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Association of omega 3 polyunsaturated fatty acids with incident chronic kidney disease : pooled analysis of 19 cohorts

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  • معلومة اضافية
    • بيانات النشر:
      Uppsala universitet, Klinisk nutrition och metabolism
      Uppsala universitet, Klinisk epidemiologi
      Univ New South Wales, Sch Biomed Sci, Lipid Res Grp, Sydney, NSW, Australia.
      Univ New South Wales, Fac Med & Hlth, George Inst Global Hlth, Sydney, NSW, Australia.;Welch Ctr Prevent Epidemiol & Clin Res, Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA.
      Univ New South Wales, Fac Med & Hlth, George Inst Global Hlth, Sydney, NSW, Australia.
      Univ New South Wales, Fac Med & Hlth, George Inst Global Hlth, Sydney, NSW, Australia.;Sichuan Univ, West China Univ Hosp 2, Sichuan Univ, Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R China.;Shuangliu Maternal & Child Hlth Hosp, Shuangliu Inst Womens & Childrens Hlth, Chengdu, Sichuan, Peoples R China.
      Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.
      Univ Minnesota Sch Publ Hlth, Minneapolis, MN USA.
      Wageningen Univ, Div Human Nutr & Hlth, Wageningen, Netherlands.
      Jeroen Bosch Hosp, Dept Nephrol, Bosch, Netherlands.;Natl Taiwan Univ, Inst Epidemiol, Prevent Med Coll Publ Hlth, Taipei, Taiwan.;Vet Gen Hosp, Dept Med Res, Taichung, Taiwan.;Taipei Vet Gen Hosp, Heart Rhythm Ctr, Dept Med, Div Cardiol, Taipei, Taiwan.
      Natl Taiwan Univ, Inst Epidemiol, Prevent Med Coll Publ Hlth, Taipei, Taiwan.
      Univ Washington, Dept Epidemiol, Seattle, WA USA.
      Univ Washington, Dept Med, Seattle, WA USA.
      Univ Cambridge, MRC Epidemiol Unit, Sch Clin Med, Cambridge, Cambridgeshire, England.
      German Inst Human Nutr Potsdam Rehbrucke, Dept Mol Epidemiol, Nuthetal, Germany.;German Ctr Diabet Res DZD, Neuherberg, Germany.
      German Inst Human Nutr Potsdam Rehbrucke, Dept Mol Epidemiol, Nuthetal, Germany.;German Ctr Diabet Res DZD, Neuherberg, Germany.;Univ Potsdam, Inst Nutr Sci, Potsdam, Germany.
      Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Sch Med, Kuopio, Finland.
      Finnish Inst Hlth & Welf, Populat Hlth Unit, Helsinki, Finland.;Univ Helsinki, Dept Publ Hlth, Helsinki, Finland.;King Abdulaziz Univ, Saudi Diabet Res Grp, Jeddah, Saudi Arabia.
      Finnish Inst Hlth & Welf, Populat Hlth Unit, Helsinki, Finland.
      Fatty Acid Res Inst, Sioux Falls, SD USA.;Univ Illinois, Coll Nursing, Dept Populat Hlth Nursing Sci, Chicago, IL USA.
      Fatty Acid Res Inst, Sioux Falls, SD USA.;Univ South Dakota, Sanford Sch Med, Dept Internal Med, Sioux Falls, SD USA.;Kyushu Univ, Grad Sch Med Sci, Dept Epidemiol & Publ Hlth, Fukuoka, Japan.
      Kyushu Univ, Grad Sch Med Sci, Dept Epidemiol & Publ Hlth, Fukuoka, Japan.
      Kyushu Univ, Grad Sch Med Sci, Dept Med & Clin Sci, Fukuoka, Japan.
      Natl Inst Aging, Natl Inst Hlth, Translat Gerontol Branch, Baltimore, MD USA.
      Azienda USL Toscana Ctr, Geriatr Unit, Florence, Italy.
      Univ New South Wales, Sch Psychiat, Ctr Hlth Brain Ageing, Sydney, NSW, Australia.
      Univ New South Wales, Mark Wainwright Analyt Ctr, Sydney, NSW, Australia.
      Univ New South Wales, Sch Psychiat, Ctr Hlth Brain Ageing, Sydney, NSW, Australia.;Univ New South Wales, Mark Wainwright Analyt Ctr, Sydney, NSW, Australia.
      USDA, Baylor Coll Med, ARS Childrens Nutr Res Ctr, Dept Pediat, Houston, TX USA.
      Univ Virginia, Dept Publ Hlth Sci, Charlottesville, VA USA.;Univ Virginia, Ctr Publ Hlth Genom, Charlottesville, VA USA.
