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Adherence to a healthful plant-based diet and risk of mortality among individuals with chronic kidney disease: A prospective cohort study: A prospective cohort study

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Název: Adherence to a healthful plant-based diet and risk of mortality among individuals with chronic kidney disease: A prospective cohort study: A prospective cohort study
Autoři: Alysha S. Thompson, Martina Gaggl, Nicola P. Bondonno, Amy Jennings, Joshua K. O’Neill, Claire Hill, Nena Karavasiloglou, Sabine Rohrmann, Aedín Cassidy, Tilman Kühn
Přispěvatelé: University of Zurich, Cassidy, Aedín, Kühn, Tilman
Zdroj: Thompson, A S, Gaggl, M, Bondonno, N P, Jennings, A, O'Neill, J K, Hill, C, Karavasiloglou, N, Rohrmann, S, Cassidy, A & Kühn, T 2024, 'Adherence to a healthful plant-based diet and risk of mortality among individuals with chronic kidney disease: a prospective cohort study', Clinical Nutrition, vol. 43, pp. 2448-2457. https://doi.org/10.1016/j.clnu.2024.09.021
Informace o vydavateli: Elsevier BV, 2024.
Rok vydání: 2024
Témata: Male, Adult, Epidemiology, 610 Medicine & health, Plant-based diet index, 03 medical and health sciences, 0302 clinical medicine, Management of CKD, Risk Factors, 10049 Institute of Pathology and Molecular Pathology, Chronic kidney disease, Medicine and Health Sciences, 303009 Ernährungswissenschaften, Patient Compliance/statistics & numerical data, Humans, Renal Insufficiency, Vegetarian/statistics & numerical data, Prospective Studies, Mortality, Renal Insufficiency, Chronic, Diet, Plant-Based, Healthy/statistics & numerical data, Aged, Proportional Hazards Models, 2. Zero hunger, United Kingdom/epidemiology, Diet, Vegetarian, health, Chronic/mortality, 10060 Epidemiology, Biostatistics and Prevention Institute (EBPI), Middle Aged, 16. Peace & justice, Plant-Based, United Kingdom, Diet, 3. Good health, plant-based diet, 2916 Nutrition and Dietetics, Patient Compliance, Female, Public Health, Diet, Healthy, 2706 Critical Care and Intensive Care Medicine, diet, 303009 Nutritional sciences, chronic kidney disease
Popis: BackgroundPlant-rich dietary patterns may protect against negative health outcomes among individuals with chronic kidney disease (CKD), although aspects of plant-based diet quality have not been studied. This study aimed to examine associations between healthful and unhealthful plant-based dietary patterns with risk of mortality among CKD patients for the first time.MethodsThis prospective analysis included 4,807 UK Biobank participants with CKD at baseline. We examined associations of adherence to both the healthful plant-based diet index (hPDI) and unhealthful plant-based diet index (uPDI), calculated from repeated 24-hour dietary assessments, with risk of mortality using multivariable Cox proportional hazard regression models.ResultsOver a 10-year follow-up, 675 deaths were recorded. Participants with the highest hPDI scores had a 33% lower risk of mortality [HRQ4vsQ1(95% CI): 0.67 (0.53-0.84), ptrend= trend= 0.004], compared to participants with the lowest respective scores and following adjustment for other dietary and lifestyle factors. In food group-specific analyses, higher wholegrain intakes were associated with a 29% lower mortality risk, while intakes of refined grains, and sugar-sweetened beverages were associated a 28% and 31% higher risk, respectively.ConclusionsIn CKD patients, a higher intake of healthy plant-based foods was associated with a lower risk of mortality, while a higher intake of unhealthy plant-based foods was associated with a higher risk. These results underscore the importance of plant food quality and support the potential role of healthy plant food consumption in the treatment and management of CKD to mitigate unfavourable outcomes.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf; ZORA_264227.pdf - application/pdf
Jazyk: English
ISSN: 0261-5614
DOI: 10.1016/j.clnu.2024.09.021
DOI: 10.1101/2024.04.08.24305486
DOI: 10.5167/uzh-264227
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39305755
https://pure.qub.ac.uk/en/publications/6c3a8ce1-1d17-4518-9987-e3216f1a7557
https://www.zora.uzh.ch/id/eprint/264227/
https://doi.org/10.5167/uzh-264227
Rights: Elsevier TDM
CC BY
CC BY ND
Přístupové číslo: edsair.doi.dedup.....f4dd134cb6777f86aa0f403944db39e3
Databáze: OpenAIRE
Popis
Abstrakt:BackgroundPlant-rich dietary patterns may protect against negative health outcomes among individuals with chronic kidney disease (CKD), although aspects of plant-based diet quality have not been studied. This study aimed to examine associations between healthful and unhealthful plant-based dietary patterns with risk of mortality among CKD patients for the first time.MethodsThis prospective analysis included 4,807 UK Biobank participants with CKD at baseline. We examined associations of adherence to both the healthful plant-based diet index (hPDI) and unhealthful plant-based diet index (uPDI), calculated from repeated 24-hour dietary assessments, with risk of mortality using multivariable Cox proportional hazard regression models.ResultsOver a 10-year follow-up, 675 deaths were recorded. Participants with the highest hPDI scores had a 33% lower risk of mortality [HRQ4vsQ1(95% CI): 0.67 (0.53-0.84), ptrend= trend= 0.004], compared to participants with the lowest respective scores and following adjustment for other dietary and lifestyle factors. In food group-specific analyses, higher wholegrain intakes were associated with a 29% lower mortality risk, while intakes of refined grains, and sugar-sweetened beverages were associated a 28% and 31% higher risk, respectively.ConclusionsIn CKD patients, a higher intake of healthy plant-based foods was associated with a lower risk of mortality, while a higher intake of unhealthy plant-based foods was associated with a higher risk. These results underscore the importance of plant food quality and support the potential role of healthy plant food consumption in the treatment and management of CKD to mitigate unfavourable outcomes.
ISSN:02615614
DOI:10.1016/j.clnu.2024.09.021