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The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study

A dietary diversity score (DDS) may be a useful strategy for monitoring risks associated with chronic diseases. Few studies have investigated the relationship between DDS and the progression to chronic kidney disease (CKD). A better understanding of the relationship between DDS and diabetic nephropa...

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Autores principales: Rezazadegan, Mahsa, Mirjalili, Fatemeh, Jalilpiran, Yahya, Aziz, Monireh, Jayedi, Ahmad, Setayesh, Leila, Yekaninejad, Mir Saeed, Casazza, Krista, Mirzaei, Khadijeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012530/
https://www.ncbi.nlm.nih.gov/pubmed/35433795
http://dx.doi.org/10.3389/fnut.2022.767415
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author Rezazadegan, Mahsa
Mirjalili, Fatemeh
Jalilpiran, Yahya
Aziz, Monireh
Jayedi, Ahmad
Setayesh, Leila
Yekaninejad, Mir Saeed
Casazza, Krista
Mirzaei, Khadijeh
author_facet Rezazadegan, Mahsa
Mirjalili, Fatemeh
Jalilpiran, Yahya
Aziz, Monireh
Jayedi, Ahmad
Setayesh, Leila
Yekaninejad, Mir Saeed
Casazza, Krista
Mirzaei, Khadijeh
author_sort Rezazadegan, Mahsa
collection PubMed
description A dietary diversity score (DDS) may be a useful strategy for monitoring risks associated with chronic diseases. Few studies have investigated the relationship between DDS and the progression to chronic kidney disease (CKD). A better understanding of the relationship between DDS and diabetic nephropathy (DN) may provide insight for monitoring the overall diet and clinical outcomes. This case-control study included 105 women with DN and 105 controls with age and diabetes duration-matched to evaluate the extent to which DDS is associated with DN. Dietary intake was assessed using the food frequency questionnaire (FFQ). DDS was calculated based on the method using five food groups: bread/grains, vegetables, fruits, meats, and dairies. Conditional logistic regression was performed to examine the association between DDS and odds of DN. Anthropometric measures and physical activity levels were evaluated using standard protocols. In a fully adjusted model [controlled for age, body mass index (BMI), energy intake, physical activity, diabetes duration, cardiovascular disease history, and drug usage], greater adherence (the third vs. the first tertile) to DDS [odds ratio (OR) = 0.13; 95% CI (0.05–0.35)], vegetables group [OR = 0.09; 95% CI (0.02–0.36)], and fruits group [OR = 0.05; 95% CI (0.01–0.20)] were significantly associated with lower odds of DN. However, we did not observe any significant relationship between other DDS components and the odds of DN. Our findings showed that higher DDS might be associated with reduced odds of DN. However, more prospective studies are warranted to confirm these findings.
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spelling pubmed-90125302022-04-16 The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study Rezazadegan, Mahsa Mirjalili, Fatemeh Jalilpiran, Yahya Aziz, Monireh Jayedi, Ahmad Setayesh, Leila Yekaninejad, Mir Saeed Casazza, Krista Mirzaei, Khadijeh Front Nutr Nutrition A dietary diversity score (DDS) may be a useful strategy for monitoring risks associated with chronic diseases. Few studies have investigated the relationship between DDS and the progression to chronic kidney disease (CKD). A better understanding of the relationship between DDS and diabetic nephropathy (DN) may provide insight for monitoring the overall diet and clinical outcomes. This case-control study included 105 women with DN and 105 controls with age and diabetes duration-matched to evaluate the extent to which DDS is associated with DN. Dietary intake was assessed using the food frequency questionnaire (FFQ). DDS was calculated based on the method using five food groups: bread/grains, vegetables, fruits, meats, and dairies. Conditional logistic regression was performed to examine the association between DDS and odds of DN. Anthropometric measures and physical activity levels were evaluated using standard protocols. In a fully adjusted model [controlled for age, body mass index (BMI), energy intake, physical activity, diabetes duration, cardiovascular disease history, and drug usage], greater adherence (the third vs. the first tertile) to DDS [odds ratio (OR) = 0.13; 95% CI (0.05–0.35)], vegetables group [OR = 0.09; 95% CI (0.02–0.36)], and fruits group [OR = 0.05; 95% CI (0.01–0.20)] were significantly associated with lower odds of DN. However, we did not observe any significant relationship between other DDS components and the odds of DN. Our findings showed that higher DDS might be associated with reduced odds of DN. However, more prospective studies are warranted to confirm these findings. Frontiers Media S.A. 2022-04-01 /pmc/articles/PMC9012530/ /pubmed/35433795 http://dx.doi.org/10.3389/fnut.2022.767415 Text en Copyright © 2022 Rezazadegan, Mirjalili, Jalilpiran, Aziz, Jayedi, Setayesh, Yekaninejad, Casazza and Mirzaei. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Rezazadegan, Mahsa
Mirjalili, Fatemeh
Jalilpiran, Yahya
Aziz, Monireh
Jayedi, Ahmad
Setayesh, Leila
Yekaninejad, Mir Saeed
Casazza, Krista
Mirzaei, Khadijeh
The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study
title The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study
title_full The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study
title_fullStr The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study
title_full_unstemmed The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study
title_short The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study
title_sort association between dietary diversity score and odds of diabetic nephropathy: a case-control study
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012530/
https://www.ncbi.nlm.nih.gov/pubmed/35433795
http://dx.doi.org/10.3389/fnut.2022.767415
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