RESUMO
Adherence to a Mediterranean lifestyle may be a useful primary and secondary prevention strategy for chronic kidney disease (CKD). This cross-sectional study aimed to explore adherence to a Mediterranean lifestyle and its association with cardiometabolic markers and kidney function in 99 people aged 73â 2 ± 10â 5 years with non-dialysis dependant CKD (stages 3-5) at a single Australian centre. Adherence was assessed using an a priori index, the Mediterranean Lifestyle (MEDLIFE) index. Cardiometabolic markers (total cholesterol, LDL-cholesterol, HbA1c and random blood glucose) and kidney function (estimated GFR) were sourced from medical records and blood pressure measured upon recruitment. Overall, adherence to a Mediterranean lifestyle was moderate to low with an average MEDLIFE index score of 11â 33 ± 3â 31. Adherence to a Mediterranean lifestyle was associated with employment (r 0â 30, P = 0â 004). Mediterranean dietary habits were associated with cardiometabolic markers, such as limiting sugar in beverages was associated with lower diastolic blood pressure (r 0â 32, P = 0â 002), eating in moderation with favourable random blood glucose (r 0â 21, P = 0â 043), having more than two snack foods per week with HbA1c (r 0â 29, P = 0â 037) and LDL-cholesterol (r 0â 41, P = 0â 002). Interestingly, eating in company was associated with a lower frequency of depression (χ2 5â 975, P = 0â 015). To conclude, Mediterranean dietary habits were favourably associated with cardiometabolic markers and management of some comorbidities in this group of people with non-dialysis dependent CKD.