Artículo
Prospective associations between a priori dietary patterns adherence and kidney function in an elderly Mediterranean population at high cardiovascular risk
Autor/es | Valle Hita, Cristina
Díaz-López, Andrés Becerra-Tomás, Nerea Martínez-González, Miguel A. García Ruiz, Verónica Corella, Dolores Santos Lozano, José Manuel Babio, Nancy |
Departamento | Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2022 |
Fecha de depósito | 2022-10-25 |
Publicado en |
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Resumen | Purpose To assess the association between three diferent a priori dietary patterns adherence (17-item energy reduced Mediterranean Diet (MedDiet), Trichopoulou-MedDiet and Dietary Approach to Stop Hypertension (DASH)), as ... Purpose To assess the association between three diferent a priori dietary patterns adherence (17-item energy reduced Mediterranean Diet (MedDiet), Trichopoulou-MedDiet and Dietary Approach to Stop Hypertension (DASH)), as well as the Protein Diet Score and kidney function decline after one year of follow-up in elderly individuals with overweight/obesity and metabolic syndrome (MetS). Methods We prospectively analyzed 5675 participants (55–75 years) from the PREDIMED-Plus study. At baseline and at one year, we evaluated the creatinine-based estimated glomerular fltration rate (eGFR) and food-frequency questionnaires derived dietary scores. Associations between four categories (decrease/maintenance and tertiles of increase) of each dietary pattern and changes in eGFR (ml/min/1.73m2 ) or≥10% eGFR decline were assessed by ftting multivariable linear or logistic regression models, as appropriate. Results Participants in the highest tertile of increase in 17-item erMedDiet Score showed higher upward changes in eGFR (β: 1.87 ml/min/1.73m2 ; 95% CI: 1.00–2.73) and had lower odds of≥10% eGFR decline (OR: 0.62; 95% CI: 0.47–0.82) compared to individuals in the decrease/maintenance category, while Trichopoulou-MedDiet and DASH Scores were not associated with any renal outcomes. Those in the highest tertile of increase in Protein Diet Score had greater downward changes in eGFR (β: − 0.87 ml/min/1.73m2 ; 95% CI: − 1.73 to − 0.01) and 32% higher odds of eGFR decline (OR: 1.32; 95% CI: 1.00–1.75). Conclusions Among elderly individuals with overweight/obesity and MetS, only higher upward change in the 17-item erMedDiet score adherence was associated with better kidney function after one year. However, increasing Protein Diet Score appeared to have an adverse impact on kidney health. Trial Registration Number: ISRCTN89898870 (Data of registration: 2014). |
Agencias financiadoras | Consejería de Salud, Junta de Andalucía |
Identificador del proyecto | PI0458/2013
PS0358/2016 PI0137/2018 |
Cita | Valle Hita, C., Díaz-López, A., Becerra-Tomás, N., Martínez-González, M.A., García Ruiz, V., Corella, D.,...,Babio, N. (2022). Prospective associations between a priori dietary patterns adherence and kidney function in an elderly Mediterranean population at high cardiovascular risk. EUROPEAN JOURNAL OF NUTRITION, 61 (6), 3095-3108. https://doi.org/10.1007/s00394-022-02838-7. |
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