硫黄微生物ダイエット,遺伝的傾向,慢性腎疾患のリスク:コホート研究
Honghao Yang1,2, Yixiao Zhang3, Zheng Ma1,2
1Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China.
European journal of clinical nutrition
|February 16, 2026
まとめ
硫黄微生物ダイエット (SMD) のより高い遵守は,遺伝的傾向に関係なく,慢性腎臓病 (CKD) のリスクの増加と関連しています. この食生活パターンは,多様な遺伝的背景を持つ腎臓の健康に影響を及ぼします.
科学分野:
- 栄養科学 栄養学 栄養科学は,栄養学が,栄養学が,栄養学が,栄養学が,栄養学が,栄養学が,栄養学が,栄養学が,栄養学が,栄養学が,栄養学は,栄養学が,栄養学は,栄養学は,栄養学は,栄養学は,栄養学は,栄養学は,栄養学は,栄養学は,栄養学は,栄養学は
- ネフロロジーはネフロロジーを用います.
- マイクロバイオーム研究
背景:
- 硫黄微生物ダイエット (SMD) は,硫黄化合物を代謝する腸内細菌と関連しています.
- 慢性腎臓病 (CKD) は,複雑な危険因子を持つ重要な世界的な健康問題です.
- 慢性腎臓病に対する食事の影響を理解することは,予防と管理に不可欠です.
研究 の 目的:
- SMDの順守とCKDのリスクとの潜在的な関連性を評価する.
- 遺伝的リスクがSMDとCKDの関係を変化させるかどうかを調査する.
- CKDの発生率に対するSMDの集団レベルの影響を定量化するために.
主な方法:
- 複数の食事の評価を受けた98,491人の参加者の英国バイオバンクデータを活用した.
- 食品グループ摂取量および確立された係数に基づいて,SMDスコアを計算した.
- インシデントCKDを評価し,CKDのためのポリジェニックリスクスコア (PRS) を構築しました.
- 危険比率 (HRs) と集団帰属分数 (PAFs) を決定するためにコックスの比例的危険回帰を用いた.
主要な成果:
- SMDスコアが高くなり,CKDリスクが増加するとともに,投与量反応関係が見られた.
- SMDの第3位で最も高い個人は,CKDのリスクが著しく上昇したことを示しました (HR: 1.24).
- CKDリスクに対する遺伝的リスク (PRS) とSMDアデンスとの間に有意な相互作用は見つかりませんでした.
結論:
- SMDへのより高い遵守は,CKDを発症するより大きなリスクと独立して関連しています.
- この関連性は,CKDに対する個人の遺伝的感受性に関係なく持続します.
- これらの発見を確認し,その背後にあるメカニズムを探求するために,さらなる研究が必要である.
関連する概念動画
Chronic Kidney Disease I: Introduction
798
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
798
Chronic Kidney Disease III: Interprofessional Care
493
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
493
Chronic Kidney Disease II: Clinical Manifestations
720
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
720
Sulfur Assimilation
389
Sulfur is an essential element in biological systems, contributing to synthesizing key biomolecules, including amino acids such as cysteine and methionine, and cofactors such as coenzyme A and biotin. Microorganisms primarily assimilate sulfur as sulfate (SO₄²⁻) from the environment, which must undergo a series of biochemical transformations before it can be incorporated into cellular components. As sulfate is highly oxidized, it must undergo assimilatory sulfate reduction to...
389
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration
248
Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
248
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
455
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
455

