Ultra-processed food consumption and chronic kidney disease risk: a systematic review and dose-response meta-analysis
He X, Zhang X, Si C, Feng Y, Zhu Q, Li S, Shu L
Frontiers in nutrition · 15 citas
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
- Consumo medido con
- No se indica
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- National Natural Science Foundation of China
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2024-03-28 · Front Nutr · vol. 11 · pág. 1359229
- Editorial
- Frontiers Media
- Citado
- 22 citas · más que el 90% de estudios similares · 2.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 51 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Chronic Kidney Disease and Diabetes
- Palabras clave
- ultra-processed foods, chronic kidney disease, dietary intake, dose-response relationship, kidney disease risk
7 autores
- Xingzhen He🇨🇳Zhejiang Hospital
- Xiaoyan Zhang🇨🇳Zhejiang Hospital
- Caijuan Si🇨🇳Zhejiang Hospital
- Yuliang Feng🇨🇳Zhejiang Hospital
- Qin Zhu🇨🇳Zhejiang Hospital
- Songtao Li🇨🇳Zhejiang Chinese Medical University
- Long Shu🇨🇳 · autor de correspondenciaZhejiang Hospital
Texto inicial
El texto original del estudio, en el idioma en que se publicó.
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Background High intake of ultra-processed food (UPF) has been associated with increased risk of chronic kidney disease(CKD), but the results remain inconsistent. We therefore performed this systematic review and dose–response meta-analysis of observational studies that shed light on the association between UPF consumption and the risk of CKD. Methods A systematic literature search of PubMed, Embase, Web of Science, Scopus and China National Knowledge Infrastructure (CNKI) databases was carried out to find the eligible articles published up to October 31, 2023. Random-effects or fixed-effects models were used to pool the relative risks(RRs) and their 95% confidence intervals (CIs).The potential sources of heterogeneity across studies were examined using the Cochran’s Q test and I-square(I2). Publication bias was examined using the visual inspection of asymmetry in funnel plots and quantified by Begg’s and Egger’s tests. Results Eight studies (six cohort and two cross-sectional studies) exploring the association between UPF consumption and risk of CKD, were included in the final analysis. The pooled analyses revealed that high consumption of UPF was associated with an increased risk of CKD (RR = 1.25; 95%CI: 1.09–1.42, p < 0.0001). Moreover, a 10% increase of UPF consumption was associated with a 7% higher risk of CKD (RR = 1.07; 95%CI: 1.04–1.10, p < 0.001). Dose–response analysis of all included studies showed a linear association between UPF consumption and the risk of CKD (RR = 1.02; 95%CI:0.99–1.05, Pdose–response = 0.178, Pnonlinearity = 0.843). Conclusion Our findings indicate that high consumption of UPF is significantly associated with an increased risk of CKD. Future research with prospective design is required to confirm this positive association. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023478483 , PROSPERO identifier CRD42023478483.
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