机构:[1]Department of Nephrology, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510000, China大德路总院肾内科大德路总院肾内科广东省中医院[2]Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 17177 Stockholm, Sweden[3]Department of Global Public Health, Karolinska Institutet, 17177 Stockholm, Sweden[4]European Renal Nutrition Working Group of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA), 43126 Parma, Italy[5]Faculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Edward Ford Building A27, Sydney, NSW 2006, Australia[6]Department of Emergency and Organ Transplantation, University of Bari, Piazza Giulio Cesare, 70124 Bari, Italy[7]Centre for Kidney Research, The Children’s Hospital at Westmead, Sydney, NSW 2145, Australia[8]Division of Nephrology, CIUSSS du Nord-de-l’Île-de-Montréal, Faculty of Medicine, Université de Montréal, Montréal, QC 2900, Canada[9]Nephrology, Dialysis and Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy[10]Division of Nephrology, Department of Clinical Sciences, Lund University, 22100 Lund, Sweden[11]College of Medicine and Public Health, Flinders University, Adelaide, SA 5042, Australia
Dietary phosphorus restrictions are usually recommended for people on haemodialysis, although its impact on patient-relevant outcomes is uncertain. We aimed to evaluate the association between total phosphorus intake and its sources with mortality in haemodialysis. Phosphorus intake was ascertained within the DIET-HD study in 8110 adults on haemodialysis. Adjusted Cox regression analyses were conducted to evaluate the association between the total and source-specific phosphorus (plant-, animal-, or processed and other sources) with mortality. During a median 3.8 years of follow-up, there were 2953 deaths, 1160 cardiovascular-related. The median phosphorus intake was 1388 mg/day. Every standard deviation (SD) (896 mg/day) increase in total phosphorus was associated with higher all-cause mortality [hazard ratio (HR), 1.16; 95% confidence intervals (CI), 1.06-1.26] and cardiovascular mortality (HR, 1.18; 95% CI, 1.03-1.36). Every SD (17%) increase in the proportion of phosphorus from plant sources was associated with lower all-cause mortality (HR, 0.95; 95% CI, 0.90-0.99). Every SD (9%) increase in the proportion of phosphorus from the processed and other sources was associated with higher all-cause mortality (HR, 1.06; 95% CI, 1.02-1.10). A higher total phosphorus intake was associated with increased all-cause and cardiovascular death. This association is driven largely by the phosphorus intake from processed food. Plant based phosphorus was associated with lower all-cause mortality.
基金:
National Nature Science Foundation of China, China [82004205]; Research Fund for Bajian Talents of Guangdong Provincial Hospital of Chinese Medicine [BJ2022KY11]; Science and Technology Research Fund from Guangdong Provincial Hospital of Chinese Medicine, China [YN2018QL08]; Karolinska Institutet research funds, Sweden [2020-01616]; European Renal Association (ERA); Swedish Research Council [2019-01059]
第一作者机构:[1]Department of Nephrology, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510000, China[2]Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 17177 Stockholm, Sweden[3]Department of Global Public Health, Karolinska Institutet, 17177 Stockholm, Sweden[4]European Renal Nutrition Working Group of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA), 43126 Parma, Italy
共同第一作者:
通讯作者:
通讯机构:[5]Faculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Edward Ford Building A27, Sydney, NSW 2006, Australia[6]Department of Emergency and Organ Transplantation, University of Bari, Piazza Giulio Cesare, 70124 Bari, Italy
推荐引用方式(GB/T 7714):
Su Guobin,Saglimbene Valeria,Wong Germaine,et al.Dietary Phosphorus, Its Sources, and Mortality in Adults on Haemodialysis: The DIET-HD Study[J].NUTRIENTS.2022,14(19):doi:10.3390/nu14194064.
APA:
Su, Guobin,Saglimbene, Valeria,Wong, Germaine,Bernier-Jean, Amelie,Carrero, Juan Jesus...&Strippoli, Giovanni F. M..(2022).Dietary Phosphorus, Its Sources, and Mortality in Adults on Haemodialysis: The DIET-HD Study.NUTRIENTS,14,(19)
MLA:
Su, Guobin,et al."Dietary Phosphorus, Its Sources, and Mortality in Adults on Haemodialysis: The DIET-HD Study".NUTRIENTS 14..19(2022)