Association between water intake, chronic kidney disease, and cardiovascular disease: a cross-sectional analysis of NHANES data
Sontrop JM, Dixon SN, Garg AX, Buendia-Jimenez I, Dohein O, Huang SH, Clark WF
American journal of nephrology · 133 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Estudio transversal (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2013-01-01 · Am J Nephrol · vol. 37 · número 5 · págs. 434–442
- Editorial
- Karger Publishers
- Citado
- 5,884 citas · más que el 100% de estudios similares · 287.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 83 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY-NC
- Áreas de investigación
- Sodium Intake and Health · Magnesium in Health and Disease · Thermoregulation and physiological responses
- Palabras clave
- Medicine, Kidney disease, National Health and Nutrition Examination Survey, Renal function, Odds ratio, Cross-sectional study, Confidence interval, Internal medicine, Population, Environmental health, Pathology
- MeSH
- humans, cardiovascular diseases, nutrition surveys, cross-sectional studies, drinking, adult, aged, aged, 80 and over, middle aged, united states, female, male, renal insufficiency, chronic, young adult
7 autores
- Jessica M. Sontrop🇨🇦Western University; London Health Sciences Centre
- Stephanie N. Dixon🇨🇦Western University; London Health Sciences Centre
- Amit X. Garg🇨🇦Western University; London Health Sciences Centre
- Inmaculada Buendia-Jimenez🇫🇷Danone (France)
- Oriane Dohein🇫🇷Danone (France)
- Shih‐Han Susan Huang🇨🇦London Health Sciences Centre
- William F. Clark🇨🇦London Health Sciences Centre
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Evidence from animal and human studies suggests a protective effect of higher water intake on kidney function and cardiovascular disease (CVD). Here the associations between water intake, chronic kidney disease (CKD) and CVD were examined in the general population.
Methods
We conducted a cross-sectional analysis of the 2005-2006 National Health and Nutrition Examination Survey. Non-pregnant adults with an estimated glomerular filtration rate (eGFR) ≥30 ml/min/1.73 m(2) who were not taking diuretics were included. Total water intake from foods and beverages was categorized as low (4.3 l/day). We examined associations between low total water intake and CKD (eGFR 30-60 ml/min/1.73 m(2)) and self-reported CVD.
Results
Of 3,427 adults (mean age 46 (range 20-84); mean eGFR 95 ml/min/1.73 m(2) (range 30-161)), 13% had CKD and 18% had CVD. CKD was higher among those with the lowest (4.3 l/day) (adjusted odds ratio (OR) 2.52; 95% confidence interval (CI) 0.91-6.96). When stratified by intake of (1) plain water and (2) other beverages, CKD was associated with low intake of plain water: adjusted OR 2.36 (95% CI 1.10-5.06), but not other beverages: adjusted OR 0.87 (95% CI 0.30-2.50). There was no association between low water intake and CVD (adjusted OR 0.76; 95% CI 0.37-1.59).
Conclusions
Our results provide additional evidence suggesting a potentially protective effect of higher total water intake, particularly plain water, on the kidney.
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