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Association of dietary total antioxidant capacity with all-cause and cardiovascular mortality in patients with chronic kidney disease: based on two retrospective cohort studies of NHANES

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机构: [1]Guangzhou Univ Chinese Med, Affiliated Hosp 1, Guangzhou, Peoples R China [2]Guangzhou Univ Chinese Med, Lingnan Med Res Ctr, Guangzhou, Peoples R China [3]Univ Key Lab Tradit Chinese Med Prevent & Treatmen, Guangzhou, Guangdong, Peoples R China [4]Guangzhou Univ Chinese Med, Clin Med Coll 4, Shenzhen, Peoples R China [5]Guangzhou Univ Chinese Med, Clin Med Coll 2, Guangzhou, Peoples R China
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关键词: Dietary total antioxidant capacity mortality chronic kidney disease NHANES vitamin C equivalent antioxidant capacity component dietary antioxidant index

摘要:
Background The relationship between dietary total antioxidant capacity (DTAC) and death risk among CKD populations remains unclear. Methods Based on vitamin C equivalent antioxidant capacity (VCEAC) and the component dietary antioxidant index (CDAI) indices, we analyzed two cohorts to investigate the association of DTAC with all-cause and CVD mortality in CKD patients using data from National Health and Nutrition Examination Survey (2007-2018). VCEAC (n = 6330) and CDAI (n = 6300) cohorts with mortality follow-up data available through 2018 were included. Cox models with restricted cubic splines was used to model the nonlinear association between VCEAC/CDAI and outcomes in CKD patients. Results Our results showed L-shaped associations of DTAC with all-cause mortality among individuals with CKD stages 1-2 in both cohorts. Compared to the lowest quartile, higher dietary total antioxidant intake was associated with lower all-cause mortality risks among CKD stages 1-2 after adjustment for covariates, with HRs (95%CI) of 1.00, 0.91 (0.71,1.17), 0.69 (0.53,0.90), and 0.70 (0.54,0.91) in VCEAC, and similar respective estimate trends in CDAI. After sensitivity and subgroup analyses, there were no benefits for patients with stage 3-5 CKD or albuminuria. Mediation analysis revealed that the proportions mediated in both cohorts were less consistent. Conclusions Moderate dietary total antioxidants intake has potential benefits for early-stage CKD patients. However, further evidence is needed to confirm whether patients with worsening CKD can benefit in the long term.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
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出版当年[2021]版:
Q2 UROLOGY & NEPHROLOGY
最新[2023]版:
Q1 UROLOGY & NEPHROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Guangzhou Univ Chinese Med, Affiliated Hosp 1, Guangzhou, Peoples R China [2]Guangzhou Univ Chinese Med, Lingnan Med Res Ctr, Guangzhou, Peoples R China [3]Univ Key Lab Tradit Chinese Med Prevent & Treatmen, Guangzhou, Guangdong, Peoples R China
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通讯机构: [1]Guangzhou Univ Chinese Med, Affiliated Hosp 1, Guangzhou, Peoples R China [2]Guangzhou Univ Chinese Med, Lingnan Med Res Ctr, Guangzhou, Peoples R China [3]Univ Key Lab Tradit Chinese Med Prevent & Treatmen, Guangzhou, Guangdong, Peoples R China
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