A Mediterranean lifestyle is associated with favourable cardiometabolic markers in people with non-dialysis dependent chronic kidney disease

A Mediterranean lifestyle is associated with favourable cardiometabolic markers in people with non-dialysis dependent chronic kidney disease

Adherence to a Mediterranean lifestyle may be a useful primary and secondary prevention strategy for chronic kidney disease (CKD). This cross-sectional study aimed to explore adherence to a Mediterranean lifestyle and its association with cardiometabolic markers and kidney function in 99 people aged...

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Bibliographic Details
Published in:Journal of nutritional science (Cambridge) Vol. 10; p. e42
Main Authors: Bowden, Katelyn, Gray, Nicholas A, Swanepoel, Elizabeth, Wright, Hattie H
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 2021
Subjects:
Age
Australia
Biomarkers - blood
Blood Glucose
Blood pressure
Body mass index
Cardiovascular disease
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Cholesterol
Cholesterol, LDL - blood
Comorbidity
Cross-Sectional Studies
Diabetes
Diet
Diet, Mediterranean
Dietary components
Dietary habits
Education
Glycated Hemoglobin - analysis
Heart Disease Risk Factors
Hemodialysis
Human and Clinical Nutrition
Humans
Hypertension
Kidney disease
Kidney diseases
Life Style
Lifestyle behaviour
Lifestyles
Mediterranean diet
Nephrology
Nutrition research
Overweight
Renal Insufficiency, Chronic - epidemiology
Sociodemographics
Socioeconomic factors
Australia
Kidney disease
Dietary components
Dietary habits
Mediterranean diet
Lifestyle behaviour
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Summary:Adherence to a Mediterranean lifestyle may be a useful primary and secondary prevention strategy for chronic kidney disease (CKD). This cross-sectional study aimed to explore adherence to a Mediterranean lifestyle and its association with cardiometabolic markers and kidney function in 99 people aged 73⋅2 ± 10⋅5 years with non-dialysis dependant CKD (stages 3–5) at a single Australian centre. Adherence was assessed using an a priori index, the Mediterranean Lifestyle (MEDLIFE) index. Cardiometabolic markers (total cholesterol, LDL-cholesterol, HbA1c and random blood glucose) and kidney function (estimated GFR) were sourced from medical records and blood pressure measured upon recruitment. Overall, adherence to a Mediterranean lifestyle was moderate to low with an average MEDLIFE index score of 11⋅33 ± 3⋅31. Adherence to a Mediterranean lifestyle was associated with employment (r 0⋅30, P = 0⋅004). Mediterranean dietary habits were associated with cardiometabolic markers, such as limiting sugar in beverages was associated with lower diastolic blood pressure (r 0⋅32, P = 0⋅002), eating in moderation with favourable random blood glucose (r 0⋅21, P = 0⋅043), having more than two snack foods per week with HbA1c (r 0⋅29, P = 0⋅037) and LDL-cholesterol (r 0⋅41, P = 0⋅002). Interestingly, eating in company was associated with a lower frequency of depression (χ2 5⋅975, P = 0⋅015). To conclude, Mediterranean dietary habits were favourably associated with cardiometabolic markers and management of some comorbidities in this group of people with non-dialysis dependent CKD.
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ISSN:2048-6790
2048-6790
DOI:10.1017/jns.2021.33