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Dietary patterns, dietary biomarkers, and kidney disease in patients with type 2 Diabetes : a repeated-measure study in Taiwan

Chung, Hsin-Fang and Hsu, Chih-Cheng and Mamun, Abdullah Al and Long, Kurt Z. and Huang, Ya-Fang and Shin, Shyi-Jang and Hwang, Shang-Jyh and Huang, Meng-Chuan. (2018) Dietary patterns, dietary biomarkers, and kidney disease in patients with type 2 Diabetes : a repeated-measure study in Taiwan. Asia Pacific Journal of Clinical Nutrition, 27 (2). pp. 366-374.

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Abstract

Western dietary patterns have been linked with kidney disease. This study investigated the association between Chinese dietary patterns and kidney disease in a Taiwanese population with type 2 diabetes and evaluated dietary fatty acid patterns, a kidney-related dietary biomarker.; We recruited 838 patients with type 2 diabetes and used their dietary and renal data obtained from three repeated measures in 2008, 2009 and 2010. Diet was assessed using food-frequency questionnaires, and factor analysis was performed to identify dietary patterns. Albuminuria was defined by having an albumin-to-creatinine ratio >=30 mg/g and kidney dysfunction by estimated glomerular filtration rate <60 mL/min/1.73m2. Generalized estimating equation models were used to estimate ORs (95% CIs) of kidney disease adjusted for covariates. Erythrocyte fatty acids were only measured in blood samples collected in 2008.; Three dietary patterns were identified: high fat-meat, traditional Chinese food-snack, and fish-vegetable. In the adjusted model, the high fat-meat and traditional Chinese food-snack diets were not associated with any kidney outcomes. The fishvegetable diet was inversely associated with kidney dysfunction (quartile 4 vs 1, OR: 0.75, 0.58-0.97), but not associated with albuminuria. A higher fish-vegetable diet factor score was associated with higher n-3 fatty acid levels.; In patients with diabetes, we found greater adherence to a fish-vegetable diet to be associated with better kidney function and greater n-3 fatty acid profiles. The inclusion of repeated dietary assessments and dietary biomarker measurements in future diet-disease research, especially in patient populations, may provide more definitive risk evaluation.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Biostatistics > Biostatistics Frequentist Modelling
UniBasel Contributors:Long, Kurt and Long, Kurt
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
ISSN:0964-7058
e-ISSN:1440-6047
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:07 Sep 2018 13:07
Deposited On:25 Jun 2018 13:27

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