The association of dietary patterns with incident chronic kidney disease and kidney function decline among middle-aged Korean adults: a cohort study
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
OBJECTIVES: This study assessed the association of dietary patterns with the incidence of chronic kidney disease (CKD) and kidney function decline among Korean adults. METHODS: Data were collected from the records of 20,147 men and 39,857 women who participated in the Health Examinees study. Principal component analysis was used to identify 3 dietary patterns (prudent, flour-based food and meat, and white rice-based), and CKD risk was defined using the Epidemiology Collaboration equation for estimated glomerular filtration rate: (eGFR) <60 mL/min/1.73 m2. A kidney function decline was defined as a >25% decrease in eGFR from baseline. RESULTS: During the 4.2-year follow-up, 978 participants developed CKD and 971 had a 25% decline in kidney function. After adjusting for potential impact variables, compared with the lowest quartile of the prudent dietary pattern, participants in the highest quartile had a 37% lower risk of kidney function decline among men (hazard ratio [HR], 0.63; 95% confidence interval [CI], 0.47 to 0.85); while higher adherence to the flour-based food and meat dietary pattern was associated with an increased risk of CKD in both men (HR, 1.63; 95% CI, 1.22 to 2.19) and women (HR, 1.47; 95% CI, 1.05 to 2.05) as well as a decline in kidney function in both men (HR, 1.49; 95% CI, 1.07 to 2.07) and women (HR, 1.77; 95% CI, 1.33 to 2.35). CONCLUSIONS: Although a higher adherence to the prudent dietary pattern was inversely associated with the risk of kidney function decline in men, there was no association with CKD risk. In addition, a higher adherence to the flour-based food and meat dietary pattern increased the risk of CKD and kidney function decline. Further clinical trials are needed to confirm these associations.
Abstract
OBJECTIVES: This study assessed the association of dietary patterns with the incidence of chronic kidney disease (CKD) and kidney function decline among Korean adults. METHODS: Data were collected from the records of 20,147 men and 39,857 women who participated in the Health Examinees study. Principal component analysis was used to identify 3 dietary patterns (prudent, flour-based food and meat, and white rice-based), and CKD risk was defined using the Epidemiology Collaboration equation for estimated glomerular filtration rate: (eGFR) <60 mL/min/1.73 m2. A kidney function decline was defined as a >25% decrease in eGFR from baseline. RESULTS: During the 4.2-year follow-up, 978 participants developed CKD and 971 had a 25% decline in kidney function. After adjusting for potential impact variables, compared with the lowest quartile of the prudent dietary pattern, participants in the highest quartile had a 37% lower risk of kidney function decline among men (hazard ratio [HR], 0.63; 95% confidence interval [CI], 0.47 to 0.85); while higher adherence to the flour-based food and meat dietary pattern was associated with an increased risk of CKD in both men (HR, 1.63; 95% CI, 1.22 to 2.19) and women (HR, 1.47; 95% CI, 1.05 to 2.05) as well as a decline in kidney function in both men (HR, 1.49; 95% CI, 1.07 to 2.07) and women (HR, 1.77; 95% CI, 1.33 to 2.35). CONCLUSIONS: Although a higher adherence to the prudent dietary pattern was inversely associated with the risk of kidney function decline in men, there was no association with CKD risk. In addition, a higher adherence to the flour-based food and meat dietary pattern increased the risk of CKD and kidney function decline. Further clinical trials are needed to confirm these associations.
참고문헌 (47)
- Foreman KJ, "Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death : reference and alternative scenarios for 2016-40 for 195 countries and territories", Lancet, 392, pp.2052~2090 (2018)
- Jager KJ, "A single number for advocacy and communication-worldwide more than 850 million individuals have kidney diseases", Nephrol Dial Transplant, 34, pp.1803~1805 (2019)
- "Global kidney health atlas" (2019)[URL]
- Jha V, "Chronic kidney disease : global dimension and perspectives", Lancet, 382, pp.260~272 (2013)
- Kramer H, "Diet and chronic kidney disease", Adv Nutr, 10(Suppl_4), pp.S367~S379 (2019)
- Banerjee T, "Dietary factors and prevention : risk of end-stage kidney disease by fruit and vegetable consumption", Am J Nephrol, 52, pp.356~367 (2021)
- Hu FB, "Dietary pattern analysis : a new direction in nutritional epidemiology", Curr Opin Lipidol, 13, pp.3~9 (2002)
- Xu SS, "Association between dietary patterns and chronic kidney disease in a middle-aged Chinese population", Public Health Nutr, 23, pp.1058~1066 (2020)
- Hu EA, "Adherence to healthy dietary patterns and risk of CKD progression and all-cause mortality : findings from the CRIC(Chronic Renal Insufficiency Cohort)Study", Am J Kidney Dis, 77, pp.235~244 (2021)
- Health Examinees Study Group, "The Health Examinees(HEXA)study : rationale, study design and baseline characteristics", Asian Pac J Cancer Prev, 16, pp.1591~1597 (2015)
- Kim Y, "Cohort profile : the Korean Genome and Epidemiology Study(KoGES)consortium", Int J Epidemiol, 46, pp.1350~ (2017)
- Willett W., "Nutritional epidemiology", pp.260~286 (2012), Oxford University Press
