In:
Scientific Reports, Springer Science and Business Media LLC, Vol. 10, No. 1 ( 2020-07-23)
Abstract:
Sources of dietary phosphate differentially contribute to hyperphosphatemia in maintenance haemodialysis (MHD) patients. This cross-sectional study in Malaysia investigated association between dietary patterns and serum phosphorus in MHD patients. Dietary patterns were derived by principal component analysis, based on 27 food groups shortlisted from 3-day dietary recalls of 435 MHD patients. Associations of serum phosphorus were examined with identified dietary patterns. Three dietary patterns emerged: Home foods (HF dp ), Sugar-sweetened beverages (SSB dp ), and Eating out noodles (EO-N dp ). The highest tertile of patients in HF (T3-HF dp ) pattern significantly associated with higher intakes of total protein ( p = 0.002), animal protein ( p = 0.001), and animal-based organic phosphate ( p 〈 0.001), whilst T3-SSB dp patients had significantly higher intakes of total energy ( p 〈 0.001), inorganic phosphate ( p 〈 0.001), and phosphate:protein ratio ( p = 0.001). T3-EO-N dp patients had significantly higher intakes of total energy ( p = 0.033), total protein ( p = 0.003), plant protein ( p 〈 0.001), but lower phosphate:protein ratio ( p = 0.009). T3-SSB dp patients had significantly higher serum phosphorus ( p = 0.006). The odds ratio of serum phosphorous 〉 2.00 mmol/l was significantly 2.35 times higher ( p = 0.005) with the T3-SSB dp . The SSB dp was associated with greater consumption of inorganic phosphate and higher serum phosphorus levels.
Type of Medium:
Online Resource
ISSN:
2045-2322
DOI:
10.1038/s41598-020-68893-4
Language:
English
Publisher:
Springer Science and Business Media LLC
Publication Date:
2020
detail.hit.zdb_id:
2615211-3
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