Cai Q, Dekker LH, Vinke PC, et al. - In the general population, a lower risk of incident chronic kidney disease (CKD) or ≥20% eGFR decline was observed in relation to higher adherence to a high-quality diet.

• Data were obtained from a prospective general population-based Lifelines cohort in the Northern Netherlands.

• Diet quality was determined using the Lifelines Diet Score (LLDS).

• Of 78,346 participants free of CKD at baseline, total 2,071 (2.6%) suffered CKD and 7,611 (9.7%) experienced a ≥20% eGFR decline.

• A lower risk of incident CKD and ≥20% eGFR decline was evident in the highest tertile of LLDS vs the lowest tertile.

• Similar dose-response links were noted in continuous LLDS.