Dietary Approaches to Stop Hypertension and risk of chronic kidney disease: A systematic review and meta-analysis of observational studies

Mozaffari, Hadis; Ajabshir, Sahar; Alizadeh, Shahab

doi:10.1016/j.clnu.2019.10.004

Cited by 38 publications

(32 citation statements)

References 55 publications

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“…A recent systematic review and meta-analysis found a significant inverse association between DASH dietary patterns and the risk of developing CKD [39]. Stratified analysis showed a marginally significant relationship between DASH dietary patterns and risk of CKD in prospective cohort studies (Pooled risk estimate: 0.79, 95% CI 0.61-1.01; p = 0.05), and no significant association in cross-sectional studies.…”

Section: Dietary Pattern and Incident Ckdmentioning

confidence: 97%

Nutrition in Chronic Kidney Disease—The Role of Proteins and Specific Diets

et al. 2021

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Chronic kidney disease (CKD) is a global public health burden, needing comprehensive management for preventing and delaying the progression to advanced CKD. The role of nutritional therapy as a strategy to slow CKD progression and uremia has been recommended for more than a century. Although a consistent body of evidence suggest a benefit of protein restriction therapy, patients’ adherence and compliance have to be considered when prescribing nutritional therapy in advanced CKD patients. Therefore, these prescriptions need to be individualized since some patients may prefer to enjoy their food without restriction, despite knowing the potential importance of dietary therapy in reducing uremic manifestations, maintaining protein-energy status.

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Section: Dietary Pattern and Incident Ckdmentioning

confidence: 97%

Nutrition in Chronic Kidney Disease—The Role of Proteins and Specific Diets

et al. 2021

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“…Excessive consumption of dietary sodium, saturated fatty acids, cholesterol, and alcohol are shown to be linked to an elevated risk of hypertension, while intake of vegetables/fruits and foods rich in magnesium, calcium, potassium, and unsaturated fatty acids is reported to reduce blood pressure [ 5 , 11 ]. Whereas previous dietary recommendations for the prevention of hypertension focused mainly on single micronutrients or food items, a more effective approach for this purpose is recommendations that cover the entire quality of diet using dietary pattern, considering potential interactions of food items/nutrients [ 12 – 16 ]. The overall quality of diet could be assessed using the a posteriori and the a priori methods, in which the a posteriori approaches derive dietary patterns exploratory according the intake of foods reported by the studied population, but, the a priori approaches evaluate the adherence of participants to a predefined healthy dietary index [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Diet quality in relation to the risk of hypertension among Iranian adults: cross-sectional analysis of Fasa PERSIAN cohort study

Motamedi

Ekramzadeh

Bahramali

et al. 2021

Nutr J

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Background Hypertension is a common chronic disease with various complications and is a main contributing factor to cardiovascular disease (CVD). This study aimed to assess the association of diet quality, assessed by dietary diversity score (DDS), Mediterranean dietary score (MDS), diet quality index-international (DQI-I), and healthy eating index-2015 (HEI-2015) with the risk of hypertension. Methods This study recruited a total of 10,111 individuals (45.14% male) with mean age of 48.63 ± 9.57 years from the Fasa Cohort Study, Iran. Indices of diet quality, including MDS, HEI-2015, DQI-I, and DDS were computed by a 125-item Food Frequency Questionnaire. Participants were diagnosed as hypertensive if they had a diastolic blood pressure (DBP) ≥90 mmHg, systolic blood pressure (SBP) ≥140 mmHg,, or used antihypertensive drugs. Results Hypertension was prevalent in 28.3% of the population (21.59% in males and 33.74% in females). In the whole population, after adjustment for potential covariates, including daily energy intake, age, gender, physical activity, smoking, family history of hypertension, body mass index, and the level of education, higher adherence to the MDS (OR: 0.86, 95%CI = 0.75–0.99) and HEI-2015 (OR: 0.79, 95%CI = 0.68–0.90) was significantly associated with decreased risk of hypertension. The protective effect of HEI-2015 against hypertension remained significant for both males (OR: 0.80, 95%CI = 0.64–0.99) and females (OR: 0.78, 95%CI = 0.66–0.94), while, for MDS, this relationship disappeared in the subgroup analysis by gender. DQI-I and DDS were not related to the odds of hypertension. Conclusions Adhering to MDS and HEI-2015 diets could contribute to the prevention of hypertension.

