Advertisement

Association of Eating Patterns and Diabetic Kidney Disease in Type 2 Diabetes: a Cross-Sectional Study

  • Cíntia Corte Real Rodrigues
    Affiliations
    Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil
    Search for articles by this author
  • Bárbara Pelicioli Riboldi
    Affiliations
    Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil
    Search for articles by this author
  • Ticiana da Costa Rodrigues
    Affiliations
    Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil

    Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
    Search for articles by this author
  • Roberta Aguiar Sarmento
    Affiliations
    Nutrition and Dietetics Service, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
    Search for articles by this author
  • Juliana Peçanha Antonio
    Affiliations
    Nutrition and Dietetics Service, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
    Search for articles by this author
  • Jussara Carnevale de Almeida
    Correspondence
    Corresponding author: Jussara Carnevale de Almeida, Division of Endocrinology, Hospital de Clínicas de Porto Alegre. Ramiro Barcelos St. 2350, 4th floor. Porto Alegre, Rio Grande do Sul, 90035-003, Brazil. Phone: + 55 51 3359 8313 Fax: + 55 51 3359 8777.
    Affiliations
    Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil

    Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil

    Nutrition and Dietetics Service, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil

    Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil
    Search for articles by this author
Published:October 18, 2022DOI:https://doi.org/10.1053/j.jrn.2022.09.011
      This paper is only available as a PDF. To read, Please Download here.

      Objective

      The aim of this cross-sectional study was to evaluate the relationship between eating patterns and diabetic kidney disease in patients with type 2 diabetes.

      Methods

      Outpatients underwent clinical and nutritional evaluation. Dietary information was obtained through a validated quantitative food frequency questionnaire, and eating patterns were identified by cluster analysis. Diabetic kidney disease was defined as an estimated glomerular filtration rate <60 mL/min/1.73 m2 and/or persistently elevated urinary albumin concentration (albuminuria ≥ 14 mg/L). Procedures involving patients were approved by the Hospital’s Ethics Committee. Patients with type 2 diabetes treated at university hospital and tertiary referral center, Southern Brazil.

      Results

      A total of 329 patients were evaluated: mean age 62 ± 10 years, body mass index 30.9 ± 4.2 kg/m2, glycated hemoglobin 8.7% ± 2.0 and 10 (5 to 19) years of diabetes duration. Four eating patterns were identified based on cluster analysis: Healthy= dairy products, fruits, and vegetables; Snacks= dairy products, whole breads, vegetables, and low-calorie products; Processed foods= refined carbohydrates and processed meat and Red Meat= red meat. Poisson regression models confirmed that Snack eaters (PR= 1.48, 95% CI 1.10, 1.99; P=0.010) and Red Meat eaters (PR= 1.93, 95% CI 1.29, 2.89; P=0.001) were associated with diabetic kidney disease.

      Conclusion

      In this sample of outpatients with type 2 diabetes, the patterns of Snacks and Red Meat were associated with diabetic kidney disease as compared to a Healthy pattern.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Renal Nutrition
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect