Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality
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...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2019-08-01
|
Series: | Nutrients |
Subjects: | |
Online Access: | https://www.mdpi.com/2072-6643/11/8/1920 |
id |
doaj-f54b1263d1db4d03a13767c70337bd30 |
---|---|
record_format |
Article |
spelling |
doaj-f54b1263d1db4d03a13767c70337bd302020-11-25T01:57:09ZengMDPI AGNutrients2072-66432019-08-01118192010.3390/nu11081920nu11081920Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment ModalityFernanda Santin0Daniela Canella1Camila Borges2Bengt Lindholm3Carla Maria Avesani4Graduate Program in Food, Nutrition and Health, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, BrazilDepartment of Applied Nutrition, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, BrazilDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, BrazilDivision of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institute, 14186 Stockholm, SwedenDepartment of Applied Nutrition, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, BrazilBackground: 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 (<i>n</i> = 480), dialysis (<i>n</i> = 48), or renal transplant (<i>n</i> = 17) treatment or no CKD treatment (<i>n</i> = 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.https://www.mdpi.com/2072-6643/11/8/1920dietary patternschronic kidney diseaseexploratory factor analysisunhealthy dietary patternhealthy dietary pattern |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fernanda Santin Daniela Canella Camila Borges Bengt Lindholm Carla Maria Avesani |
spellingShingle |
Fernanda Santin Daniela Canella Camila Borges Bengt Lindholm Carla Maria Avesani Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality Nutrients dietary patterns chronic kidney disease exploratory factor analysis unhealthy dietary pattern healthy dietary pattern |
author_facet |
Fernanda Santin Daniela Canella Camila Borges Bengt Lindholm Carla Maria Avesani |
author_sort |
Fernanda Santin |
title |
Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality |
title_short |
Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality |
title_full |
Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality |
title_fullStr |
Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality |
title_full_unstemmed |
Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality |
title_sort |
dietary patterns of patients with chronic kidney disease: the influence of treatment modality |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2019-08-01 |
description |
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 (<i>n</i> = 480), dialysis (<i>n</i> = 48), or renal transplant (<i>n</i> = 17) treatment or no CKD treatment (<i>n</i> = 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. |
topic |
dietary patterns chronic kidney disease exploratory factor analysis unhealthy dietary pattern healthy dietary pattern |
url |
https://www.mdpi.com/2072-6643/11/8/1920 |
work_keys_str_mv |
AT fernandasantin dietarypatternsofpatientswithchronickidneydiseasetheinfluenceoftreatmentmodality AT danielacanella dietarypatternsofpatientswithchronickidneydiseasetheinfluenceoftreatmentmodality AT camilaborges dietarypatternsofpatientswithchronickidneydiseasetheinfluenceoftreatmentmodality AT bengtlindholm dietarypatternsofpatientswithchronickidneydiseasetheinfluenceoftreatmentmodality AT carlamariaavesani dietarypatternsofpatientswithchronickidneydiseasetheinfluenceoftreatmentmodality |
_version_ |
1724976055180066816 |