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Healthy dietary patterns and incidence of CKD: A meta-analysis of cohort studies

Clinical Journal of the American Society of Nephrology Sep 30, 2019

Bach KE, et al. - Via this systematic review and meta-analysis, researchers investigated the links between dietary patterns and CKD incidence in adults and children. Via a systematic search, the potential studies were identified from MEDLINE, Embase and references from eligible studies from database inception to February 2019. This analysis included prospective and retrospective cohort studies performed on adults and children without CKD, with dietary patterns as primary exposure, and describing the incidence of CKD (eGFR < 60 ml/min per 1.73 m2). Overall 18 studies including 630,108 adults (no children), with a mean observation period of 10.4 ± 7.4 years, were analyzed. Higher consumptions of vegetables, fruit, legumes, nuts, whole grains, fish and low-fat dairy, and lower consumptions of red and processed meats, sodium, and sugar-sweetened beverages were encouraged by healthy dietary patterns. A lower incidence of CKD and albuminuria was reported in correlation with a healthy dietary pattern. No significant link between healthy dietary patterns and eGFR reduction was found. Based on these findings, experts concluded that CKD and albuminuria may be prevented via a healthy dietary pattern.
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