Plasma fatty acids and kidney function decline in post-myocardial infarction patients of the Alpha Omega Cohort

Westing, Anniek C. van; Eckl, Marion R.; Küpers, Leanne K.; Pertiwi, Kamalita; Hoogeveen, Ellen K.; Geleijnse, Johanna M.

doi:10.1016/j.numecd.2021.01.012

Cited by 3 publications

(2 citation statements)

References 53 publications

(75 reference statements)

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“…These two studies were included in our pooled analysis with updated patient numbers and harmonised analytical protocols. 61 62 Our findings expand upon these previous individual cohort based analyses with a sevenfold larger sample size and enhanced statistical power to more precisely quantify the association of n-3 PUFAs with CKD. The large sample size also enabled a detailed evaluation of potential effect modifiers of the association between n-3 PUFAs and CKD.…”

Section: Discussionsupporting

confidence: 63%

“…Our literature search only identified two high quality prospective observational analyses of the association of n-3 PUFA biomarkers with incident CKD or decline in kidney. These two studies were included in our pooled analysis with updated patient numbers and harmonised analytical protocols 6162. Our findings expand upon these previous individual cohort based analyses with a sevenfold larger sample size and enhanced statistical power to more precisely quantify the association of n-3 PUFAs with CKD.…”

Section: Discussionmentioning

confidence: 54%

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Association of omega 3 polyunsaturated fatty acids with incident chronic kidney disease: pooled analysis of 19 cohorts

Marklund

Huang

Rye

et al. 2023

BMJ

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Objective To assess the prospective associations of circulating levels of omega 3 polyunsaturated fatty acid (n-3 PUFA) biomarkers (including plant derived α linolenic acid and seafood derived eicosapentaenoic acid, docosapentaenoic acid, and docosahexaenoic acid) with incident chronic kidney disease (CKD). Design Pooled analysis. Data sources A consortium of 19 studies from 12 countries identified up to May 2020. Study selection Prospective studies with measured n-3 PUFA biomarker data and incident CKD based on estimated glomerular filtration rate. Data extraction and synthesis Each participating cohort conducted de novo analysis with prespecified and consistent exposures, outcomes, covariates, and models. The results were pooled across cohorts using inverse variance weighted meta-analysis. Main outcome measures Primary outcome of incident CKD was defined as new onset estimated glomerular filtration rate <60 mL/min/1.73 m 2 . In a sensitivity analysis, incident CKD was defined as new onset estimated glomerular filtration rate <60 mL/min/1.73 m 2 and <75% of baseline rate. Results 25 570 participants were included in the primary outcome analysis and 4944 (19.3%) developed incident CKD during follow-up (weighted median 11.3 years). In multivariable adjusted models, higher levels of total seafood n-3 PUFAs were associated with a lower incident CKD risk (relative risk per interquintile range 0.92, 95% confidence interval 0.86 to 0.98; P=0.009, I 2 =9.9%). In categorical analyses, participants with total seafood n-3 PUFA level in the highest fifth had 13% lower risk of incident CKD compared with those in the lowest fifth (0.87, 0.80 to 0.96; P=0.005, I 2 =0.0%). Plant derived α linolenic acid levels were not associated with incident CKD (1.00, 0.94 to 1.06; P=0.94, I 2 =5.8%). Similar results were obtained in the sensitivity analysis. The association appeared consistent across subgroups by age (≥60 v <60 years), estimated glomerular filtration rate (60-89 v ≥90 mL/min/1.73 m 2 ), hypertension, diabetes, and coronary heart disease at baseline. Conclusions Higher seafood derived n-3 PUFA levels were associated with lower risk of incident CKD, although this association was not found for plant derived n-3 PUFAs. These results support a favourable role for seafood derived n-3 PUFAs in preventing CKD.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 54%