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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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The association between skipping breakfast and chronic kidney disease
1Graduate School of Urban Public Health, University of Seoul, 163 Seoulsiripdae-ro, Dongdaemun-gu, Seoul, 02504, Republic of Korea.
International Urology and Nephrology
|April 24, 2023
Summary
Skipping breakfast is linked to a higher risk of chronic kidney disease (CKD) in middle-aged and older adults. However, metabolic diseases like obesity, hypertension, and diabetes do not appear to mediate this relationship.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Limited research exists on the association between skipping breakfast and chronic kidney disease (CKD).
- Metabolic diseases, including obesity, hypertension, and diabetes, are known risk factors for CKD.
Purpose of the Study:
- To investigate the relationship between skipping breakfast and CKD in adults aged 40 and above.
- To determine if metabolic diseases mediate the association between skipping breakfast and CKD.
Main Methods:
- Analysis of data from 21,138 participants in the Korea National Health and Nutrition Examination Survey (2013-2018).
- Definition of skipping breakfast as rarely eating breakfast over the past year.
- Definition of CKD as an estimated glomerular filtration rate < 60 mL/min/1.73 m².
- Logistic regression and mediation analysis (Baron and Kenny's approach) were employed.
Main Results:
- Approximately 7.6% of participants skipped breakfast, and 5.5% had CKD.
- Skipping breakfast was significantly associated with a higher odds of CKD (OR 1.61, 95% CI 1.07-2.42, p=0.021) after adjusting for confounders.
- Skipping breakfast was not significantly associated with obesity, hypertension, or diabetes. CKD was significantly associated with diabetes and hypertension.
Conclusions:
- Middle-aged and older adults who skip breakfast have increased odds of developing CKD.
- Metabolic diseases do not mediate the relationship between skipping breakfast and CKD.
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