      Univ Minnesota, Dept Lab Med & Pathol, Minneapolis, MN USA.
      Univ Eastern Finland, Inst Clin Med, Internal Med, Kuopio, Finland.;Kuopio Univ Hosp, Dept Med, Kuopio, Finland.
      Univ Chinese Acad Sci, Shanghai Inst Nutr & Hlth, Chinese Acad Sci, Shanghai, Peoples R China.
      Univ Chinese Acad Sci, Shanghai Inst Nutr & Hlth, Chinese Acad Sci, Shanghai, Peoples R China.;Univ Chinese Acad Sci, Hangzhou Inst Adv Study, Chinese Acad Sci, Key Lab Syst Hlth Sci Zhejiang Prov, Hangzhou, Peoples R China.
      Karolinska Inst, Dept Neurobiol Care Sci & Soc, Karolinska, Sweden.
      Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, INSERM, UMR 1219, Bordeaux, France.
      Harvard TH Chan Sch Publ Hlth, Harvard Med Sch, Dept Nutr, Boston, MA USA.;Beth Israel Deaconess Med Ctr, Harvard Med Sch, Dept Med, Boston, MA USA.
      Univ Thessaly, Dept Food Sci & Nutr, Kardhitsa, Greece.;Tufts Univ, Friedman Sch Nutr Sci & Policy, Boston, MA USA.
      Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.;Univ Mississippi Med Ctr, Dept Med, Jackson, MS USA.;Univ Freiburg, Inst Genet Epidemiol, Fac Med & Med Ctr, Dept Data Dr Med, Freiburg, Germany.
      Univ Washington, Dept Med, Div Nephrol, Seattle, WA USA.;Univ Washington, Kidney Res Inst, Seattle, WA USA.;Puget Sound VA Healthcare Syst, Seattle, WA USA.
      New York Acad Med, New York, NY USA.
      Tufts Univ, Friedman Sch Nutr Sci & Policy, Boston, MA USA.
      Univ New South Wales, Sch Populat Hlth, Sydney, NSW, Australia.
    • الموضوع:
      2023
    • Collection:
      Uppsala University: Publications (DiVA)
    • نبذة مختصرة :
      OBJECTIVE: To assess the prospective associations of circulating levels of omega 3 polyunsaturated fatty acid (n-3 PUFA) biomarkers (including plant derived a linolenic acid and seafood derived eicosapentaenoic acid, docosapentaenoic acid, and docosahexaenoic acid) with incident chronic kidney disease (CKD). DESIGN: Pooled analysis. DATA SOURCES: A consortium of 19 studies from 12 countries identified up to May 2020. STUDY SELECTION: Prospective studies with measured n-3 PUFA biomarker data and incident CKD based on estimated glomerular filtration rate. DATA EXTRACTION AND SYNTHESIS: Each participating cohort conducted de novo analysis with prespecified and consistent exposures, outcomes, covariates, and models. The results were pooled across cohorts using inverse variance weighted meta-analysis. MAIN OUTCOME MEASURES: Primary outcome of incident CKD was defined as new onset estimated glomerular filtration rate <60 mL/ min/1.73 m(2). In a sensitivity analysis, incident CKD was defined as new onset estimated glomerular filtration rate <60 mL/min/1.73 m(2) and <75% of baseline rate. RESULTS: 25 570 participants were included in the primary outcome analysis and 4944 (19.3%) developed incident CKD during follow-up (weighted median 11.3 years). In multivariable adjusted models, higher levels of total seafood n-3 PUFAs were associated with a lower incident CKD risk (relative risk per interquintile range 0.92, 95% confidence interval 0.86 to 0.98; P=0.009, I-2=9.9%). In categorical analyses, participants with total seafood n-3 PUFA level in the highest fifth had 13% lower risk of incident CKD compared with those in the lowest fifth (0.87, 0.80 to 0.96; P=0.005, I-2=0.0%). Plant derived a linolenic acid levels were not associated with incident CKD (1.00, 0.94 to 1.06; P=0.94, I-2=5.8%). Similar results were obtained in the sensitivity analysis. The association appeared consistent across subgroups by age (=60 v <60 years), estimated glomerular filtration rate (60-89 v =90 mL/min/1.73 m(2)), hypertension, ...
    • File Description:
      application/pdf
    • Relation:
      BMJ. British Medical Journal, 0959-8146, 2023, 380; PMID 36653033; ISI:000968385900006
    • الرقم المعرف:
      10.1136/bmj-2022-072909
    • الدخول الالكتروني :
      http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-501625
      https://doi.org/10.1136/bmj-2022-072909
    • Rights:
      info:eu-repo/semantics/openAccess
    • الرقم المعرف:
      edsbas.EE5E77EA