Tags

Type your tag names separated by a space and hit enter

Association of dietary patterns with albuminuria and kidney function decline in older white women: a subgroup analysis from the Nurses' Health Study.
Am J Kidney Dis. 2011 Feb; 57(2):245-54.AJ

Abstract

BACKGROUND

Dietary patterns have been linked to such chronic diseases as cardiovascular disease, but sparse data currently are available for associations between dietary patterns and microalbuminuria or kidney function decline.

STUDY DESIGN

Subgroup analysis from a prospective observational cohort study.

SETTING & PARTICIPANTS

Female participants in the Nurses' Health Study who had dietary pattern data from food frequency questionnaires returned in 1984, 1986, 1990, 1994, and 1998 and urinary albumin-creatinine ratios from 2000 (n = 3,121); estimated glomerular filtration rate (eGFR) change between 1989 and 2000 was available for 3,071.

PREDICTOR

Prudent (higher intake of fruits, vegetables, legumes, fish, poultry, and whole grains), Western (higher intake of red and processed meats, saturated fats, and sweets), and Dietary Approach to Stop Hypertension (DASH)-style dietary patterns (also greater intake of vegetables, fruits, and whole grains).

OUTCOMES & MEASUREMENTS

Microalbuminuria (albumin-creatinine ratio, 25-354 μg/mg) in 2000 and change in kidney function using eGFR between 1989 and 2000.

RESULTS

After multivariable adjustment, the highest quartile of Western pattern score compared with the lowest quartile was associated directly with microalbuminuria (OR, 2.17; 95% CI, 1.18-3.66; P for trend = 0.01) and rapid eGFR decline ≥3 mL/min/1.73 m(2)/y (OR, 1.77; 95% CI, 1.03-3.03). Women in the top quartile of the DASH score had decreased risk of rapid eGFR decline (OR, 0.55; 95% CI, 0.38-0.80), but no association with microalbuminuria. These associations did not vary by diabetes status. The prudent dietary pattern was not associated with microalbuminuria or eGFR decline.

LIMITATIONS

Study cohort included primarily older white women and generalizability of results would benefit from validation in nonwhites and men.

CONCLUSIONS

A Western dietary pattern is associated with a significantly increased odds of microalbuminuria and rapid kidney function decrease, whereas a DASH-style dietary pattern may be protective against rapid eGFR decline.

Authors+Show Affiliations

Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. jlin11@partners.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

21251540

Citation

Lin, Julie, et al. "Association of Dietary Patterns With Albuminuria and Kidney Function Decline in Older White Women: a Subgroup Analysis From the Nurses' Health Study." American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, vol. 57, no. 2, 2011, pp. 245-54.
Lin J, Fung TT, Hu FB, et al. Association of dietary patterns with albuminuria and kidney function decline in older white women: a subgroup analysis from the Nurses' Health Study. Am J Kidney Dis. 2011;57(2):245-54.
Lin, J., Fung, T. T., Hu, F. B., & Curhan, G. C. (2011). Association of dietary patterns with albuminuria and kidney function decline in older white women: a subgroup analysis from the Nurses' Health Study. American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, 57(2), 245-54. https://doi.org/10.1053/j.ajkd.2010.09.027
Lin J, et al. Association of Dietary Patterns With Albuminuria and Kidney Function Decline in Older White Women: a Subgroup Analysis From the Nurses' Health Study. Am J Kidney Dis. 2011;57(2):245-54. PubMed PMID: 21251540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of dietary patterns with albuminuria and kidney function decline in older white women: a subgroup analysis from the Nurses' Health Study. AU - Lin,Julie, AU - Fung,Teresa T, AU - Hu,Frank B, AU - Curhan,Gary C, PY - 2010/01/26/received PY - 2010/09/27/accepted PY - 2011/1/22/entrez PY - 2011/1/22/pubmed PY - 2011/3/2/medline SP - 245 EP - 54 JF - American journal of kidney diseases : the official journal of the National Kidney Foundation JO - Am J Kidney Dis VL - 57 IS - 2 N2 - BACKGROUND: Dietary patterns have been linked to such chronic diseases as cardiovascular disease, but sparse data currently are available for associations between dietary patterns and microalbuminuria or kidney function decline. STUDY DESIGN: Subgroup analysis from a prospective observational cohort study. SETTING & PARTICIPANTS: Female participants in the Nurses' Health Study who had dietary pattern data from food frequency questionnaires returned in 1984, 1986, 1990, 1994, and 1998 and urinary albumin-creatinine ratios from 2000 (n = 3,121); estimated glomerular filtration rate (eGFR) change between 1989 and 2000 was available for 3,071. PREDICTOR: Prudent (higher intake of fruits, vegetables, legumes, fish, poultry, and whole grains), Western (higher intake of red and processed meats, saturated fats, and sweets), and Dietary Approach to Stop Hypertension (DASH)-style dietary patterns (also greater intake of vegetables, fruits, and whole grains). OUTCOMES & MEASUREMENTS: Microalbuminuria (albumin-creatinine ratio, 25-354 μg/mg) in 2000 and change in kidney function using eGFR between 1989 and 2000. RESULTS: After multivariable adjustment, the highest quartile of Western pattern score compared with the lowest quartile was associated directly with microalbuminuria (OR, 2.17; 95% CI, 1.18-3.66; P for trend = 0.01) and rapid eGFR decline ≥3 mL/min/1.73 m(2)/y (OR, 1.77; 95% CI, 1.03-3.03). Women in the top quartile of the DASH score had decreased risk of rapid eGFR decline (OR, 0.55; 95% CI, 0.38-0.80), but no association with microalbuminuria. These associations did not vary by diabetes status. The prudent dietary pattern was not associated with microalbuminuria or eGFR decline. LIMITATIONS: Study cohort included primarily older white women and generalizability of results would benefit from validation in nonwhites and men. CONCLUSIONS: A Western dietary pattern is associated with a significantly increased odds of microalbuminuria and rapid kidney function decrease, whereas a DASH-style dietary pattern may be protective against rapid eGFR decline. SN - 1523-6838 UR - https://www.unboundmedicine.com/medline/citation/21251540/Association_of_dietary_patterns_with_albuminuria_and_kidney_function_decline_in_older_white_women:_a_subgroup_analysis_from_the_Nurses'_Health_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0272-6386(10)01525-8 DB - PRIME DP - Unbound Medicine ER -