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

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-u...

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Autores: Valle Hita, Cristina|||0000-0001-5423-7466, Díaz-López, Andrés|||0000-0002-7500-5629, Becerra-Tomás, Nerea|||0000-0002-4429-6507, Martínez González, Miguel Ángel|||0000-0002-3917-9808, Ruiz García, Verónica|||0000-0002-7405-2319, Corella, Dolores|||0000-0002-2366-4104, Goday Arnó, Albert|||0000-0001-7356-1595, Martínez, J. Alfredo|||0000-0001-5218-6941, Alonso-Gómez, Ángel María|||0000-0003-2945-7509, Wärnberg, Julia|||0000-0002-8408-316X, Vioque, Jesús|||0000-0002-2284-148X, Romaguera, Dora|||0000-0002-5762-8558, López-Miranda, José|||0000-0002-8844-0718, Estruch, Ramón|||0000-0003-1260-4445, Tinahones, Francisco J.|||0000-0001-6871-4403, Lapetra, José|||0000-0002-3873-5737, Serra-Majem, Luís|||0000-0002-9658-9061, Cano-Ibáñez, Naomi|||0000-0002-3640-5486, Tur, Josep Antonio|||0000-0002-6940-0761, Rubín García, María|||0000-0003-0916-4215, Pintó, Xavier|||0000-0002-2216-2444, Delgado Rodríguez, M.|||0000-0002-3838-2548, Matía-Martín, Pilar|||0000-0001-9844-3755, Vidal, Josep|||0000-0002-4564-4518, Mas, Sebastian|||0000-0001-6604-3327, Daimiel, Lidia|||0000-0001-9898-6629, Ros, Emilio|||0000-0002-2573-1294, Toledo, Estefania|||0000-0002-6263-4434, Sorlí, José V.|||0000-0002-0130-2006, Roca, C., Abete, Itziar|||0000-0002-6475-5387, Moreno-Rodriguez, Anai, Crespo-Oliva, Edelys, Candela-García, Inmaculada, Morey, Marga, García-Rios, Antonio|||0000-0001-7320-9006, Casas, Rosa|||0000-0002-0211-9166, Fernández García, José Carlos|||0000-0003-2308-2865, Santos-Lozano, JM.|||0000-0001-7097-5653, Diez-Espino, Javier, Ortega-Azorín, Carolina|||0000-0001-6719-9358, Comas, Mercè, Zulet, M. Angeles|||0000-0002-3926-0892, Sorto-Sanchez, Carolina, Ruiz-Canela, Miguel|||0000-0002-7684-2787, Fitó, Montserrat|||0000-0002-1817-483X, Salas-Salvadó, Jordi|||0000-0003-2700-7459, Babio, Nancy|||0000-0003-3527-5277
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:292399
Acceso en línea:https://ddd.uab.cat/record/292399
https://dx.doi.org/urn:doi:10.1007/s00394-022-02838-7
Access Level:acceso abierto
Palabra clave:DASH diet
Dietary patterns
Glomerular filtration rate
Kidney function
Mediterranean diet
Protein diet score
Descripción
Sumario: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). 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) or ≥ 10% eGFR decline were assessed by fitting multivariable linear or logistic regression models, as appropriate. Participants in the highest tertile of increase in 17-item erMedDiet Score showed higher upward changes in eGFR (β: 1.87 ml/min/1.73m; 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/1.73m; 95% CI: - 1.73 to - 0.01) and 32% higher odds of eGFR decline (OR: 1.32; 95% CI: 1.00-1.75). 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).

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