Dietary zinc intake and incident chronic kidney disease

被引:30
|
作者
Joo, Young Su [1 ,2 ]
Kim, Hyung Woo [1 ]
Lee, Sangmi [1 ]
Nam, Ki Heon [1 ,3 ]
Yun, Hae-Ryong [1 ,4 ]
Jhee, Jong Hyun [1 ,5 ]
Han, Seung Hyeok [1 ]
Yoo, Tae-Hyun [1 ]
Kang, Shin-Wook [1 ,6 ]
Park, Jung Tak [1 ]
机构
[1] Yonsei Univ, Inst Kidney Dis Res, Dept Internal Med, Coll Med, 50-1 Yonsei Ro, Seoul 03722, South Korea
[2] Myongji Hosp, Div Nephrol, Dept Internal Med, Goyang, Gyeonggi Do, South Korea
[3] Yonsei Univ, Div Integrated Med, Dept Internal Med, Coll Med, Seoul, South Korea
[4] Yonsei Univ, Yongin Severance Hosp, Div Nephrol, Dept Internal Med,Coll Med, Seoul, South Korea
[5] Yonsei Univ, Gangnam Severance Hosp, Div Nephrol, Dept Internal Med,Coll Med, Seoul, South Korea
[6] Yonsei Univ, Severance Biomed Sci Inst, Dept Internal Med, Coll Med,Brain Korea PLUS 21, Seoul, South Korea
关键词
Zinc deficiency; Chronic kidney disease; Glomerular filtration rate; Kidney function; Diet; INSULIN-RESISTANCE; GLYCEMIC CONTROL; SUPPLEMENTATION;
D O I
10.1016/j.clnu.2020.07.005
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background & aims: Previous studies have shown that dietary zinc intake is closely related to cardiovascular complications and metabolic derangements. However, the effect of dietary zinc intake on renal function is not fully elucidated. Methods: Data from the Korean Genome and Epidemiology Study were used. Dietary zinc intake was assessed by a Food Frequency Questionnaire and dietary zinc density was calculated as absolute zinc intake amount per daily energy intake (mg/1000 kcal day). The participants were categorized into quartiles according to dietary zinc density. The primary end point was incident chronic kidney disease (CKD), defined as estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m(2). Results: A total of 7735 participants with normal renal function was included in the final analysis. The mean age was 52.0 +/- 8.8 years, 47.5% were male, and mean eGFR was 92.1 +/- 16.1 ml/min/1.73 m(2). The mean daily zinc intake and zinc intake density were 8.6 +/- 3.4 mg and 4.4 +/- 0.9 mg/1000 kcal, respectively. During a median follow up of 11.5 (1.7-12.5) years and 70,617 person-years of observation, CKD developed in 1409 (18.2%) participants. Multivariable cox hazard analysis revealed that risk for CKD development was significantly higher in the quartile with a mean zinc intake density of 3.6 +/- 0.2 mg/1000 kcal compared with the quartile with a mean zinc intake density of 5.6 +/- 1.0 mg/1000 kcal (Hazard ratio; 1.36; 95% Confidence Interval 1.18-1.58; P < 0.001). This relationship remained significant even after adjustments for confounding factors. Conclusion: Low dietary zinc intake may increase the risk of CKD development in individuals with normal renal function. (C) 2020 The Authors. Published by Elsevier Ltd.
引用
收藏
页码:1039 / 1045
页数:7
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