Hu Cong, Tang Ting
Department of Traditional Chinese Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Front Nutr. 2025 Jun 13;12:1578118. doi: 10.3389/fnut.2025.1578118. eCollection 2025.
BACKGROUND: Chronic kidney disease (CKD), a significant health challenge in the United States, often progresses from asymptomatic conditions to advanced stages and exhibits a higher prevalence among male individuals. Niacin is known for its metabolic and antioxidant roles, potentially influencing CKD progression. The association between niacin intake and CKD has been rarely investigated in male participants. METHODS: This cross-sectional study utilized data of 13,946 male participants aged above 18 years from the National Health and Nutrition Examination Survey (NHANES) 2005-2018. CKD was diagnosed by albumin-to-creatinine ratio (ACR) and estimated glomerular filtration rate (eGFR). The niacin intake was recorded according to two 24-h dietary recalls. The association between niacin intake and CKD in male participants was examined using weighted logistic regression models, restricted cubic splines, and stratified analyses. RESULTS: The prevalence of CKD was 17.07%. There was a prominent non-linear relationship between niacin intake and CKD (-non-linear < 0.05). The inflection point for niacin intake was 26.79 mg ( for log-likelihood ratio < 0.05). The adjusted odds ratios (ORs) for the highest quartile of niacin intake and CKD were 0.752 (95% confidence interval [CI]: 0.591-0.959). In addition, race, body mass index (BMI), and cardiovascular disease (CVD) were significantly associated with this relationship ( for interaction < 0.05). However, poverty-to-income ratio (PIR), education level, smoking status, alcohol consumption, hypertension, and diabetes were not statistically significantly associated with the relationship between niacin intake and CKD in male patients ( for interaction > 0.05). CONCLUSION: In male patients, the niacin intake will reduce the risk of CKD.
背景:慢性肾脏病(CKD)是美国一项重大的健康挑战,通常从无症状状态发展到晚期,且在男性中患病率较高。烟酸以其代谢和抗氧化作用而闻名,可能影响CKD的进展。男性参与者中烟酸摄入量与CKD之间的关联很少被研究。 方法:这项横断面研究利用了2005 - 2018年美国国家健康与营养检查调查(NHANES)中13946名18岁以上男性参与者的数据。CKD通过白蛋白与肌酐比值(ACR)和估计肾小球滤过率(eGFR)进行诊断。根据两次24小时饮食回忆记录烟酸摄入量。使用加权逻辑回归模型、受限立方样条和分层分析来检验男性参与者中烟酸摄入量与CKD之间的关联。 结果:CKD的患病率为17.07%。烟酸摄入量与CKD之间存在显著的非线性关系(-非线性<0.05)。烟酸摄入量的拐点为26.79毫克(对数似然比<0.05)。烟酸摄入量最高四分位数与CKD的校正比值比(OR)为0.752(95%置信区间[CI]:0.591 - 0.959)。此外,种族、体重指数(BMI)和心血管疾病(CVD)与这种关系显著相关(交互作用<0.05)。然而,贫困收入比(PIR)、教育水平、吸烟状况、饮酒、高血压和糖尿病与男性患者烟酸摄入量和CKD之间的关系无统计学显著关联(交互作用>0.05)。 结论:在男性患者中,烟酸摄入量会降低CKD的风险。
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