{"id":59100,"date":"2014-03-01T00:00:00","date_gmt":"2018-12-04T07:16:33","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-patterns-and-risk-of-death-and-progression-to-esrd-in\/"},"modified":"2018-12-04T08:16:33","modified_gmt":"2018-12-04T07:16:33","slug":"dietary-patterns-and-risk-of-death-and-progression-to-esrd-in","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-patterns-and-risk-of-death-and-progression-to-esrd-in\/","title":{"rendered":"Dietary Patterns and Risk of Death and Progression to ESRD in Individuals With CKD: A Cohort Study."},"content":{"rendered":"<p><strong>BACKGROUND:<\/strong><\/p>\n<p>Nutrition is linked strongly with health outcomes in chronic kidney disease (CKD). However, few studies have examined relationships between dietary patterns and health outcomes in persons with CKD.<\/p>\n<p><strong>STUDY DESIGN:<\/strong><\/p>\n<p>Observational cohort study.<\/p>\n<p><strong>SETTING &amp; PARTICIPANTS:<\/strong><\/p>\n<p>3,972 participants with CKD (defined as estimated glomerular filtration rate &lt; 60mL\/min\/1.73m2 or albumin-creatinine ratio &ge; 30mg\/g at baseline) from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study, a prospective cohort study of 30,239 black and white adults at least 45 years of age.<\/p>\n<p><strong>PREDICTORS:<\/strong><\/p>\n<p>5 empirically derived dietary patterns identified by factor analysis: &quot;convenience&quot; (Chinese and Mexican foods, pizza, and other mixed dishes), &quot;plant-based&quot; (fruits and vegetables), &quot;sweets\/fats&quot; (sugary foods), &quot;Southern&quot; (fried foods, organ meats, and sweetened beverages), and &quot;alcohol\/salads&quot; (alcohol, green-leafy vegetables, and salad dressing).<\/p>\n<p><strong>OUTCOMES:<\/strong><\/p>\n<p>All-cause mortality and end-stage renal disease (ESRD).<\/p>\n<p><strong>RESULTS:<\/strong><\/p>\n<p>816 deaths and 141 ESRD events were observed over approximately 6 years of follow-up. There were no statistically significant associations of convenience, sweets\/fats, or alcohol\/salads pattern scores with all-cause mortality after multivariable adjustment. In Cox regression models adjusted for sociodemographic factors, energy intake, comorbid conditions, and baseline kidney function, higher plant-based pattern scores (indicating greater consistency with the pattern) were associated with lower risk of mortality (HR comparing fourth to first quartile, 0.77; 95% CI, 0.61-0.97), whereas higher Southern pattern scores were associated with greater risk of mortality (HR comparing fourth to first quartile, 1.51; 95% CI, 1.19-1.92). There were no associations of dietary patterns with incident ESRD in multivariable-adjusted models.<\/p>\n<p><strong>LIMITATIONS:<\/strong><\/p>\n<p>Missing dietary pattern data, potential residual confounding from lifestyle factors.<\/p>\n<p><strong>CONCLUSIONS:<\/strong><\/p>\n<p>A Southern dietary pattern rich in processed and fried foods was associated independently with mortality in persons with CKD. In contrast, a diet rich in fruits and vegetables appeared to be protective.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-59100","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Medicine, University of Alabama at Birmingham, Birmingham, AL; Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL. 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McClellan","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"wm-mcclellan","to_ping":"","pinged":"","post_modified":"2018-12-04 08:16:31","post_modified_gmt":"2018-12-04 07:16:31","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/wm-mcclellan\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":59098,"post_author":"0","post_date":"2018-12-04 08:16:31","post_date_gmt":"2018-12-04 07:16:31","post_content":"","post_title":"Warnock","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"warnock","to_ping":"","pinged":"","post_modified":"2018-12-04 08:16:31","post_modified_gmt":"2018-12-04 07:16:31","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/warnock\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":59099,"post_author":"0","post_date":"2018-12-04 08:16:33","post_date_gmt":"2018-12-04 07:16:33","post_content":"","post_title":"SE Judd","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"se-judd","to_ping":"","pinged":"","post_modified":"2018-12-04 08:16:33","post_modified_gmt":"2018-12-04 07:16:33","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/se-judd\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1188,"post_author":"0","post_date":"2018-12-03 15:57:09","post_date_gmt":"2018-12-03 14:57:09","post_content":"","post_title":"American journal of kidney diseases : the 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