植物性饮食减轻了超重个体患慢性肾脏疾病的风险。

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Yi-Chou Hou, Kuo-Hsien Tseng, I-Shiang Tzeng, Wen-Hsin Tsai, Hao-Wen Liu, Jia-Sin Liu, Kuan-Cheng Kuo, Yen-Chun Lai, Kuo-Cheng Lu, I-Hsin Lin, Ko-Lin Kuo
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引用次数: 0

摘要

体重指数为bbb25的超重与多种合并症相关,包括慢性肾病(CKD)。植物性饮食,如素食或乳蛋素食,可作为CKD患者的预防策略。我们假设素食可以降低超重受试者CKD的发生率。方法在台北市慈济医院采用自费体检进行回顾性研究。排除年龄小于40岁、生化或血液学结果不充分的受试者。根据自我报告的饮食习惯(素食者、乳蛋素食者或杂食者)、超重(体重指数(BMI)≥25或更高,腹围(男性>90 cm或女性>80 cm))或其他生化或血液学参数来评估CKD的发生率。采用结构方程模型分析CKD发展过程中各因素之间的相互作用。结果在6567名受试者中,乳蛋素食者的CKD发病率低于纯素食者和杂食者。超重发生率以杂食组最高。乳蛋素食组发生慢性肾病的风险低于杂食组。在SEM模型中调整了年龄和性别后,乳蛋饮食降低了高BMI或高甘油三酯(TG)/高密度脂蛋白(HDL)比的CKD风险。结论:乳蛋素食饮食习惯与肥胖患者较低的CKD发生率有关。乳蛋素食的缓解效果是由于较高的BMI和TG/HDL比率的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Plant-based diet mitigated the risk of chronic kidney disease in overweight individuals.

Objectives Being overweight, with a body mass index >25, is associated with multiple comorbidities, including chronic kidney disease (CKD). A plant-based diet, such as a vegetarian or lacto-ovo vegetarian diet, serves as a preventive strategy for CKD in patients. We hypothesized that vegetarian diet lowers the occurrence of CKD in overweight subjects. Methods The retrospective study was performed in Taipei Tzu Chi Hospital by self-paid health-exam. Age younger than 40 years old and the subjects without sufficient biochemical or hematologic results were excluded. The incidence of CKD was evaluated according to the self-reported eating habits (vegetarians, lacto-ovo vegetarians, or omnivores), overweight(with a body mass index (BMI) ≥25 or higher abdominal circumference (>90 cm in male or >80 cm in female )) or not, or other biochemical or hematologic parameters. The interaction between different factors for the development of CKD were analyzed by Structural equation modeling. Results Among these 6,567 subjects, the subjects with lacto-ovo vegetarians had lower incidence of CKD than dietary habits as vegans and omnivores. The incidence of overweight was the highest in omnivore group. The lacto-ovo vegetarian group lower the risk of CKD occurrence than the omnivore group. After adjusting for age and sex in SEM model, the lacto-ovo diet lowered the risk for CKD from being with a high BMI or a higher triglyceride(TG)/high-density lipoprotein(HDL) ratio. Conclusion We concluded that lacto-ovo vegetarian dietary habits are associated with a lower occurrence of CKD in obese patients. The mitigating effect of the lacto-ovo vegetarian diet was due to the hazard of a higher BMI and TG/HDL ratio.

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来源期刊
Annals of Nutrition and Metabolism
Annals of Nutrition and Metabolism 医学-内分泌学与代谢
CiteScore
6.50
自引率
0.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
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