Tanushree Banerjee Deidra C. Crews Donald E. Wesson Sai Dharmarajan Rajiv Saran Nilka Ríos Burrows Sharon Saydah Neil R. Powe Chi yuan Hsu Kirsten Bibbins-Domingo Charles McCulloch Vanessa Grubbs Carm..
Tanushree Banerjee Deidra C. Crews Donald E. Wesson Sai Dharmarajan Rajiv Saran Nilka Ríos Burrows Sharon Saydah Neil R. Powe Chi yuan Hsu Kirsten Bibbins-Domingo Charles McCulloch Vanessa Grubbs Carmen Peralta Michael Shlipak Anna Rubinsky Raymond Hsu Josef Coresh Delphine Tuot Diane Steffick Brenda Gillespie William Herman Friedrich Port Bruce Robinson Vahakn Shahinian Jerry Yee Eric Young William McClellan Ann O'Hare Melissa Fava Anca Tilea Desmond Williams Mark Eberhardt
Background Poor access to food among low-income adults has been recognized as a risk factor for chronic kidney disease (CKD), but there are no data for the impact of food insecurity on progression to ..
Background Poor access to food among low-income adults has been recognized as a risk factor for chronic kidney disease (CKD), but there are no data for the impact of food insecurity on progression to end-stage renal disease (ESRD). We hypothesized that food insecurity would be independently associated with risk for ESRD among persons with and without earlier stages of CKD. Study Design Longitudinal cohort study. Setting & Participants 2,320 adults (aged ≥ 20 years) with CKD and 10,448 adults with no CKD enrolled in NHANES III (1988-1994) with household income ≤ 400% of the federal poverty level linked to the Medicare ESRD Registry for a median follow-up of 12 years. Predictor Food insecurity, defined as an affirmative response to the food-insecurity screening question. Outcome Development of ESRD. Measurements Demographics, income, diabetes, hypertension, estimated glomerular filtration rate, and albuminuria. Dietary acid load was estimated from 24-hour dietary recall. We used a Fine-Gray competing-risk model to estimate the relative hazard (RH) for ESRD associated with food insecurity after adjusting for covariates. Results 4.5% of adults with CKD were food insecure. Food-insecure individuals were more likely to be younger and have diabetes (29.9%), hypertension (73.9%), or albuminuria (90.4%) as compared with their counterparts (P