High dietary fiber intake is associated with decreased inflammation and all-cause mortality in patients with chronic kidney disease
Open accessAbstract
Chronic kidney disease is considered an inflammatory state and a high fiber intake is associated with decreased inflammation in the general population. Here, we determined whether fiber intake is associated with decreased inflammation and mortality in chronic kidney disease, and whether kidney disease modifies the associations of fiber intake with inflammation and mortality. To do this, we analyzed data from 14,543 participants in the National Health and Nutrition Examination Survey III. The prevalence of chronic kidney disease (estimated glomerular filtration rate less than 60 ml/min per 1.73 m(2)) was 5.8%. For each 10-g/day increase in total fiber intake, the odds of elevated serum C-reactive protein levels were decreased by 11% and 38% in those without and with kidney disease, respectively. Dietary total fiber intake was not significantly associated with mortality in those without but was inversely related to mortality in those with kidney disease. The relationship of total fiber with inflammation and mortality differed significantly in those with and without kidney disease. Thus, high dietary total fiber intake is associated with lower risk of inflammation and mortality in kidney disease and these associations are stronger in magnitude in those with kidney disease. Interventional trials are needed to establish the effects of fiber intake on inflammation and mortality in kidney disease.
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Each 10 g/day increase in total dietary fiber reduced the risk of mortality by 17% in the CKD population.
“Specifically, each 10 g/day increase in total dietary fiber reduced the risk of mortality by 17% in this population [231].”
From Mediterranean diet nutrients to turn the tide against insulin resistance and related diseases (2020) · cites this paper as [231]
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- Authors
- Raj Krishnamurthy, V. M., Wei, G., Baird, B. C., Murtaugh, M., Chonchol, M. B., Raphael, K. L., Greene, T., & Beddhu, S.
- Affiliations
- University of Utah (US)
- University of Colorado Denver (US)
- Corresponding author
- Beddhu, Srinivasan
- Venue
- Kidney International
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 81
- Issue
- 3
- Pages
- 300-306
- ISSN
- 0085-2538 (ISSN-L)
- PMC
- PMC4704855
- OpenAlex
- W2067065644
- Cited by
- 409
- References
- 39
- Citations by year
- 2026: 19 · 2025: 29 · 2024: 30 · 2023: 37 · 2022: 34 · 2021: 37 · 2020: 37 · 2019: 37 · 2018: 32 · 2017: 25 · 2016: 28 · 2015: 18 · 2014: 16 · 2013: 15 · 2012: 13
- FWCI
- 13.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Kidney International (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Utah
- National Institutes of Health (5r01dk078112-04)
- University of Colorado Denver
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK077298, R01-DK078112)
- National Center for Research Resources (C06RR011234, UL1RR025764)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Keywords
- dietary fiber, chronic kidney disease, inflammation, C-reactive protein, all-cause mortality, estimated glomerular filtration rate, dietary intake
- MeSH terms
- Adult, Aged, C-Reactive Protein, Chronic Disease, Dietary Fiber, Female, Humans, Inflammation, Kidney Diseases, Male, Middle Aged
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