Dietary plant protein intake alleviates the adverse effect of sedentary behavior on chronic kidney disease incidence.

IF 2.5 4区医学 Q3 BUSINESS

Nutricion hospitalaria Pub Date : 2025-06-23 DOI:10.20960/nh.05879

Zuoxun Xia, Ye Xiong

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引用次数: 0

Abstract

Objective: dietary plant protein exerts a preventative effect on the incidence of chronic kidney disease (CKD). However, no epidemiological study has explored whether dietary plant protein can mitigate the impact of sedentary behavior on the kidneys. This study investigates the relationship between sedentary behavior and the risk of CKD in the US population and the effect of dietary plant protein intake on CKD incidence in sedentary individuals.

Methods: data was collected from the 2007-2018 Continuous National Health and Nutrition Examination Survey (NHANES). Weighted binary logistic regression was adopted to investigate the association between sedentary behavior and CKD risk. Weighted binary logistic regression and restricted cubic spline were performed to evaluate the correlation between dietary plant protein and CKD risk in sedentary individuals.

Results: participants with higher sedentary behavior (≥ 6 h/day) had a 1.13 times higher risk of developing CKD than those with lower sedentary behavior (< 6 h/day). In participants with higher sedentary behavior, intake of a higher plant protein ratio was associated with reduced CKD risk. In a continuous model, after adjusting for all covariates, each 10 % increase in plant protein ratio decreased CKD risk by 35.4 % (odds ratio (OR), 0.646; 95 % confidence interval (CI), 0.465-0.899). Compared with the lowest quartile, the OR for the highest quartiles was 0.740 in a categorical model (95 % CI, 0.614-0.893).

Conclusion: moderate dietary plant protein can alleviate the detrimental effects of sedentary behavior on the kidneys, reducing the incidence of CKD.

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膳食植物蛋白摄入可减轻久坐行为对慢性肾脏疾病发病率的不利影响。

目的：膳食植物蛋白对慢性肾脏疾病（CKD）的发生有预防作用。然而，尚无流行病学研究探讨膳食植物蛋白是否能减轻久坐行为对肾脏的影响。本研究调查了久坐行为与美国人群CKD风险之间的关系，以及饮食中植物蛋白摄入量对久坐人群CKD发病率的影响。方法：数据收集自2007-2018年全国连续健康与营养检查调查（NHANES）。采用加权二元logistic回归研究久坐行为与CKD风险的关系。采用加权二元logistic回归和限制性三次样条法评估久坐人群饮食植物蛋白与CKD风险之间的相关性。结果：久坐行为高的参与者（≥6小时/天）发生CKD的风险是久坐行为低的参与者（< 6小时/天）的1.13倍。在久坐行为较多的参与者中，摄入较高的植物蛋白比例与降低CKD风险相关。在一个连续模型中，在调整所有协变量后，植物蛋白比例每增加10%，CKD风险降低35.4%(优势比（OR）， 0.646；95%置信区间（CI）， 0.465-0.899)。在分类模型中，与最低四分位数相比，最高四分位数的OR为0.740 （95% CI, 0.614-0.893）。结论：适量膳食植物蛋白可减轻久坐行为对肾脏的不利影响，降低CKD的发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutricion hospitalaria 医学-营养学

CiteScore

1.90

自引率

8.30%

发文量

181

审稿时长

3-6 weeks

期刊介绍： The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.