Proinflammatory Diets and Risk of ESKD in US Adults with CKD.
ADII
chronic kidney disease
diet
end stage kidney disease
epidemiology and outcomes
inflammation
Journal
Kidney360
ISSN: 2641-7650
Titre abrégé: Kidney360
Pays: United States
ID NLM: 101766381
Informations de publication
Date de publication:
24 11 2022
24 11 2022
Historique:
received:
13
01
2022
accepted:
26
08
2022
entrez:
14
12
2022
pubmed:
15
12
2022
medline:
16
12
2022
Statut:
epublish
Résumé
Inflammation may affect long-term kidney function. Diet may play a role in chronic inflammation. We hypothesized that proinflammatory diets increase the risk of progression to kidney failure with replacement therapy (KFRT), and systemic inflammation is a mediator of the effect of diet on progression to KFRT. In the 1988-1994 National Health and Nutrition Examination Survey linked to the national ESKD registry, in adults with CKD (eGFR 15-59 ml/min per 1.73 m Of 1084 adults with CKD, 109 (10%) developed KFRT. The ADII was associated with increased risk of KFRT (relative hazard [RH] per SD increase (2.56): 1.4 [1.04-1.78]). IS was also associated with KFRT (RH: 1.12; 95% CI, 1.02 to 1.25). Approximately 36% of the association between the ADII and KFRT was explained by IS. Among adults with CKD, a proinflammatory diet was associated with risk of KFRT, and that association was partially explained by an increase in inflammatory markers. Dietary interventions that reduce inflammation may offer an approach for preventing KFRT.
Sections du résumé
Background
Inflammation may affect long-term kidney function. Diet may play a role in chronic inflammation. We hypothesized that proinflammatory diets increase the risk of progression to kidney failure with replacement therapy (KFRT), and systemic inflammation is a mediator of the effect of diet on progression to KFRT.
Methods
In the 1988-1994 National Health and Nutrition Examination Survey linked to the national ESKD registry, in adults with CKD (eGFR 15-59 ml/min per 1.73 m
Results
Of 1084 adults with CKD, 109 (10%) developed KFRT. The ADII was associated with increased risk of KFRT (relative hazard [RH] per SD increase (2.56): 1.4 [1.04-1.78]). IS was also associated with KFRT (RH: 1.12; 95% CI, 1.02 to 1.25). Approximately 36% of the association between the ADII and KFRT was explained by IS.
Conclusions
Among adults with CKD, a proinflammatory diet was associated with risk of KFRT, and that association was partially explained by an increase in inflammatory markers. Dietary interventions that reduce inflammation may offer an approach for preventing KFRT.
Identifiants
pubmed: 36514411
doi: 10.34067/KID.0000442022
pii: 02200512-202211000-00008
pmc: PMC9717620
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1852-1860Investigateurs
Neil Powe
(N)
Tanushree Banerjee
(T)
Delphine Tuot
(D)
Chi-Yuan Hsu
(CY)
Charles McCulloch
(C)
Deidra Crews
(D)
Raymond Hsu
(R)
Chi Chu
(C)
Kirsten Bibbins-Domingo
(K)
Alexandra Velasquez
(A)
Josef Coresh
(J)
Rajiv Saran
(R)
Vahakn Shahinian
(V)
Brenda Gillespie
(B)
Hal Morgenstern
(H)
Michael Heung
(M)
William Herman
(W)
Jennifer Bragg-Gresham
(J)
Diane Steffick
(D)
Maggie Yin
(M)
Ian Robinson
(I)
Kara Zivin
(K)
Yun Han
(Y)
April Wyncott
(A)
Nilka Ríos Burrows
(NR)
Alain Koyama
(A)
Juanita Mondesire
(J)
Priti Patel
(P)
Meda Pavkov
(M)
Deborah Rolka
(D)
Sharon Saydah
(S)
Larry Waller
(L)
Informations de copyright
Copyright © 2022 by the American Society of Nephrology.
Déclaration de conflit d'intérêts
D.C. Crews reports consultancy for Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation (CORE); research funding from Baxter International and Somatus, Inc.; honoraria from Maze Therapeutics; an advisory or leadership role on the editorial board for the Clinical Journal of the American Society of Nephrology, Journal of Renal Nutrition, and Journal of the American Society of Nephrology; as an associate editor of Kidney360; a co-chair of Bayer HealthCare Pharmaceuticals, Inc., Patient and Physician Advisory Board Steering Committee for Disparities in Chronic Kidney Disease Project; on the advisory group for Health Equity Collaborative, Partner Research for Equitable System Transformation after COVID-19 (PRESTAC), Optum Labs; and other interests or relationships with the American Board of Internal Medicine (nephrology board), the American College of Physicians (council of subspecialist societies), and the National Kidney Foundation of Maryland/Delaware (board of directors). M.E. Pavkov reports an advisory or leadership role for Kidney Health Initiative (board of directors). N.R. Powe reports an advisory or leadership role for the Patient Centered Outcomes Research Institute, Robert Wood Johnson Foundation, University of Washington, Vanderbilt University, and Yale University. R. Saran reports consultancy for KHK, Japan; honoraria from Baylor Scott and White Health System, Fresenius Medical Care’s Renal Research Institute, the Japanese Society of Dialysis and Transplantation, Nutek Food Sciences, and Reata Pharmaceuticals; an advisory or leadership role for the National Kidney Foundation of Michigan (scientific advisory board) and Reata Pharmaceuticals; and other interests or relationships with the American Nephrologists of Indian Origin (steering committee member) and the World Federation of Non Communicable Diseases (international advisory council member). All remaining authors have nothing to disclose.
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