Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies

Background Recent individual studies have indicated that ultra-processed food (UPF) consumption may be associated with the incidence of chronic kidney disease (CKD). We conducted a systematic review and meta-analysis based on those longitudinal studies evaluating the relationship between UPF consump...

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Main Authors: Bingjie Xiao, Jinxian Huang, Linyi Chen, Yujie Lin, Jianghong Luo, Huifen Chen, Lizhe Fu, Fang Tang, Wenwei Ouyang, Yifan Wu
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Renal Failure
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Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2024.2306224
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author Bingjie Xiao
Jinxian Huang
Linyi Chen
Yujie Lin
Jianghong Luo
Huifen Chen
Lizhe Fu
Fang Tang
Wenwei Ouyang
Yifan Wu
author_facet Bingjie Xiao
Jinxian Huang
Linyi Chen
Yujie Lin
Jianghong Luo
Huifen Chen
Lizhe Fu
Fang Tang
Wenwei Ouyang
Yifan Wu
author_sort Bingjie Xiao
collection DOAJ
description Background Recent individual studies have indicated that ultra-processed food (UPF) consumption may be associated with the incidence of chronic kidney disease (CKD). We conducted a systematic review and meta-analysis based on those longitudinal studies evaluating the relationship between UPF consumption and the risk of incident CKD, and synthesizing the results.Method PubMed, Embase, The Cochrane Library, Web of Science, and Scopus were searched from inception through 22 March 2023. Any longitudinal studies evaluating the relationship between UPF consumption and the risk of incident CKD were included. Two researchers independently conducted the literature screening and data extraction. RR and its 95% CI were regarded as the effect size. The Newcastle–Ottawa Scale (NOS) was applied to assess the quality of the studies included, and the effect of UPF consumption on the risk of incident CKD was analyzed with STATA version 15.1. This study’s protocol was registered in PROSPERO (CRD42023411951).Results Four cohort studies with a total of 219,132 participants were included after screening. The results of the meta-analysis suggested that the highest UPF intake was associated with an increased risk of incident CKD (RR = 1.25; 95% CI: 1.18–1.33).Conclusions High-dose UPF intake was associated with an increased risk of incident CKD. However, the underlying mechanisms remain unknown. Thus, more standardized clinical studies and further exploration of the mechanisms are needed in the future.
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spelling doaj-art-76b094befc004ded8a47a9711334c0942025-01-23T04:17:47ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2306224Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studiesBingjie Xiao0Jinxian Huang1Linyi Chen2Yujie Lin3Jianghong Luo4Huifen Chen5Lizhe Fu6Fang Tang7Wenwei Ouyang8Yifan Wu9The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Fourth Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaChronic Disease Management Outpatient, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, ChinaChronic Disease Management Outpatient, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, ChinaKey Unit of Methodology in Clinical Research, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, ChinaChronic Disease Management Outpatient, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, ChinaBackground Recent individual studies have indicated that ultra-processed food (UPF) consumption may be associated with the incidence of chronic kidney disease (CKD). We conducted a systematic review and meta-analysis based on those longitudinal studies evaluating the relationship between UPF consumption and the risk of incident CKD, and synthesizing the results.Method PubMed, Embase, The Cochrane Library, Web of Science, and Scopus were searched from inception through 22 March 2023. Any longitudinal studies evaluating the relationship between UPF consumption and the risk of incident CKD were included. Two researchers independently conducted the literature screening and data extraction. RR and its 95% CI were regarded as the effect size. The Newcastle–Ottawa Scale (NOS) was applied to assess the quality of the studies included, and the effect of UPF consumption on the risk of incident CKD was analyzed with STATA version 15.1. This study’s protocol was registered in PROSPERO (CRD42023411951).Results Four cohort studies with a total of 219,132 participants were included after screening. The results of the meta-analysis suggested that the highest UPF intake was associated with an increased risk of incident CKD (RR = 1.25; 95% CI: 1.18–1.33).Conclusions High-dose UPF intake was associated with an increased risk of incident CKD. However, the underlying mechanisms remain unknown. Thus, more standardized clinical studies and further exploration of the mechanisms are needed in the future.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2306224Ultra-processed foodchronic kidney diseaseNOVA classificationsystematic reviewmeta-analysis
spellingShingle Bingjie Xiao
Jinxian Huang
Linyi Chen
Yujie Lin
Jianghong Luo
Huifen Chen
Lizhe Fu
Fang Tang
Wenwei Ouyang
Yifan Wu
Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies
Renal Failure
Ultra-processed food
chronic kidney disease
NOVA classification
systematic review
meta-analysis
title Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies
title_full Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies
title_fullStr Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies
title_full_unstemmed Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies
title_short Ultra-processed food consumption and the risk of incident chronic kidney disease: a systematic review and meta-analysis of cohort studies
title_sort ultra processed food consumption and the risk of incident chronic kidney disease a systematic review and meta analysis of cohort studies
topic Ultra-processed food
chronic kidney disease
NOVA classification
systematic review
meta-analysis
url https://www.tandfonline.com/doi/10.1080/0886022X.2024.2306224
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