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“…The DASH diet emphasizes lower intakes of foods related to higher risk of hypertension (sodium, red and processed meats, and sweetened beverages) and higher intake of foods related to lower risk of hypertension (fruit, vegetables, nuts, legumes, low-fat dairy, and whole grains) [18], which was originally developed to treat hypertension without medication and then proved to be associated with lower risk of many chronic diseases such as diabetes, metabolic syndrome, kidney, and cardiovascular diseases [14][15][16][17][18]. However, studies on the association of DASH diet with frailty are relatively limited currently.…”

Section: Discussionmentioning

confidence: 99%

“…By contrast, a two-year cohort in Hong Kong found that the Mediterranean diet failed to prevent the risk of frailty [13]. In addition, the Dietary Approaches to Stop Hypertension (DASH) score was associated with lower chronic disease and mortality risk [14][15][16][17][18], while its relationship with frailty has not been established. Moreover, other a priori and a posteriori dietary patterns have also found inconsistent results [19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Association between Dietary Patterns and Frailty Prevalence in Shanghai Suburban Elders: A Cross-Sectional Study

Wang

Huang

et al. 2021

IJERPH

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Objective: To investigate the association between dietary patterns with frailty phenotypes in an elderly Chinese population. Methods: A cross-sectional study was performed in 780 Shanghai suburban elders aged 65–74 in 2019. Dietary data were collected using a food frequency questionnaire. Adherence to a priori dietary patterns, including the Chinese Healthy Eating Index (CHEI), Dietary Approaches to Stop Hypertension (DASH) diet and Mediterranean Diet (MD) were calculated. Three a posteriori dietary patterns were identified by factor analysis, namely, “protein-rich”; “vegetables”; and “sugar, oil, and condiments”. Frailty was defined using the Fried frailty phenotype scale. Ordinal multiple logistic regression was applied to examine the associations between dietary patterns and frailty prevalence. Results: The prevalences of pre-frailty and frailty were 47.69% and 3.85%, respectively. Participants with a higher DASH score had a lower frailty prevalence in the sex- and age-adjusted models of the 780 subjects (OR = 0.97 (95% CI: 0.94–0.99), p < 0.05). The association slightly strengthened in the multivariate adjusted model of the 555 subjects after excluding the participants with chronic diseases may influence frailty (OR = 0.96 (95% CI: 0.92–1.00), p < 0.05). High “protein-rich” dietary pattern scores were negatively associated with frailty prevalence in the multivariate adjusted model of the 780 subjects (OR = 0.82 (95% CI: 0.69–0.98), p < 0.05). The association attenuated in the sex- and age-adjusted model of the 555 subjects (OR = 0.84 (95% CI: 0.69–1.00, p = 0.056). Conclusion: A better diet quality as characterized by DASH and “protein-rich” was associated with a reduced prevalence of frailty in Shanghai suburban elders. The correlation of CHEI, MD or a posteriori dietary patterns with the development of frailty in Chinese older people remains to be explored.

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Dietary Approaches to Stop Hypertension and risk of chronic kidney disease: A systematic review and meta-analysis of observational studies

Cited by 38 publications

References 55 publications

Nutrition in Chronic Kidney Disease—The Role of Proteins and Specific Diets

Nutrition in Chronic Kidney Disease—The Role of Proteins and Specific Diets

Diet quality in relation to the risk of hypertension among Iranian adults: cross-sectional analysis of Fasa PERSIAN cohort study

Association between Dietary Patterns and Frailty Prevalence in Shanghai Suburban Elders: A Cross-Sectional Study

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