Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000300208 |
Resumo: | ABSTRACT BACKGROUND: Despite evidence that diet is very important in relation to chronic kidney disease (CKD) progression, studies in this field are scarce and have focused only on some specific nutrients. We evaluated the energy, macronutrient and micronutrient intakes and dietary patterns of non-dialysis CKD participants in the PROGREDIR study. DESIGN AND SETTING: Cross-sectional study; CKD cohort, São Paulo, Brazil. METHODS: Baseline data on 454 participants in the PROGREDIR study were analyzed. Dietary intake was evaluated through a food frequency questionnaire. Dietary patterns were derived through principal component analysis. Energy and protein intakes were compared with National Kidney Foundation recommendations. Linear regression analysis was performed between energy and nutrient intakes and estimated glomerular filtration rate (eGFR), and between sociodemographic and clinical variables and dietary patterns. RESULTS: Median energy and protein intakes were 25.0 kcal/kg and 1.1 g/kg, respectively. In linear regression, protein intake (β = -3.67; P = 0.07) was related to eGFR. Three dietary patterns (snack, mixed and traditional) were retained. The snack pattern was directly associated with male gender (β = 0.27; P = 0.006) and inversely with diabetes (β = -0.23; P = 0.02). The traditional pattern was directly associated with male gender (β = 0.27; P = 0.007) and schooling (β = 0.40; P < 0.001) and inversely with age (β = -0.01; P = 0.001) and hypertension (β = -0.34; P = 0.05). CONCLUSIONS: We identified low energy and high protein intake in this population. Protein intake was inversely related to eGFR. Dietary patterns were associated with age, gender, schooling level, hypertension and diabetes. |
id |
APM-1_2f3a3645c9a9154560f9a3dd98d00cd9 |
---|---|
oai_identifier_str |
oai:scielo:S1516-31802018000300208 |
network_acronym_str |
APM-1 |
network_name_str |
São Paulo medical journal (Online) |
repository_id_str |
|
spelling |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional studyRenal insufficiency, chronicDietHealth surveysABSTRACT BACKGROUND: Despite evidence that diet is very important in relation to chronic kidney disease (CKD) progression, studies in this field are scarce and have focused only on some specific nutrients. We evaluated the energy, macronutrient and micronutrient intakes and dietary patterns of non-dialysis CKD participants in the PROGREDIR study. DESIGN AND SETTING: Cross-sectional study; CKD cohort, São Paulo, Brazil. METHODS: Baseline data on 454 participants in the PROGREDIR study were analyzed. Dietary intake was evaluated through a food frequency questionnaire. Dietary patterns were derived through principal component analysis. Energy and protein intakes were compared with National Kidney Foundation recommendations. Linear regression analysis was performed between energy and nutrient intakes and estimated glomerular filtration rate (eGFR), and between sociodemographic and clinical variables and dietary patterns. RESULTS: Median energy and protein intakes were 25.0 kcal/kg and 1.1 g/kg, respectively. In linear regression, protein intake (β = -3.67; P = 0.07) was related to eGFR. Three dietary patterns (snack, mixed and traditional) were retained. The snack pattern was directly associated with male gender (β = 0.27; P = 0.006) and inversely with diabetes (β = -0.23; P = 0.02). The traditional pattern was directly associated with male gender (β = 0.27; P = 0.007) and schooling (β = 0.40; P < 0.001) and inversely with age (β = -0.01; P = 0.001) and hypertension (β = -0.34; P = 0.05). CONCLUSIONS: We identified low energy and high protein intake in this population. Protein intake was inversely related to eGFR. Dietary patterns were associated with age, gender, schooling level, hypertension and diabetes.Associação Paulista de Medicina - APM2018-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000300208Sao Paulo Medical Journal v.136 n.3 2018reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2017.0177141217info:eu-repo/semantics/openAccessMachado,Alisson DiegoAnjos,Fernanda Silva Nogueira dosDomingos,Maria Alice MunizMolina,Maria del Carmen BisiMarchioni,Dirce Maria LoboBenseñor,Isabela Judith MartinsTitan,Silvia Maria de Oliveiraeng2018-07-10T00:00:00Zoai:scielo:S1516-31802018000300208Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2018-07-10T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
title |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
spellingShingle |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study Machado,Alisson Diego Renal insufficiency, chronic Diet Health surveys |
title_short |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
title_full |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
title_fullStr |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
title_full_unstemmed |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
title_sort |
Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study |
author |
Machado,Alisson Diego |
author_facet |
Machado,Alisson Diego Anjos,Fernanda Silva Nogueira dos Domingos,Maria Alice Muniz Molina,Maria del Carmen Bisi Marchioni,Dirce Maria Lobo Benseñor,Isabela Judith Martins Titan,Silvia Maria de Oliveira |
author_role |
author |
author2 |
Anjos,Fernanda Silva Nogueira dos Domingos,Maria Alice Muniz Molina,Maria del Carmen Bisi Marchioni,Dirce Maria Lobo Benseñor,Isabela Judith Martins Titan,Silvia Maria de Oliveira |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Machado,Alisson Diego Anjos,Fernanda Silva Nogueira dos Domingos,Maria Alice Muniz Molina,Maria del Carmen Bisi Marchioni,Dirce Maria Lobo Benseñor,Isabela Judith Martins Titan,Silvia Maria de Oliveira |
dc.subject.por.fl_str_mv |
Renal insufficiency, chronic Diet Health surveys |
topic |
Renal insufficiency, chronic Diet Health surveys |
description |
ABSTRACT BACKGROUND: Despite evidence that diet is very important in relation to chronic kidney disease (CKD) progression, studies in this field are scarce and have focused only on some specific nutrients. We evaluated the energy, macronutrient and micronutrient intakes and dietary patterns of non-dialysis CKD participants in the PROGREDIR study. DESIGN AND SETTING: Cross-sectional study; CKD cohort, São Paulo, Brazil. METHODS: Baseline data on 454 participants in the PROGREDIR study were analyzed. Dietary intake was evaluated through a food frequency questionnaire. Dietary patterns were derived through principal component analysis. Energy and protein intakes were compared with National Kidney Foundation recommendations. Linear regression analysis was performed between energy and nutrient intakes and estimated glomerular filtration rate (eGFR), and between sociodemographic and clinical variables and dietary patterns. RESULTS: Median energy and protein intakes were 25.0 kcal/kg and 1.1 g/kg, respectively. In linear regression, protein intake (β = -3.67; P = 0.07) was related to eGFR. Three dietary patterns (snack, mixed and traditional) were retained. The snack pattern was directly associated with male gender (β = 0.27; P = 0.006) and inversely with diabetes (β = -0.23; P = 0.02). The traditional pattern was directly associated with male gender (β = 0.27; P = 0.007) and schooling (β = 0.40; P < 0.001) and inversely with age (β = -0.01; P = 0.001) and hypertension (β = -0.34; P = 0.05). CONCLUSIONS: We identified low energy and high protein intake in this population. Protein intake was inversely related to eGFR. Dietary patterns were associated with age, gender, schooling level, hypertension and diabetes. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000300208 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000300208 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2017.0177141217 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.136 n.3 2018 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209266283053056 |