Dietary Factors and Prevention: Risk of End-Stage Kidney Disease by Fruit and Vegetable Consumption

被引:22
作者
Banerjee, Tanushree [1 ]
Carrero, Juan Jesus [2 ]
McCulloch, Charles [3 ]
Burrows, Nilka Rios [4 ]
Siegel, Karen R. [4 ]
Morgenstern, Hal [5 ,6 ,7 ]
Saran, Rajiv [8 ,9 ]
Powe, Neil R. [10 ]
机构
[1] Univ Calif San Francisco, Dept Med, Div Gen Internal Med, San Francisco, CA 94143 USA
[2] Karolinska Inst, Dept Med Epidemiol & Biostat, Solna, Sweden
[3] Univ Calif San Francisco, Dept Biostat, San Francisco, CA 94143 USA
[4] Ctr Dis & Control & Prevent, Div Diabet Translat, Atlanta, GA USA
[5] Univ Michigan, Dept Epidemiol, Sch Publ Hlth, Ann Arbor, MI 48109 USA
[6] Univ Michigan, Dept Environm Hlth Sci, Sch Publ Hlth, Ann Arbor, MI 48109 USA
[7] Univ Michigan, Sch Med, Dept Urol, Ann Arbor, MI USA
[8] Univ Michigan, Kidney Epidemiol & Cost Ctr, Ann Arbor, MI 48109 USA
[9] Univ Michigan, Dept Med, Div Nephrol, Ann Arbor, MI 48109 USA
[10] Zuckerberg San Francisco Gen Hosp, Dept Med, San Francisco, CA USA
基金
瑞典研究理事会;
关键词
ALL-CAUSE MORTALITY; METABOLIC-ACIDOSIS; CARDIOVASCULAR-DISEASE; URINE PH; ADULTS; HYPERTENSION; BICARBONATE; HEALTH; CANCER; CKD;
D O I
10.1159/000514754
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: The association between fruit and vegetable (FV) intake and the risk of end-stage kidney disease (ESKD) has not been examined in the general population and fully explored in chronic kidney disease (CKD). We prospectively evaluated this relationship in US representative sample of adults and evaluated consistency by the presence or absence, and severity, of CKD. Methods: We used data from the Third National Health and Nutrition Examination Survey (1988-1994) linked with the US Renal Data System, including 14,725 adults aged >= 20 years and with follow-up for ESKD through 2008. Daily FV intake was ascertained using a food frequency questionnaire. We examined the association between selected categories of FV intake and ESKD using a Fine Gray competing risk model adjusting for sociodemographics, lifestyle, clinical and nutritional factors, estimated glomerular filtration rate, and albuminuria. We evaluated whether risk varied in individuals with severe versus any CKD. Results: 230 participants (1.5%) developed ESKD during follow-up. In the adjusted model, compared to highest intake, those in lowest categories of FV intake had a higher risk of ESKD, for <2 times/day (1.45 [1.24-1.68], 2 to <3 times/day (1.40 [1.18-1.61]), 3 to <4 times/day (1.25 [1.04-1.46]), and 4 to <6 times/day (1.14 [0.97-1.31]). There was suggestion of heterogeneity (p for interaction = 0.03) with possible stronger inverse association in patients with CKD than those without CKD. After stratification, we obtained similar strong inverse association when we examined ESKD incidence across intake of FVs in participants with CKD stages 1-4 (n = 5,346) and specifically in those with CKD stages 3-4 (n = 1,084). Conclusions: Low intake of FVs was associated with higher risk of ESKD in US adults with and without CKD, supporting an emerging body of literature on the potential benefits of plant-rich diets for prevention of ESKD.
引用
收藏
页码:356 / 367
页数:12
相关论文
共 58 条
  • [51] Incidence of Chronic Kidney Disease and Its Risk Factors, Results of Over 10 Year Follow Up in an Iranian Cohort
    Tohidi, Maryam
    Hasheminia, Mitra
    Mohebi, Reza
    Khalili, Davood
    Hosseinpanah, Farhad
    Yazdani, Babak
    Nasiri, Amir Ahmad
    Azizi, Fereidoun
    Hadaegh, Farzad
    [J]. PLOS ONE, 2012, 7 (09):
  • [52] The combination of high fruit and vegetable and low saturated fat intakes is more protective against mortality in aging men than is either alone: The Baltimore longitudinal study of aging
    Tucker, KL
    Hallfrisch, J
    Qiao, N
    Muller, D
    Andres, R
    Fleg, JL
    [J]. JOURNAL OF NUTRITION, 2005, 135 (03) : 556 - 561
  • [53] US Department of Health and Human Services, 2017, CTR DIS CONTROL PREV, V66, P1247
  • [54] Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies
    Wang, Xia
    Ouyang, Yingying
    Liu, Jun
    Zhu, Minmin
    Zhao, Gang
    Bao, Wei
    Hu, Frank B.
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2014, 349
  • [55] Urine pH is an indicator of dietary acid-base load, fruit and vegetables and meat intakes: results from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk population study
    Welch, Ailsa A.
    Mulligan, Angela
    Bingham, Sheila A.
    Khaw, Kay-tee
    [J]. BRITISH JOURNAL OF NUTRITION, 2008, 99 (06) : 1335 - 1343
  • [56] Leptin and renal disease
    Wolf, G
    Chen, S
    Han, DC
    Ziyadeh, FN
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2002, 39 (01) : 1 - 11
  • [57] A Proinflammatory Diet Is Associated with Systemic Inflammation and Reduced Kidney Function in Elderly Adults
    Xu, Hong
    Sjogren, Per
    Arnlov, Johan
    Banerjee, Tanushree
    Cederholm, Tommy
    Riserus, Ulf
    Lindholm, Bengt
    Lind, Lars
    Carrero, Juan Jesus
    [J]. JOURNAL OF NUTRITION, 2015, 145 (04) : 729 - 735
  • [58] Blood pressure and decline in kidney function: Findings from the Systolic Hypertension in the Elderly Program (SHEP)
    Young, JH
    Klag, MJ
    Muntner, P
    Whyte, JL
    Pahor, M
    Coresh, J
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2002, 13 (11): : 2776 - 2782