Evidence map›Paper›PMID 30428524›Full record

ArticleNutrients2018

Age Modifies the Association of Dietary Protein Intake with All-Cause Mortality in Patients with Chronic Kidney Disease.

Daiki Watanabe, Shinji Machida, Naoki Matsumoto, Yugo Shibagaki, Tsutomu Sakurada

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

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  11. Global associations between macronutrient supply and age-specific mortality.Proceedings of the National Academy of Sciences of the United States of America · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Daiki WatanabeDepartment of Pharmacology, St. Marianna University School of Medicine, Kanagawa 216-8511, Japan. d2watanabe@marianna-u.ac.jp.ORCID 0000-0001-5644-1428
Shinji MachidaDivision of Nephrology and Hypertension, St. Marianna University School of Medicine, Kanagawa 216-8511, Japan. jnss0322@gmail.com.
Naoki MatsumotoDepartment of Pharmacology, St. Marianna University School of Medicine, Kanagawa 216-8511, Japan. matsumoto@marianna-u.ac.jp.
Yugo ShibagakiDivision of Nephrology and Hypertension, St. Marianna University School of Medicine, Kanagawa 216-8511, Japan. eugo@wc4.so-net.ne.jp.
Tsutomu SakuradaDivision of Nephrology and Hypertension, St. Marianna University School of Medicine, Kanagawa 216-8511, Japan. sakurada@marianna-u.ac.jp.ORCID 0000-0003-2434-0483
St. Marianna University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether the effect of a low-protein diet on progression to end-stage renal disease (ESRD) and mortality risk differs between young and elderly adults with chronic kidney disease (CKD) is unclear. We conducted a retrospective CKD cohort study to investigate the association between protein intake and mortality or renal outcomes and whether age affects this association. The cohort comprised 352 patients with stage G3-5 CKD who had been followed up for a median 4.2 years, had undergone educational hospitalization, and for whom baseline protein intake was estimated from 24-h urine samples. We classified the patients into a very low protein intake (VLPI) group (<0.6 g/kg ideal body weight/day), a low protein intake (LPI) group (0.6⁻0.8 g), and a moderate protein intake (MPI) group (>0.8 g). Compared with the LPI group, the MPI group had a significantly lower risk of all-cause mortality (hazard ratio: 0.29; 95% confidence interval: 0.07 to 0.94) but a similar risk of ESRD, although relatively high protein intake was related to a faster decline in the estimated glomerular filtration rate. When examined per age group, these results were observed only among the elderly patients, suggesting that the association between baseline dietary protein intake and all-cause mortality in patients with CKD is age-dependent.

Indexed as

AgingDiet, Protein-RestrictedAgedAged, 80 and overCohort StudiesDietary ProteinsHumansMiddle AgedRenal Insufficiency, ChronicRetrospective StudiesRisk FactorsDietary Proteinsagechronic kidney diseaseend-stage renal diseasemortalityprotein intake

Identifiers

PMID30428524
PMCPMC6265861
OpenAlexW2901030447

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.