Skip to main content Accessibility help
×
Home

Dietary fibre intake in relation to the risk of incident chronic kidney disease

  • Parvin Mirmiran (a1), Emad Yuzbashian (a2), Golaleh Asghari (a2), Shaghayegh Sarverzadeh (a2) and Fereidoun Azizi (a3)...

Abstract

The purpose of this study was primarily to evaluate the association of total fibre intake with the risk of incident chronic kidney disease (CKD). We also evaluated the association of dietary fibre from fruits, vegetables, cereals and legumes with the incidence of CKD in a population-based prospective study. We followed up 1630 participants of the Tehran Lipid and Glucose Study for 6·1 years, who were initially free of CKD. Baseline diet was assessed by a valid and reliable FFQ. Estimated glomerular filtration rate (eGFR) was calculated, using the Modification of Diet in Renal Disease Study equation, and CKD was defined as eGFR <60 ml/min per 1·73 m2. OR using multivariable logistic regression was reported for the association of incident CKD with tertiles of dietary fibre intake. After adjustment for age, sex, smoking, total energy intake, physical activity, diabetes and using angiotensin-converting-enzyme inhibitor, the OR for subjects in the highest compared with the lowest tertile of total fibre intake was 0·47 (95 % CI 0·27, 0·86). In addition, for every 5 g/d increase in total fibre intake, the risk of incident CKD decreased by 11 %. After adjusting for potential confounders, OR for participants in the highest compared with the lowest tertile of fibre from vegetables was 0·63 (95 % CI 0·43, 0·93) and from legumes it was 0·68 (95 % CI 0·47, 0·98). We observed inverse associations between total fibre intake and risk of incident CKD, which demonstrate that high fibre intake, mainly from legumes and vegetables, may reduce the occurrence of CKD.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Dietary fibre intake in relation to the risk of incident chronic kidney disease
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Dietary fibre intake in relation to the risk of incident chronic kidney disease
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Dietary fibre intake in relation to the risk of incident chronic kidney disease
      Available formats
      ×

Copyright

Corresponding author

* Corresponding author: G. Asghari, fax +98 21 22402463, email g_asghari@hotmail.com