- Kim SA, "Dietary patterns and the risk of dyslipidemia in Korean adults : a prospective cohort study based on the Health Examinees(HEXA)Study", J Acad Nutr Diet, 121, pp.1242~1257.e2 (2021)
- Levey AS, "A new equation to estimate glomerular filtration rate", Ann Intern Med, 150, pp.604~612 (2009)
- National Kidney Foundation, "K", DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification, 2002, pp.39(2 Suppl 1), S1~S266
- Lee HS, "DASH dietary pattern and chronic kidney disease in elderly Korean adults", Eur J Clin Nutr, 71, pp.755~761 (2017)
- Liu Y, "Dietary habits and risk of kidney function decline in an urban population", J Ren Nutr, 27, pp.16~25 (2017)
- Lin J, "Association of dietary patterns with albuminuria and kidney function decline in older white women : a subgroup analysis from the Nurses’ Health Study", Am J Kidney Dis, 57, pp.245~254 (2011)
- Goraya N, "A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate", Clin J Am Soc Nephrol, 8, pp.371~381 (2013)
- Li YJ, "Dietary fiber protects against diabetic nephropathy through short-chain fatty acid-mediated activation of G protein-coupled receptors GPR43 and GPR109A", J Am Soc Nephrol, 31, pp.1267~1281 (2020)
- Chiavaroli L, "Dietary fiber effects in chronic kidney disease : a systematic review and meta-analysis of controlled feeding trials", Eur J Clin Nutr, 69, pp.761~768 (2015)
- Asghari G, "Dietary pattern and incidence of chronic kidney disease among adults: a population-based study", Nutr Metab(Lond), 15, pp.88~ (2018)
- Shi Z, "Association between dietary patterns, cadmium intake and chronic kidney disease among adults", Clin Nutr, 37, pp.276~284 (2018)
- Jain N, "Effects of dietary interventions on incidence and progression of CKD", Nat Rev Nephrol, 10, pp.712~724 (2014)
- Hendriksen MA, "Limited salt consumption reduces the incidence of chronic kidney disease: a modeling study", J Public Health(Oxf), 40, pp.e351~e358 (2018)
- McMahon EJ, "Altered dietary salt intake for people with chronic kidney disease", Cochrane Database Syst Rev, 6, pp.CD010070~ (2021)
- Jhee JH, "A diet rich in vegetables and fruit and incident ckd : a community-based prospective cohort study", Am J Kidney Dis, 74, pp.491~500 (2019)
- Kjaergaard AD, "Obesity and kidney function : a two-sample Mendelian randomization study", Clin Chem, 68, pp.461~472 (2022)
- Wang J, "Obesity without metabolic abnormality and incident CKD : a population-based British cohort study", Am J Kidney Dis, 79, pp.24~35.e1 (2022)
- Akhavanfar R, "Adherence to lifelines diet score and risk factors of metabolic syndrome among overweight and obese adults : a cross-sectional study", Front Nutr, 9, pp.961468~ (2022)
- He LQ, "Dietary patterns and chronic kidney disease risk : a systematic review and updated meta-analysis of observational studies", Nutr J, 20, pp.4~ (2021)
- Odermatt A, "The Western-style diet : a major risk factor for impaired kidney function and chronic kidney disease", Am J Physiol Renal Physiol, 301, pp.F919~F931 (2011)
- Malesza IJ, "High-fat, Western-style diet, systemic inflammation, and gut microbiota : a narrative review", Cells, 10, pp.3164~ (2021)
- Xu H, "A proinflammatory diet is associated with systemic inflammation and reduced kidney function in elderly adults", J Nutr, 145, pp.729~735 (2015)
- Fung TT, "Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk", Am J Clin Nutr, 73, pp.61~67 (2001)
- Aleksandrova K, "Dietary patterns and biomarkers of oxidative stress and inflammation : a systematic review of observational and intervention studies", Redox Biol, 42, pp.101869~ (2021)
- Knight EL, "The impact of protein intake on renal function decline in women with normal renal function or mild renal insufficiency", Ann Intern Med, 138, pp.460~467 (2003)
- Cuenca-Sánchez M, "Controversies surrounding high-protein diet intake : satiating effect and kidney and bone health", Adv Nutr, 6, pp.260~266 (2015)
- Guo C, "Habitual physical activity, renal function and chronic kidney disease : a cohort study of nearly 200 000 adults", Br J Sports Med, 54, pp.1225~1230 (2020)
- Lakkis JI, "Obesity and kidney disease", Prog Cardiovasc Dis, 61, pp.157~167 (2018)
- Uchiyama K, "Home-based aerobic exercise and resistance training for severe chronic kidney disease : a randomized controlled trial", J Cachexia Sarcopenia Muscle, 12, pp.1789~1802 (2021)
- Foutz RM, "Insulin increases the activity of mesangial BK channels through MAPK signaling", Am J Physiol Renal Physiol, 294, pp.F1465~F1472 (2008)
- Johnson RJ, "Potential role of sugar(fructose)in the epidemic of hypertension, obesity and the metabolic syndrome, diabetes, kidney disease, and cardiovascular disease", Am J Clin Nutr, 86, pp.899~906 (2007)
- Karalius VP, "Dietary sugar and artificial sweetener intake and chronic kidney disease : a review", Adv Chronic Kidney Dis, 20, pp.157~164 (2013)
- Bier A, "High-fructose diet increases renal ChREBPβ expression, leading to intrarenal fat accumulation in a rat model with metabolic syndrome", Biology(Basel), 11, pp.618~ (2022)
- "Preventing chronic kidney disease" (2016)[URL]
- Mazidi M, "A higher ratio of refined grain to whole grain is associated with a greater likelihood of chronic kidney disease : a population-based study", Br J Nutr, 121, pp.1294~1302 (2019)