Prospective associations between a priori dietary patterns adherence and kidney function in an elderly Mediterranean population at high cardiovascular risk

Purpose To assess the association between three different 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...

Descripción completa

Detalles Bibliográficos
Autores: Valle-Hita, C, Diaz-Lopez, A, Becerra-Tomas, N, Martinez-Gonzalez, MA, Garcia, VR, Corella, D, Goday, A, Martinez, JA, Alonso-Gomez, AM, Warnberg, J, Romaguera, D, Lopez-Miranda, J, Estruch, R, Tinahones, FJ, Lapetra, J, Serra-Majem, L, Cano-Ibanez, N, Tur, JA, Rubin-Garcia, M, Pinto, X, Delgado-Rodriguez, M, Matia-Martin, P, Vidal, J, Fontao, SM, Daimiel, L, Ros, E, Toledo, E, Sorli, JV, Roca, C, Abete, I, Moreno-Rodriguez, A, Crespo-Oliva, E, Candela-Garcia, I, Morey, M, Garcia-Rios, A, Casas, R, Fernandez-Garcia, JC, Santos-Lozano, JM, Diez-Espino, J, Ortega-Azorin, C, Comas, M, Zulet, MA, Sorto-Sanchez, C, Ruiz-Canela, M, Fito, M, Salas-Salvado, J, Babio, N
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p14646
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/14646
Access Level:acceso abierto
Palabra clave:Dietary patterns
Mediterranean diet
DASH diet
Protein diet score
Kidney function
Glomerular filtration rate
Descripción
Sumario:Purpose To assess the association between three different 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 filtration 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/1.73m(2)) or >= 10% eGFR decline were assessed by fitting 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 (beta: 1.87 ml/min/1.73m(2); 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 (beta: - 0.87 ml/min/1.73m(2); 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).

Similares en LA Referencia