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Cited by 32Nutritional Studies and DietChronic Kidney Disease and DiabetesDiet and metabolism studies

Dietary approaches to stop hypertension, mediterranean dietary pattern, and diabetic nephropathy in women with type 2 diabetes: A case-control study

Jayedi, Ahmad, Mirzaei, Khadijeh, Rashidy-Pour, Ali, Yekaninejad, Mir Saeed, Zargar, Mahdieh-Sadat, Akbari Eidgahi, Mohammad Reza·2019·Clinical Nutrition ESPEN
DOI 10.1016/j.clnesp.2019.05.021
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Abstract

Background and aims The association between dietary habits and kidney function in patients with type 2 diabetes (T2D) has been poorly investigated. We aimed to test the relationship between adherences to the Dietary Approaches to Stop Hypertension (DASH) diet and the Mediterranean dietary pattern (Med diet) and likelihood of diabetic nephropathy (DN) in women with T2D.Methods In a case-control study, 105 women with T2D and DN (albumin-creatinine ratio ≥ 30 mg/g, mean age: 55.3 ± 7.0 years; diabetes duration: 7.6 ± 2.2 years), and 105 controls with T2D and without DN (mean age: 55.4 ± 7.1 years; diabetes duration: 7.6 ± 2.1 years) who attended at Kowsar diabetes clinic in Semnan, Iran were matched for age and diabetes duration. Dietary intakes were assessed using a validated 147-item semiquantitative food frequency questionnaire. The DASH and Med diet scores were calculated using the methods developed by Fung and Trichopoulou, respectively. A generalized estimating equation model was used to examine the relationship between dietary scores and odds of DN across tertiles of dietary patterns scores.Results Type 2 diabetic women with moderate and high Med diet scores had 62% and 86% lower odds of DN in comparison with low adherent (ORs: 0.38, 95%CI: 0.20, 0.73; and 0.14, 95%CI: 0.06, 0.33; respectively). A moderate adherence to the DASH diet was not associated with risk of DN, but a significant inverse relationship was found in those with high adherence (OR: 0.71, 95%CI: 0.57, 0.90).Conclusions Adherence to the DASH and Med diets was inversely and dose-dependently associated with risk of DN. Further observational studies are needed to confirm the present results.

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  • Among women with type 2 diabetes, moderate and high Mediterranean diet scores were related to significantly reduced rates of diabetic nephropathy by 62% and 86%, respectively, compared with a low Mediterranean diet score.

    “Among women with type 2 diabetes, moderate and high MD scores were related to significantly reduced rates of diabetic nephropathy by 62% (OR 0.38; 95% CI 0.20 to 0.73) and 86% (OR 0.14; 95% CI 0.06 to 0.33), respectively, compared with a low MD score [66].”

    From Mediterranean Diet and Obesity-related Disorders: What is the Evidence? (2022) · cites this paper as [66]

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Authors
Jayedi, A., Mirzaei, K., Rashidy-Pour, A., Yekaninejad, M. S., Zargar, M.-S., & Akbari Eidgahi, M. R.
Affiliations
  • Tehran University of Medical Sciences (IR)
  • Semnan University of Medical Sciences (IR)
ORCID
Venue
Clinical Nutrition ESPEN
Publisher
Elsevier BV
Published
2019-10
Volume
33
Pages
164-170
ISSN
2405-4577 (ISSN-L)
DOI
10.1016/j.clnesp.2019.05.021
OpenAlex
W2952855579
Cited by
31
References
51
Citations by year
2026: 5 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 4 · 2020: 1
FWCI
2.55
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Nutrition ESPEN (publishedVersion)
  • PubMed (publishedVersion)
Funders
Tehran University of Medical Sciences and Health Services (94-04-161-31155)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
  • Health Sciences › Medicine › Physiology › Diet and metabolism studies
Keywords
diabetic nephropathy, type 2 diabetes, DASH diet, Mediterranean diet, dietary adherence, women, renal function, albumin-creatinine ratio
MeSH terms
Dietary Approaches To Stop Hypertension, Adult, Aged, Diabetes Mellitus, Type 2, Diabetic Nephropathies, Feeding Behavior, Female, Humans, Iran, Middle Aged, Case-Control Studies, Diet, Mediterranean

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