Association of carbohydrate intake from different sources with all-cause and cardiovascular mortality among chronic kidney disease populations: assessment of 1999-2018 National Health and Nutrition Examination Survey participation

作者：Ou Yang, Xiao-Lu; Ni, Shi-Hao; Li, Jin; Zhang, Xiao-Jiao; Li, Si-Jing; Li, Yue; Sun, Shu-Ning; He, Xing-Ling; Long, Wen-Jie; Wang, Ling-Jun; Yang, Zhong-Qi; Lu, Lu

来源：INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION, 2023, 74(7): 781-795.

DOI：10.1080/09637486.2023.2253005

• Carbohydrate intake
• chronic kidney disease
• all-cause mortality
• cardiovascular mortality
• fibre

This study analysed the data from the NHANES (1999-2018) to examine how different sources of carbohydrate intake affected the all-cause and cardiovascular mortality of 11,302 chronic kidney disease (CKD) patients. The data were adjusted for other factors using various methods. The results showed that CKD patients (stages 1-2 and 3-5) who consumed more carbohydrates from whole grains, fruits, vegetables and less carbohydrates from fruit juice or sauces had lower mortality rates. Replacing fat intake with carbohydrates from whole grains (HR = 0.86[0.78-0.95]), fruits (raw) (HR = 0.79[0.70-0.88]) and non-starchy vegetables (HR = 0.82[0.70-0.96]), but not protein intake, was linked to lower all-cause mortality. The fibre content in carbohydrates might partly account for the benefits of selected carbohydrate intake. This study provided practical recommendations for optimising the carbohydrate sources in CKD patients.

• 单位
  广州中医药大学; 1