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The association between Dietary Approaches to Stop Hypertension and incidence of chronic kidney disease in adults: the Tehran Lipid and Glucose Study.
Nephrol Dial Transplant. 2017 Apr 01; 32(suppl_2):ii224-ii230.ND

Abstract

Background

This study was conducted to examine the association of adherence to the Dietary Approaches to Stop Hypertension (DASH)-style diet with incident chronic kidney disease (CKD) among an Iranian population.

Methods

We followed-up 1630 participants (50.5% women, mean age: 42.8 years) of the Tehran Lipid and Glucose Study for 6.1 years, who were initially free of CKD. Baseline diet was assessed using a valid and reliable 168-item food frequency questionnaire. A DASH-style diet, based on scoring eight components (fruits, vegetables, whole grains, nuts and legumes, low-fat dairy, red and processed meats, sweetened beverages and sodium) was used. Estimated glomerular filtration rate (eGFR) was calculated using the Modification of Diet in Renal Disease Study equation and CKD was defined as eGFR <60 mL/min/1.73 m2. Odds ratio (OR) using multivariable logistic regression was reported for the association of incident CKD with DASH-style diet score.

Results

The incidence of CKD among those in the top quintile of the DASH-style diet was 30%, 18% lower than those in the bottom quintile. After controlling for age, sex, smoking, total energy intake, body mass index, eGFR, triglycerides, physical activity, hypertension and diabetes, adherence to the DASH-style diet was found to be inversely associated with incident CKD (OR: 0.41; 95% confidence interval: 0.24-0.70). In addition, higher scores of fruits, whole grains, nuts and legumes, sweetened beverages and sodium were inversely associated with incidence of CKD.

Conclusion

Results revealed that after 6.1 years of follow-up, adherence to the DASH-style diet was associated with a lower risk of incident CKD among adults.

Authors+Show Affiliations

Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28201810

Citation

Asghari, Golaleh, et al. "The Association Between Dietary Approaches to Stop Hypertension and Incidence of Chronic Kidney Disease in Adults: the Tehran Lipid and Glucose Study." Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, vol. 32, no. suppl_2, 2017, pp. ii224-ii230.
Asghari G, Yuzbashian E, Mirmiran P, et al. The association between Dietary Approaches to Stop Hypertension and incidence of chronic kidney disease in adults: the Tehran Lipid and Glucose Study. Nephrol Dial Transplant. 2017;32(suppl_2):ii224-ii230.
Asghari, G., Yuzbashian, E., Mirmiran, P., & Azizi, F. (2017). The association between Dietary Approaches to Stop Hypertension and incidence of chronic kidney disease in adults: the Tehran Lipid and Glucose Study. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 32(suppl_2), ii224-ii230. https://doi.org/10.1093/ndt/gfw273
Asghari G, et al. The Association Between Dietary Approaches to Stop Hypertension and Incidence of Chronic Kidney Disease in Adults: the Tehran Lipid and Glucose Study. Nephrol Dial Transplant. 2017 Apr 1;32(suppl_2):ii224-ii230. PubMed PMID: 28201810.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between Dietary Approaches to Stop Hypertension and incidence of chronic kidney disease in adults: the Tehran Lipid and Glucose Study. AU - Asghari,Golaleh, AU - Yuzbashian,Emad, AU - Mirmiran,Parvin, AU - Azizi,Fereidoun, PY - 2016/03/08/received PY - 2016/05/14/accepted PY - 2017/2/16/pubmed PY - 2017/10/27/medline PY - 2017/2/16/entrez KW - Dietary Approaches to Stop Hypertension KW - chronic kidney disease KW - diet quality KW - dietary pattern KW - glomerular filtration rate SP - ii224 EP - ii230 JF - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JO - Nephrol Dial Transplant VL - 32 IS - suppl_2 N2 - Background: This study was conducted to examine the association of adherence to the Dietary Approaches to Stop Hypertension (DASH)-style diet with incident chronic kidney disease (CKD) among an Iranian population. Methods: We followed-up 1630 participants (50.5% women, mean age: 42.8 years) of the Tehran Lipid and Glucose Study for 6.1 years, who were initially free of CKD. Baseline diet was assessed using a valid and reliable 168-item food frequency questionnaire. A DASH-style diet, based on scoring eight components (fruits, vegetables, whole grains, nuts and legumes, low-fat dairy, red and processed meats, sweetened beverages and sodium) was used. Estimated glomerular filtration rate (eGFR) was calculated using the Modification of Diet in Renal Disease Study equation and CKD was defined as eGFR <60 mL/min/1.73 m2. Odds ratio (OR) using multivariable logistic regression was reported for the association of incident CKD with DASH-style diet score. Results: The incidence of CKD among those in the top quintile of the DASH-style diet was 30%, 18% lower than those in the bottom quintile. After controlling for age, sex, smoking, total energy intake, body mass index, eGFR, triglycerides, physical activity, hypertension and diabetes, adherence to the DASH-style diet was found to be inversely associated with incident CKD (OR: 0.41; 95% confidence interval: 0.24-0.70). In addition, higher scores of fruits, whole grains, nuts and legumes, sweetened beverages and sodium were inversely associated with incidence of CKD. Conclusion: Results revealed that after 6.1 years of follow-up, adherence to the DASH-style diet was associated with a lower risk of incident CKD among adults. SN - 1460-2385 UR - https://www.unboundmedicine.com/medline/citation/28201810/The_association_between_Dietary_Approaches_to_Stop_Hypertension_and_incidence_of_chronic_kidney_disease_in_adults:_the_Tehran_Lipid_and_Glucose_Study_ DB - PRIME DP - Unbound Medicine ER -