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4 ml/min/1.73m (95% confidence interval, [CI] - 5.0, - 1.7, p 0.001) lower than the most adherent. Those with lowest adherence to the 'unhealthy' dietary pattern 2 had a mean eGFR 1.9 ml/min/1.73m (CI 0.2, 3.5, p = 0.03) higher than those with highest adherence. Participants with lowest adherence to dietary pattern 3, characterised by a high consumption of alcohol and coffee, had a mean eGFR 1.8 ml/min/1.73m (- 3.5, - 0.01, p = 0.05) lower than those with greatest adherence. Our findings identify independent associations between d