Document Detail

Association between fish consumption and nephropathy in American Indians--the Strong Heart Study.
MedLine Citation:
PMID:  21742515     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The present study examined the association between fish consumption and nephropathy in American Indians.
METHODS: In the family cohort of the Strong Heart Study, we investigated 2,261 participants with baseline examination between 2001 and 2003 and follow-up examination between 2006 and 2008. The average follow-up period was 5.4 years. We defined fish consumption as the sum of dietary intake of tuna, fried fish, and nonfried fish obtained from a validated food frequency questionnaire. Nephropathy was defined as microalbuminuria (urinary albumin-creatinine ratio [ACR]: 30 to 299 mg/g), macroalbuminuria (urinary ACR: ≥ 300 mg/g), or an estimated glomerular filtration rate of <60 mL/min/1.73 m(2). Using regression models, we examined the association between fish consumption measured at baseline and 2 outcomes in nephropathy present at follow-up, albuminuria, or renal impairment, and change in urinary ACR or estimated glomerular filtration rate between baseline and follow-up examinations.
RESULTS: The prevalence of microalbuminuria, macroalbuminuria, and renal impairment was 13%, 3%, and 4%, respectively. The fish items consumed by the participants were predominantly deep-fried. We found no associations between fish consumption and any measure of nephropathy after adjusting for demographic, clinical, lifestyle, and dietary factors.
CONCLUSIONS: Dietary intake of predominantly fried fish was not associated with a lower risk of nephropathy in American Indians.
Cheetin Christine Lee; Barbara V Howard; Mihriye Mete; Hong Wang; Stacey Jolly; Amanda I Adler
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Publication Detail:
Type:  Journal Article     Date:  2011-07-13
Journal Detail:
Title:  Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation     Volume:  22     ISSN:  1532-8503     ISO Abbreviation:  J Ren Nutr     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-24     Completed Date:  2012-06-18     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  9112938     Medline TA:  J Ren Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  221-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
MRC Epidemiology Unit, Institute of Metabolic Science, Cambridge, United Kingdom.
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MeSH Terms
Albuminuria / complications,  epidemiology*,  urine
Cohort Studies
Creatinine / urine
Diabetic Nephropathies / complications,  epidemiology*
Follow-Up Studies
Glomerular Filtration Rate
Indians, North American*
Interviews as Topic
Life Style
Middle Aged
Risk Factors
Grant Support
Reg. No./Substance:

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