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
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广东省中医院
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.
基金:
National Science Foundation of China [81973776, 82174316]; Young Elite Scientists Sponsorship Program by CAST [CACM-2021-QNRC2-B30]; Natural Science Foundation of Guangdong Province/Guangzhou City [202206080015, 2021A1515011457]; Guangzhou Science and Technology Project [[2018]131]; National Clinical Research Base of Traditional Chinese Medicine [82205236]; National Natural Science Foundation of China Youth Project [2023A1515030146]; [202102080228]
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
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Li Yue,Ling Gui-Chen,Ni Rui-Bin,et al.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[J].RENAL FAILURE.2023,45(1):doi:10.1080/0886022X.2023.2205950.
APA:
Li, Yue,Ling, Gui-Chen,Ni, Rui-Bin,Ni, Shi-Hao,Sun, Shu-Ning...&Lu, Lu.(2023).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.RENAL FAILURE,45,(1)
MLA:
Li, Yue,et al."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".RENAL FAILURE 45..1(2023)