A Mediterranean Lifestyle is Associated with Favourable Cardiometabolic Markers in People with Non-dialysis Dependent Chronic Kidney Disease

Overview

Journal J Nutr Sci

Publisher Cambridge University Press

Specialty Nutritional Sciences

Date 2021 Jun 24

PMID 34164121

Citations 4

Authors

Katelyn Bowden

Nicholas A Gray

Elizabeth Swanepoel

Hattie H Wright

Affiliations

Soon will be listed here.

Abstract

Adherence to a Mediterranean lifestyle may be a useful primary and secondary prevention strategy for chronic kidney disease (CKD). This cross-sectional study aimed to explore adherence to a Mediterranean lifestyle and its association with cardiometabolic markers and kidney function in 99 people aged 73⋅2 ± 10⋅5 years with non-dialysis dependant CKD (stages 3-5) at a single Australian centre. Adherence was assessed using an index, the Mediterranean Lifestyle (MEDLIFE) index. Cardiometabolic markers (total cholesterol, LDL-cholesterol, HbA1c and random blood glucose) and kidney function (estimated GFR) were sourced from medical records and blood pressure measured upon recruitment. Overall, adherence to a Mediterranean lifestyle was moderate to low with an average MEDLIFE index score of 11⋅33 ± 3⋅31. Adherence to a Mediterranean lifestyle was associated with employment ( 0⋅30, = 0⋅004). Mediterranean dietary habits were associated with cardiometabolic markers, such as was associated with lower diastolic blood pressure ( 0⋅32, = 0⋅002), with favourable random blood glucose ( 0⋅21, = 0⋅043), with HbA1c ( 0⋅29, = 0⋅037) and LDL-cholesterol ( 0⋅41, = 0⋅002). Interestingly, was associated with a lower frequency of depression ( 5⋅975, = 0⋅015). To conclude, Mediterranean dietary habits were favourably associated with cardiometabolic markers and management of some comorbidities in this group of people with non-dialysis dependent CKD.

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