Dietary Guideline Adherence Index and Kidney Measures in the Framingham Heart Study.
Am J Kidney Dis
; 68(5): 703-715, 2016 Nov.
Article
en En
| MEDLINE
| ID: mdl-27261331
ABSTRACT
BACKGROUND:
No observational studies have directly considered dietary guidelines when examining the prospective association between dietary intake and kidney measures. STUDYDESIGN:
Prospective cohort study. SETTING &PARTICIPANTS:
We examined participants who attended examinations 7 (1998-2001) and 8 (2005-2008) in the Framingham Offspring Cohort. PREDICTORS Individual components of Dietary Guidelines for Americans Adherence Index (DGAI) that reflect adherence to key dietary recommendations based on the 2005 guideline. OUTCOMES &MEASURES:
The primary outcome was incident low estimated glomerular filtration rate (eGFR) at follow-up after exclusion of prevalent low eGFR at baseline. Low eGFR was defined as serum creatinine-based eGFR<60mL/min/1.73m2.RESULTS:
Among 1,822 participants (mean age, 59.4 years; 54.6% women), 181 incident cases of low eGFR were identified. After adjustment for potential confounders, compared to optimal adherence to meat and legume recommendations, low adherence was associated with higher odds of incident low eGFR (P for trend = 0.01); ORs in the lowest and intermediate adherence categories were 2.98 (95% CI, 1.13-7.92) and 1.65 (95% CI, 1.02-2.66), respectively. Low adherence to dairy product recommendations was also associated with higher odds of incident low eGFR compared to optimal adherence (P for trend = 0.03); ORs in the lowest and intermediate adherence categories were 1.98 (95% CI, 1.03-3.82) and 1.59 (95% CI, 0.81-3.11), respectively. In addition, low adherence to meat and legume recommendations was associated with rapid eGFR decline (P for trend = 0.01), and low adherence to dairy product recommendations was associated with rapid eGFR decline (P for trend = 0.01) and incident albuminuria (P for trend = 0.03).LIMITATIONS:
The DGAI was developed based on the 2005 Dietary Guidelines for Americans.CONCLUSIONS:
Better adherence to dietary recommendations for both meat and legumes and dairy products was associated with lower risk for developing adverse kidney measures.Palabras clave
Dietary Guidelines for Americans Adherence Index (DGAI); Framingham Heart Study Offspring Cohort; albuminuria; dairy products; diet; estimated glomerular filtration rate (eGFR); incident low eGFR; kidney disease progression; meat and legumes; modifiable risk factor; rapid eGFR decline; renal function; urinary albumin-creatinine ratio (UACR)
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cooperación del Paciente
/
Dieta
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Insuficiencia Renal Crónica
Tipo de estudio:
Guideline
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2016
Tipo del documento:
Article