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膳食钾摄入量与老年人 20 年全因死亡率:Rancho Bernardo 研究。

Dietary Potassium Intake and 20-Year All-Cause Mortality in Older Adults: The Rancho Bernardo Study.

机构信息

Joint Doctoral Program in Public Health (Epidemiology), San Diego State University/University of California San Diego, La Jolla, CA, USA.

Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA.

出版信息

J Nutr Gerontol Geriatr. 2021 Jan-Mar;40(1):46-57. doi: 10.1080/21551197.2021.1885559. Epub 2021 Feb 26.


DOI:10.1080/21551197.2021.1885559
PMID:33635744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8075047/
Abstract

We examined the association between dietary potassium intake and all-cause and cause-specific mortality among community-dwelling older adults. Potassium intake was assessed with a food frequency questionnaire administered to 1,363 older adults (mean age 71.0 ± 10.6 years). Cox proportional hazard regressions estimated hazard ratios for sex-specific quintiles of calorie-adjusted potassium in relation to all-cause and cause-specific (cardiovascular disease, CVD, and stroke) mortality, adjusting for numerous covariates. There were 855 deaths (63% mortality) during the 20-year follow-up. Relative to the third quintile, potassium intake in the lowest quintile only was associated with increased risk of all-cause mortality (fully-adjusted hazard ratio 1.33; 95% CI 1.06, 1.67). Potassium intake was not significantly associated with CVD or stroke mortality. These results suggest that low potassium intake is associated with increased risk of mortality independent of overall health status. Ensuring adequate potassium in the diet may be an important strategy for reducing risk of earlier mortality among older adults.

摘要

我们研究了社区居住的老年人中钾的饮食摄入量与全因死亡率和特定原因死亡率之间的关系。通过向 1363 名老年人(平均年龄 71.0±10.6 岁)进行食物频率问卷评估钾的摄入量。Cox 比例风险回归估计了与全因死亡率和特定原因死亡率(心血管疾病,CVD 和中风)相关的卡路里调整后钾的五分位组别的风险比,调整了许多协变量。在 20 年的随访中,有 855 人死亡(63%的死亡率)。与第三五分位组相比,仅最低五分位组的钾摄入量与全因死亡率的风险增加相关(完全调整的风险比 1.33;95%CI 1.06,1.67)。钾摄入量与 CVD 或中风死亡率无显著相关性。这些结果表明,低钾摄入与死亡率风险增加有关,而与整体健康状况无关。确保饮食中摄入足够的钾可能是降低老年人早期死亡率风险的重要策略。

相似文献

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Dietary Potassium Intake and 20-Year All-Cause Mortality in Older Adults: The Rancho Bernardo Study.

J Nutr Gerontol Geriatr. 2021

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[2]
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[3]
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[4]
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[5]
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本文引用的文献

[1]
Dietary Patterns and Cognitive Function among Older Community-Dwelling Adults.

Nutrients. 2018-8-14

[2]
Serum potassium and adverse outcomes across the range of kidney function: a CKD Prognosis Consortium meta-analysis.

Eur Heart J. 2018-5-1

[3]
Assessment of dietary sodium intake using a food frequency questionnaire and 24-hour urinary sodium excretion: a systematic literature review.

J Clin Hypertens (Greenwich). 2017-12

[4]
Association Between Urinary Sodium and Potassium Excretion and Blood Pressure Among Adults in the United States: National Health and Nutrition Examination Survey, 2014.

Circulation. 2017-10-11

[5]
Sodium Intake and All-Cause Mortality Over 20 Years in the Trials of Hypertension Prevention.

J Am Coll Cardiol. 2016-10-11

[6]
Ultra-processed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study.

BMJ Open. 2016-3-9

[7]
Severe hyperkalaemia: demographics and outcome.

Clin Kidney J. 2014-4

[8]
Pooled results from 5 validation studies of dietary self-report instruments using recovery biomarkers for potassium and sodium intake.

Am J Epidemiol. 2015-4-1

[9]
High sodium:potassium intake ratio increases the risk for all-cause mortality: the REasons for Geographic And Racial Differences in Stroke (REGARDS) study.

J Nutr Sci. 2013-4-23

[10]
Potassium intake and risk of stroke in women with hypertension and nonhypertension in the Women's Health Initiative.

Stroke. 2014-10

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