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Adherence to the Dietary Approaches to Stop Hypertension-Style Diet Is Inversely Associated With Chronic Kidney Disease: A Systematic Review and Meta-Analysis of Prospective Cohort Studies Publisher Pubmed



Taghavi M1 ; Sadeghi A2 ; Maleki V3 ; Nasiri M4, 5 ; Khodadost M6, 7 ; Pirouzi A8 ; Rashidbeigi E9, 10 ; Sadeghi O8, 9, 10 ; Swann O11
Authors
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Authors Affiliations
  1. 1. Department of Nutrition, Islamic Azad University Olum Tahghighat, Tehran, Iran
  2. 2. Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
  4. 4. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Department of Operating Room Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
  6. 6. Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Gerash University of Medical Sciences, Gerash, Iran
  9. 9. Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Menzies Institute for Medical Research, University of Tasmania, TAS, Hobart, Australia

Source: Nutrition Research Published:2019


Abstract

No conclusive information is available about the association between the Dietary Approaches to Stop Hypertension (DASH)-style diet and chronic kidney disease (CKD). Hence, we aimed to summarize the findings of prospective cohort studies on the relationship between adherence to the DASH-style diet and risk of CKD. A systematic search was done using relevant keywords in the online databases for relevant publications up through July 2018. In total, we included 6 studies in the current systematic review and meta-analysis, with a total sample size of 568 156 individuals and 9249 cases of CKD. Combining 6 effect sizes from 6 studies revealed a significant inverse association between adherence to the DASH diet and risk of CKD (Combined effect size: 0.72, 95% CI: 0.61-0.85, P <.001). In addition, adherence to a DASH-style diet was inversely associated with a risk of rapid decline in estimated glomerular filtration rate (eGFR) (Combined effect size: 0.74, 95% CI: 0.54-0.99, P =.04) and microalbuminuria (Combined effect size: 0.61, 95% CI: 0.43-0.88, P =.009), but not with low eGFR. Adherence to the DASH-style diet, as a healthy dietary pattern, might be beneficial for the prevention of CKD. © 2019 Elsevier Inc.
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