Dietary Patterns Based on Estimated Glomerular Filtration Rate and Kidney Function Decline in the General Population: The Lifelines Cohort Study

Cai, Qingsheng; Dekker, Louise H.; Bakker, Stephan J. L.; Borst, Martin H. de; Navis, Gerjan

doi:10.3390/nu12041099

Cited by 15 publications

(14 citation statements)

References 36 publications

(48 reference statements)

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“…The dietary pattern we derived explained almost 9% of the inter-individual variation in plasma lithium levels. Data by Cai and coworkers suggest that a diet rich in proteins, fruits, vegetables and beer may partly counteract a decline in eGFR in the general population which is partly in line with the present observations [ 70 ].…”

Section: Discussionsupporting

confidence: 91%

Plasma Lithium Levels in the General Population: A Cross-Sectional Analysis of Metabolic and Dietary Correlates

et al. 2020

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Initial evidence suggests that lithium might affect life expectancy and the risk for different disease conditions, but most studies were conducted in patients on lithium medication. Little is known about the association of blood lithium levels within the physiological range with cardiometabolic risk factors and diet. We measured plasma lithium in a community-based sample from Northern Germany (samples taken between 2010 and 2012). All participants (aged 25–82 years) underwent standardized examinations and completed a semi-quantitative food frequency questionnaire. Of several variables tested, the estimated glomerular filtration rate (eGFR) was statistically significantly (inversely) associated with lithium levels, mainly in individuals with slightly impaired renal function (eGFR < 75 mL/min/1.73 m2). Besides, lithium levels were positively associated with age and alcohol intake. Using reduced rank regression, we identified a dietary pattern explaining 8.63% variation in plasma lithium levels. Higher lithium levels were associated with higher intakes of potatoes, leafy vegetables, root vegetables, fruits, tea, beer, wine and dietetic products and lower intakes of pasta, rice, pork, chocolate, sweets, soft drinks, other alcoholic beverages, sauces and snacks. Our observations suggest that plasma lithium levels are associated inversely with kidney function, particularly in individuals with slightly impaired renal function, and positively with age and alcohol intake. Lithium at physiological levels was moderately related to an exploratory dietary pattern.

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Section: Discussionsupporting

confidence: 91%

Plasma Lithium Levels in the General Population: A Cross-Sectional Analysis of Metabolic and Dietary Correlates

et al. 2020

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“…This might be attributed to better resolution, as explained above, and/or the additional ranking of sugarsweetened beverages, cooking fats, tea, and coffee intake in LLDS. High intakes of saturated fat and added sugar have been proven to be associated with worse kidney outcomes [14,32,33]. Coffee intake is associated with a decreased risk of the development of CKD [36].…”

Section: Discussionmentioning

confidence: 99%

“…However, the Mediterranean diet score (MDS) is not completely food-based and not fully in accordance with current scientific evidence [13]. For example, recent evidence shows that sugar-sweetened beverages are associated with a higher risk of incident CKD and kidney function decline [5,14], which are not included in the MDS.…”

Section: Introductionmentioning

confidence: 99%

Diet quality and incident chronic kidney disease in the general population: The Lifelines Cohort Study

et al. 2021

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Rationale & aims: Healthy dietary patterns have been associated with a lower risk of chronic kidney disease (CKD). We aimed to investigate the association of a fully food-based diet quality score assessed by the Lifelines Diet Score (LLDS) with either incident CKD or eGFR decline in the general population. Methods: For this study, data from a prospective general population-based Lifelines cohort in the Northern Netherlands was used. Diet was assessed with a 110-item food frequency questionnaire at baseline. The LLDS, based on international evidence for dietedisease relations at the food group level, was calculated to assess diet quality. For the analysis, the score was divided into tertiles. Logistic regression was performed to evaluate the association of the LLDS at baseline with either incident CKD (eGFR <60 mL/min/1.73 m 2 ) or a 20% eGFR decline at the second study visit, adjusted for relevant confounders. Results: A total of 78 346 participants free of CKD at baseline were included. During a mean (SD) followup of 3.6 ± 0.9 years, 2071 (2.6%) participants developed CKD and 7611 (9.7%) had a 20% eGFR decline. Participants in the highest tertile of LLDS had a lower risk of incident CKD (fully adjusted OR 0.83, [95% CI: 0.72e0.96]) and 20% eGFR decline (fully adjusted OR 0.80, [95% CI: 0.75e0.86]), compared with those in the lowest tertile. Similar doseeresponse associations were observed in continuous LLDS. Conclusions: Higher adherence to a high-quality diet was associated with a lower risk of incident CKD or 20% eGFR decline in the general population.

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“…Dietary patterns such as the Mediterranean diet (higher intake of fruits, vegetables, legumes, cereals, and fish) [ 18 , 19 , 20 ], the Dietary Approaches to Stop Hypertension (DASH)-style diet (higher intake of fruits, vegetables, and whole grains) [ 21 ], and other diets [ 22 ] have been reported to be associated with a lower risk of estimated glomerular filtration rate (eGFR) in healthy adults in Western countries. Only a few studies on dietary patterns associated with loss of kidney function have been performed in Asian populations [ 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns and Progression of Impaired Kidney Function in Japanese Adults: A Longitudinal Analysis for the Fukushima Health Management Survey, 2011–2015

Ohira

Yasumura

et al. 2021

Nutrients

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To investigate associations between dietary patterns and the risk of impaired kidney function, we analyzed data from 14,732 participants (40–89 years) who completed the baseline diet questionnaire of The Fukushima Health Management Survey in 2011. The incidence of chronic kidney disease (CKD) (estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2 or proteinuria (≥1+ by dipstick test)) and annual changes in eGFR were assessed from 2012 to 2015. Three major dietary patterns were identified. The adjusted cumulative incidence ratio of the highest vs. lowest tertile of a vegetable diet scores was 0.90 (95% confidence interval (CI): 0.82, 1.00) for eGFR < 60 mL/min/1.73 m2, 0.68 (95% CI: 0.52, 0.90) for proteinuria, and 0.88 (95% CI: 0.80, 0.97) for CKD (P for trend = 0.031, 0.007, and 0.005, respectively). The incident risk of CKD in the highest tertile of juice diet scores was 18% higher than the lowest tertile. The odds ratio of the highest vs. lowest tertile of vegetable diet scores was 0.85 (95% CI: 0.75, 0.98) in the rapidly decreasing eGFR group (P for trend = 0.009). We did not observe significant associations for the meat dietary pattern. A Japanese vegetable diet could reduce the risk of developing impaired kidney function and CKD.

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Dietary Patterns Based on Estimated Glomerular Filtration Rate and Kidney Function Decline in the General Population: The Lifelines Cohort Study

Cited by 15 publications

References 36 publications

Plasma Lithium Levels in the General Population: A Cross-Sectional Analysis of Metabolic and Dietary Correlates

Plasma Lithium Levels in the General Population: A Cross-Sectional Analysis of Metabolic and Dietary Correlates

Diet quality and incident chronic kidney disease in the general population: The Lifelines Cohort Study

Dietary Patterns and Progression of Impaired Kidney Function in Japanese Adults: A Longitudinal Analysis for the Fukushima Health Management Survey, 2011–2015

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