References

Hide All
1. Xu, HSP, Ärnlöv, J, Banerjee, T, et al. (2015) A proinflammatory diet is associated with systemic inflammation and reduced kidney function in elderly adults. J Nutr 145, 729735.
2. Jha, V, Garcia-Garcia, G, Iseki, K, et al. (2013) Chronic kidney disease: global dimension and perspectives. Lancet 382, 260272.
3. Hakemi, MS (2014) Chronic kidney disease epidemiology. Iran J Kidney Dis 8, 261262.
4. Levin, A, Tonelli, M, Bonventre, J, et al. (2017) Global kidney health 2017 and beyond: a roadmap for closing gaps in care, research, and policy. Lancet 39, 18881917.
5. Tohidi, M, Hasheminia, M, Mohebi, R, et al. (2012) Incidence of chronic kidney disease and its risk factors, results of over 10 year follow up in an Iranian cohort. PLOS ONE 7, e45304.
6. Kazancioglu, R (2013) Risk factors for chronic kidney disease: an update. Kidney Int Suppl 3, 368371.
7. Farhadnejad, H, Asghari, G, Mirmiran, P, et al. (2016) Micronutrient intakes and incidence of chronic kidney disease in adults: Tehran Lipid and Glucose Study. Nutrients 8, 217.
8. Yuzbashian, E, Asghari, G, Mirmiran, P, et al. (2015) Associations of dietary macronutrients with glomerular filtration rate and kidney dysfunction: Tehran Lipid and Glucose Study. J Nephrol 28, 173180.
9. King, DE (2005) Dietary fiber, inflammation, and cardiovascular disease. Mol Nutr Food Res 49, 594600.
10. Lattimer, JM & Haub, MD (2010) Effects of dietary fiber and its components on metabolic health. Nutrients 2, 12661289.
11. Gopinath, B, Harris, DC, Flood, VM, et al. (2011) Carbohydrate nutrition is associated with the 5-year incidence of chronic kidney disease. J Nutr 141, 433439.
12. Xu, H, Huang, X, Riserus, U, et al. (2014) Dietary fiber, kidney function, inflammation, and mortality risk. Clin J Am Soc Nephrol 9, 21042110.
13. Sorensen, MD, Hsi, RS, Chi, T, et al. (2014) Dietary intake of fiber, fruit and vegetables decreases the risk of incident kidney stones in women: a Women’s Health Initiative report. J Urol 192, 16941699.
14. Asghari, G, Farhadnejad, H, Mirmiran, P, et al. (2017) Adherence to the Mediterranean diet is associated with reduced risk of incident chronic kidney diseases among Tehranian adults. Hypertens Res 40, 96102.
15. Asghari, G, Yuzbashian, E, Mirmiran, P, et al. (2017) The association between Dietary Approaches to Stop Hypertension and incidence of chronic kidney disease in adults: the Tehran Lipid and Glucose Study. Nephrol Dial Transplant 32, ii224ii230.
16. Mirmiran, P, Bahadoran, Z, Khalili Moghadam, S, et al. (2016) A prospective study of different types of dietary fiber and risk of cardiovascular disease: Tehran Lipid and Glucose Study. Nutrients 8, 686697.
17. Hosseinpour-Niazi, S, Mirmiran, P, Mirzaei, S, et al. (2015) Cereal, fruit and vegetable fibre intake and the risk of the metabolic syndrome: a prospective study in the Tehran Lipid and Glucose Study. J Hum Nutr Diet 28, 236245.
18. Azizi, F, Ghanbarian, A, Momenan, AA, et al. (2009) Prevention of non-communicable disease in a population in nutrition transition: Tehran Lipid and Glucose Study phase II. Trials 10, 5.
19. Asghari, G, Rezazadeh, A, Hosseini-Esfahani, F, et al. (2012) Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran Lipid and Glucose Study. Br J Nutr 108, 11091117.
20. Esfahani, FH, Asghari, G, Mirmiran, P, et al. (2010) Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol 20, 150158.
21. Mirmiran, P, Esfahani, FH, Mehrabi, Y, et al. (2010) Reliability and relative validity of an FFQ for nutrients in the Tehran Lipid and Glucose Study. Public Health Nutr 13, 654662.
22. Momenan, AA, Delshad, M, Sarbazi, N, et al. (2012) Reliability and validity of the Modifiable Activity Questionnaire (MAQ) in an Iranian urban adult population. Arch Iran Med 15, 279282.
23. Lenfant, C, Chobanian, AV, Jones, DW, et al. (2003) Seventh report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7): resetting the hypertension sails. Hypertension 41, 11781179.
24. (2003) Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 26, Suppl. 1, S5S20.
25. Levey, AS, Bosch, JP, Lewis, JB, et al. (1999) A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med 130, 461470.
26. (2002) K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis 39, S1266.
27. Diaz-Lopez, A, Bullo, M, Basora, J, et al. (2013) Cross-sectional associations between macronutrient intake and chronic kidney disease in a population at high cardiovascular risk. Clin Nutr 32, 606612.
28. Metcalf, PA, Baker, JR, Scragg, RK, et al. (1993) Dietary nutrient intakes and slight albuminuria in people at least 40 years old. Clin Chem 39, 21912198.
29. Huang, TB, Ding, PP, Chen, JF, et al. (2014) Dietary fiber intake and risk of renal cell carcinoma: evidence from a meta-analysis. Med Oncol 31, 125.
30. Phisitkul, S, Khanna, A, Simoni, J, et al. (2010) Amelioration of metabolic acidosis in patients with low GFR reduced kidney endothelin production and kidney injury, and better preserved GFR. Kidney Int 77, 617623.
31. Mirmiran, P, Yuzbashian, E, Bahadoran, Z, et al. (2016) Dietary acid-base load and risk of chronic kidney disease in adults: Tehran Lipid and Glucose Study. Iran J Kidney Dis 10, 119125.
32. Haring, B, Selvin, E, Liang, M, et al. (2017) Dietary protein sources and risk for incident chronic kidney disease: results from the Atherosclerosis Risk in Communities (ARIC) Study. J Ren Nutr 27, 233242.
33. Kan, H, Stevens, J, Heiss, G, et al. (2007) Dietary fiber intake and retinal vascular caliber in the Atherosclerosis Risk in Communities Study. Am J Clin Nutr 86, 16261632.
34. Trinidad, TP, Mallillin, AC, Loyola, AS, et al. (2010) The potential health benefits of legumes as a good source of dietary fibre. Br J Nutr 103, 569574.
35. Ma, Y, Hebert, JR, Li, W, et al. (2008) Association between dietary fiber and markers of systemic inflammation in the Women’s Health Initiative Observational Study. Nutrition 24, 941949.
36. Satija, A & Hu, FB (2012) Cardiovascular benefits of dietary fiber. Curr Atheroscler Rep 14, 505514.
37. Levey, AS, Coresh, J, Balk, E, et al. (2003) National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med 139, 137147.
38. Yao, B, Fang, H, Xu, W, et al. (2014) Dietary fiber intake and risk of type 2 diabetes: a dose-response analysis of prospective studies. Eur J Epidemiol 29, 7988.
39. Fujii, H, Iwase, M, Ohkuma, T, et al. (2013) Impact of dietary fiber intake on glycemic control, cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus: the Fukuoka Diabetes Registry. Nutr J 12, 159.
40. Whelton, SP, Hyre, AD, Pedersen, B, et al. (2005) Effect of dietary fiber intake on blood pressure: a meta-analysis of randomized, controlled clinical trials. J Hypertens 23, 475481.

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed