Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study

Machado, Alisson Diego; Anjos, Fernanda Silva Nogueira Dos; Domingos, Maria Alice Muniz; Molina, Maria del Carmen Bisi; Marchioni, Dirce Maria Lobo; Benseñor, Isabela Judith Martins; Titan, Silvia Maria de Oliveira

doi:10.1590/1516-3180.2017.0177141217

Cited by 21 publications

(18 citation statements)

References 38 publications

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“…Two dietary patterns, labeled Unhealthy and Healthy, were identified in the whole group. In a previous study comprising Brazilian nondialyzed patients with CKD stages 3 and 4 ( n = 454), three dietary patterns were found: snack pattern (breads, biscuits, cakes, farinaceous products, butter, margarine, eggs, processed meat, sweets, snacks, whole dairy products, and sweetened beverages); mixed pattern , consisting of healthy foods but with red meat (whole grains, pasta, tubers, red meat, poultry, fish, seafood, fruits, vegetables, low-fat dairy products, and natural juice); and traditional pattern (white rice, beans, and coffee) [34]. The findings from the present study and our previous study underline the diversity of food patterns in CKD patients.…”

Section: Discussionmentioning

confidence: 99%

“…The findings from the present study and our previous study underline the diversity of food patterns in CKD patients. Of note, Machado et al [34] also demonstrated that gender, school degree, and comorbidities, such as diabetes and hypertension, influenced dietary patterns. The latter findings are in accordance with those reported in our previous study—based on the same Brazilian NHS survey—in which the sociodemographic and geographical variables were found to influence the food consumption frequency in CKD patients [24].…”

Section: Discussionmentioning

confidence: 99%

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Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

et al. 2019

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Background: We analyzed the dietary patterns of Brazilian individuals with a self-declared diagnosis of chronic kidney disease (CKD) and explored associations with treatment modality. Methods: Weekly consumption of 14 food intake markers was analyzed in 839 individuals from the 2013 Brazil National Health Survey with a self-declared diagnosis of CKD undergoing nondialysis (n = 480), dialysis (n = 48), or renal transplant (n = 17) treatment or no CKD treatment (n = 294). Dietary patterns were derived by exploratory factor analysis of food intake groups. Multiple linear regression models, adjusted by sociodemographic and geographical variables, were used to evaluate possible differences in dietary pattern scores between different CKD treatment groups. Results: Two food patterns were identified: an “Unhealthy” pattern (red meat, sweet sugar beverages, alcoholic beverages, and sweets and a negative loading of chicken, excessive salt, and fish) and a “Healthy” pattern (raw and cooked vegetables, fruits, fresh fruit juice, and milk). The Unhealthy pattern was inversely associated with nondialysis and dialysis treatment (β: −0.20 (95% CI: −0.33; −0.06) and β: −0.80 (−1.16; −0.45), respectively) and the Healthy pattern was positively associated with renal transplant treatment (β: 0.32 (0.03; 0.62)). Conclusions: Two dietary patterns were identified in Brazilian CKD individuals and these patterns were linked to CKD treatment modality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

et al. 2019

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“…The Reasons for Geographic and Racial Differences in Stroke study conducted for CKD populations in the Southeastern United States, identified a "Southern" dietary pattern characterized by fried foods, organ meats, and sweetened beverages, which is typical of Southern cuisine 33 . Similarly, the PROGREDIR study conducted among pre-dialysis CKD patients in São Paulo, Brazil identified a "traditional" dietary pattern (composed of white rice, beans, and coffee) typical to the local community 34 . www.nature.com/scientificreports/ In this study, we did not observe any significant association between serum phosphorus level and any individual nutrient, including dietary phosphate.…”

Section: Discussionmentioning

confidence: 99%

Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study

Khor

Sualeheen

Sahathevan

et al. 2020

Sci Rep

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tilakavati Karupaiah 10* & patcH investigators * Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component analysis, based on 27 food groups shortlisted from 3-day dietary recalls of 435 MHD patients. Associations of serum phosphorus were examined with identified dietary patterns. three dietary patterns emerged: Home foods (Hf dp), Sugar-sweetened beverages (SSB dp), and Eating out noodles (eo-n dp). The highest tertile of patients in HF (T3-HF dp) pattern significantly associated with higher intakes of total protein (p = 0.002), animal protein (p = 0.001), and animal-based organic phosphate (p < 0.001), whilst T3-SSB dp patients had significantly higher intakes of total energy (p < 0.001), inorganic phosphate (p < 0.001), and phosphate:protein ratio (p = 0.001). T3-EO-N dp patients had significantly higher intakes of total energy (p = 0.033), total protein (p = 0.003), plant protein (p < 0.001), but lower phosphate:protein ratio (p = 0.009). T3-SSB dp patients had significantly higher serum phosphorus (p = 0.006). The odds ratio of serum phosphorous > 2.00 mmol/l was significantly 2.35 times higher (p = 0.005) with the T3-SSB dp. The SSB dp was associated with greater consumption of inorganic phosphate and higher serum phosphorus levels.

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“…Macro- and micronutrient intakes were adjusted for energy intake using the residual method [ 33 ]. Detailed nutritional data of the cohort has been published elsewhere [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

Association between Dietary Intake and Coronary Artery Calcification in Non-Dialysis Chronic Kidney Disease: The PROGREDIR Study

et al. 2018

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Coronary artery calcification (CAC) is a widespread condition in chronic kidney disease (CKD). Diet may play an important role in CAC, but this role is not clear. This study evaluated the association between macro-and micronutrient intakes and CAC in non-dialysis CKD patients. We analyzed the baseline data from 454 participants of the PROGREDIR study. Dietary intake was evaluated by a food frequency questionnaire. CAC was measured by computed tomography. After exclusion of participants with a coronary stent, 373 people remained for the analyses. The highest tertile of CAC was directly associated with the intake of phosphorus, calcium and magnesium. There was a higher intake of pantothenic acid and potassium in the second tertile. After adjustments for confounding variables, the intake of pantothenic acid, phosphorus, calcium and potassium remained associated with CAC in the generalized linear mixed models. In order to handle the collinearity between these nutrients, we used the LASSO (least absolute shrinkage and selection operator) regression to evaluate the nutrients associated with CAC variability. In this approach, the nutrients that most explained the variance of CAC were phosphorus, calcium and potassium. Prospective studies are needed to confirm these findings and assess the role of interventions regarding these micronutrients on CAC prevention and progression.

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Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study

Abstract: We identified low energy and high protein intake in this population. Protein intake was inversely related to eGFR. Dietary patterns were associated with age, gender, schooling level, hypertension and diabetes.

Cited by 21 publications

References 38 publications

Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

Association of dietary patterns with serum phosphorus in maintenance haemodialysis patients: a cross-sectional study

Association between Dietary Intake and Coronary Artery Calcification in Non-Dialysis Chronic Kidney Disease: The PROGREDIR Study

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