Diet Surveys Food group Chronic kidney disease Internal medicine MANAGEMENT CKD Odds Ratio medicine Humans Prospective Studies Renal Insufficiency Chronic education Netherlands RISK OUTCOMES education.field_of_study Nutrition and Dietetics business.industry MORTALITY Incidence Confounding ASSOCIATION Middle Aged medicine.disease STYLE DIET Diet Logistic Models Cohort PATTERNS CUTOFF Female HEALTH Diet Healthy business Lifelines Diet Score Diet quality Glomerular Filtration Rate Cohort study Kidney disease |
| Zdroj: | Clinical Nutrition, 40(9), 5099-5105. Churchill Livingstone |
| ISSN: | 0261-5614 |
| DOI: | 10.1016/j.clnu.2021.07.033 |
| Popis: | RATIONALE & AIMS: Healthy dietary patterns have been associated with a lower risk of chronic kidney disease (CKD). We aimed to investigate the association of a fully food-based diet quality score assessed by the Lifelines Diet Score (LLDS) with either incident CKD or eGFR decline in the general population.METHODS: For this study, data from a prospective general population-based Lifelines cohort in the Northern Netherlands was used. Diet was assessed with a 110-item food frequency questionnaire at baseline. The LLDS, based on international evidence for diet-disease relations at the food group level, was calculated to assess diet quality. For the analysis, the score was divided into tertiles. Logistic regression was performed to evaluate the association of the LLDS at baseline with either incident CKD (eGFR RESULTS: A total of 78 346 participants free of CKD at baseline were included. During a mean (SD) follow-up of 3.6 ± 0.9 years, 2071 (2.6%) participants developed CKD and 7611 (9.7%) had a ≥20% eGFR decline. Participants in the highest tertile of LLDS had a lower risk of incident CKD (fully adjusted OR 0.83, [95% CI: 0.72-0.96]) and ≥20% eGFR decline (fully adjusted OR 0.80, [95% CI: 0.75-0.86]), compared with those in the lowest tertile. Similar dose-response associations were observed in continuous LLDS.CONCLUSIONS: Higher adherence to a high-quality diet was associated with a lower risk of incident CKD or ≥20% eGFR decline in the general population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect