Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality
Open Access
- 15 August 2019
- Vol. 11 (8), 1920
- https://doi.org/10.3390/nu11081920
Abstract
Background: We analyzed the dietary patterns of Brazilian individuals with a self-declared diagnosis of chronic kidney disease (CKD) and explored associations with treatment modality. Methods: Weekly consumption of 14 food intake markers was analyzed in 839 individuals from the 2013 Brazil National Health Survey with a self-declared diagnosis of CKD undergoing nondialysis (n = 480), dialysis (n = 48), or renal transplant (n = 17) treatment or no CKD treatment (n = 294). Dietary patterns were derived by exploratory factor analysis of food intake groups. Multiple linear regression models, adjusted by sociodemographic and geographical variables, were used to evaluate possible differences in dietary pattern scores between different CKD treatment groups. Results: Two food patterns were identified: an “Unhealthy” pattern (red meat, sweet sugar beverages, alcoholic beverages, and sweets and a negative loading of chicken, excessive salt, and fish) and a “Healthy” pattern (raw and cooked vegetables, fruits, fresh fruit juice, and milk). The Unhealthy pattern was inversely associated with nondialysis and dialysis treatment (β: −0.20 (95% CI: −0.33; −0.06) and β: −0.80 (−1.16; −0.45), respectively) and the Healthy pattern was positively associated with renal transplant treatment (β: 0.32 (0.03; 0.62)). Conclusions: Two dietary patterns were identified in Brazilian CKD individuals and these patterns were linked to CKD treatment modality.Keywords
This publication has 39 references indexed in Scilit:
- Self-reported Medication Adherence and Adverse Patient Safety Events in CKDAmerican Journal of Kidney Diseases, 2015
- A Review of Dietary Intake Studies in Maintenance Dialysis PatientsJournal of Renal Nutrition, 2015
- Food Intake Assessment of Elderly Patients on HemodialysisJournal of Renal Nutrition, 2015
- Dietary Patterns and Risk of Death and Progression to ESRD in Individuals With CKD: A Cohort StudyAmerican Journal of Kidney Diseases, 2014
- Pesquisa Nacional de Saúde no Brasil: concepção e metodologia de aplicaçãoCiencia & Saude Coletiva, 2014
- Chronic kidney disease: global dimension and perspectivesThe Lancet, 2013
- Validade e reprodutibilidade de marcadores do consumo de alimentos e bebidas de um inquérito telefônico realizado na cidade de Belo Horizonte (MG), BrasilRevista Brasileira de Epidemiologia, 2011
- Validação de indicadores do consumo de alimentos e bebidas obtidos por inquérito telefônico em Belém, Pará, BrasilCadernos de Saude Publica, 2010
- EBPG Guideline on NutritionNephrology Dialysis Transplantation, 2007
- Little Jiffy, Mark IvEducational and Psychological Measurement, 1974