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Dietary Patterns and Renal Health Outcomes in the General Population: A Review Focusing on Prospective Studies
Open AccessArticle

Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality

1
Graduate Program in Food, Nutrition and Health, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, Brazil
2
Department of Applied Nutrition, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, Brazil
3
Department of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
4
Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institute, 14186 Stockholm, Sweden
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(8), 1920; https://doi.org/10.3390/nu11081920
Received: 13 June 2019 / Revised: 12 July 2019 / Accepted: 15 July 2019 / Published: 15 August 2019
(This article belongs to the Special Issue Targeted Nutrition in Chronic Disease)
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PDF [293 KB, uploaded 20 August 2019]

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. View Full-Text
Keywords: dietary patterns; chronic kidney disease; exploratory factor analysis; unhealthy dietary pattern; healthy dietary pattern dietary patterns; chronic kidney disease; exploratory factor analysis; unhealthy dietary pattern; healthy dietary pattern
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Santin, F.; Canella, D.; Borges, C.; Lindholm, B.; Avesani, C.M. Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality. Nutrients 2019, 11, 1920.

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