Vegetarian Diet Was Associated With a Lower Risk of Chronic Kidney Disease in Diabetic Patients.
Front Nutr
; 9: 843357, 2022.
Article
en En
| MEDLINE
| ID: mdl-35558755
ABSTRACT
Introduction:
Diabetes mellitus (DM) is a pathological hyperglycemic state related to the dysregulation of insulin. Chronic kidney disease (CKD) is a common chronic complication in diabetic patients. A vegetarian diet could be one of the preventive strategies for the occurrence of CKD in patients with diabetes mellitus. However, it is still unknown whether a vegetarian diet lowers the occurrence of CKD in DM patients. Research Design andMethods:
This retrospective study was conducted at Taipei Tzu Chi Hospital from 5 September 2005 to 31 December 2016. Subjects with an HbA1c level > 6.5% or previous history of diabetes mellitus elder than 40 years were grouped based on self-reported dietary habits (vegetarians, lacto-ovo vegetarians and omnivores) in the structured questionnaire. Structural equation modeling (SEM) was applied to estimate the direct and indirect effects of variables on the occurrence of chronic kidney disease.Results:
Among these 2,797 subjects, the participants were grouped into dietary habits as vegans (n = 207), lacto-ovo vegetarians (n = 941) and omnivores (n = 1,649). The incidence of overall CKD was higher in the omnivore group [36.6% vs 30.4% (vegans) and 28.5% (lacto-ovo vegetarian), p < 0.001]. In the SEM model, after adjusting for age and sex, the lacto-ovo vegetarian [OR 0.68, 95% confidence interval (CI) 0.57-0.82] and vegan groups (OR 0.68, 95% CI 0.49-0.94) were both associated with a lower risk of CKD occurrence than the omnivore group. The vegan diet and lacto-ovo diet lowered the risk related to a high BMI (OR 0.45, p < 0.001, OR 0.58, p < 0.001) and hyperuricemia (OR 0.53, p < 0.001; OR 0.55, p < 0.001) for the occurrence of CKD.Conclusion:
Vegetarian dietary habits were associated with a lower occurrence of CKD in DM patients.
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Banco de datos:
MEDLINE
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Idioma:
En
Año:
2022
Tipo del documento:
Article