Dietary Intakes of Total Polyphenol and Its Subclasses in Association with the Incidence of Chronic Kidney Diseases: A Prospective Population-based Cohort Study
| Autor: | Pegah Rahbarinejad, Fereidoun Azizi, Emad Yuzbashian, Parvin Mirmiran, Golaleh Asghari |
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| Rok vydání: | 2021 |
| Předmět: |
Nephrology
Adult Male medicine.medical_specialty Urinalysis 030232 urology & nephrology Renal function Chronic kidney disease (CKD) Iran lcsh:RC870-923 urologic and male genital diseases Cohort Studies 03 medical and health sciences Eating Young Adult 0302 clinical medicine Internal medicine Tehran lipid and glucose study (TLGS) medicine Glomerular Filtration rate (GFR) Humans 030212 general & internal medicine Prospective Studies Renal Insufficiency Chronic Aged medicine.diagnostic_test business.industry Incidence (epidemiology) Incidence Hazard ratio food and beverages Polyphenols Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Confidence interval female genital diseases and pregnancy complications Population study Female business Kidney disease Research Article |
| Zdroj: | BMC Nephrology BMC Nephrology, Vol 22, Iss 1, Pp 1-7 (2021) |
| DOI: | 10.21203/rs.3.rs-54796/v3 |
| Popis: | Background As chronic kidney disease (CKD) is amongst the current global health challenges, this study is aiming to evaluate the long-term intake of total polyphenol and its subclasses in association with CKD incidence. Methods For the purpose of this study, a sample of 3021 Iranian adults (47 % men, aged 20–79 years) with no CKD diagnosis at baseline, were selected from the Tehran Lipid and Glucose Study population. The total intake of polyphenol and its major subclasses were assessed by a validated food frequency questionnaire and categorized as flavonoids, phenolic acids, stilbenes, and lignans. Although the morphological abnormalities of the kidneys or 3-month persistent urinalysis can distinctively define CKD, the glomerular filtration rate (eGFR) reduction is accepted as a more precise index of renal function. Therefore, eGFR 2 was the exclusive index of CKD diagnosis in the current study. The eGFR was calculated by the Modification of Diet in Renal Disease Study equation. Cox-regression analysis was used to assess the hazard ratio and 95 % confidence intervals of CKD in quartiles of the total polyphenols. Results In this study, 355 CKD cases over 11,058.464 person-years was reported. The median (IQR) age of participants was 36 years (27–46) at baseline. Moderate intake of lignans (≤ 6.8 mg) was negatively associated with the incidence of CKD in the adjusted model. No significant associations were detected between higher amounts of lignin and total polyphenols (HR: 0.97, 95 % CI 0.67–1.40) and CKD incidence. Conclusions Based on the current findings, moderate intake of lignin possess CKD-protective properties by approximately 32 %. No independent associations were observed between higher amounts of lignins and CKD incidence. |
| Databáze: | OpenAIRE |
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