Mild Chronic Kidney Disease Associated with Greater Risk of Arterial Stiffness in Elderly Adults.

Autor:	Liu, I‐Ting, Wu, Jin‐Shang, Yang, Yi‐Ching, Huang, Ying‐Hsiang, Lu, Feng‐Hwa, Chang, Chih‐Jen
Předmět:	ACADEMIC medical centers ANTHROPOMETRY ATHEROSCLEROSIS BIOCHEMISTRY BLOOD pressure CHRONIC kidney failure CONFIDENCE intervals EPIDEMIOLOGY RESEARCH funding T-test (Statistics) LOGISTIC regression analysis DATA analysis CROSS-sectional method ANKLE brachial index DATA analysis software DESCRIPTIVE statistics
Zdroj:	Journal of the American Geriatrics Society; Oct2013, Vol. 61 Issue 10, p1758-1762, 5p, 3 Charts
Abstrakt:	Objectives To assess the association between arterial stiffness and mild and moderate chronic kidney disease ( CKD), independent of other cardiometabolic factors in an elderly population. Design Cross-sectional study. Setting Health examination data from National Cheng Kung University Hospital from 2006 to 2009. Participants Eligible subjects aged 60 and older (N = 1,251). Measurements An average bilateral brachial-ankle pulse wave velocity (ba PWV) of 1,400 cm/s or greater was defined as high ba PWV. Based on the 2003 Clinical Practice Guidelines for Chronic Kidney Disease from the National Kidney Foundation, mild and moderate CKD were defined as CKD Stages 1 and 2 and Stages 3 to 5, respectively. Results Participants with a ba PWV of 1,400 cm/s or greater (n = 1,028) had lower estimated glomerular filtration rates (e GFRs) but higher serum creatinine levels and greater prevalences of mild and moderate CKD, diabetes mellitus, prediabetes mellitus, hypertension, and prehypertension than those with ba PWV less than 1,400 cm/s (n = 223). In the multivariate analysis, mild (odds ratio ( OR) = 2.58, 95% confidence interval ( CI) = 1.02-6.54) and moderate ( OR = 3.75, 95% CI = 1.02-13.81) CKD were positively associated with greater ba PWV (≥1,400 cm/s). Age, prediabetes mellitus, diabetes mellitus, prehypertension, and hypertension were also independently associated with greater ba PWV. In the multiple linear analysis, moderate (β = 120.45, P < .001) and mild CKD (β = 69.90, P = .01) were positively associated with ba PWV. There was also an independently inverse correlation between e GFR and ba PWV (β = −0.69, P = .04). Conclusion Mild and moderate CKD increased the risk of greater arterial stiffness in elderly adults. Age, prediabetes mellitus, diabetes mellitus, prehypertension, and hypertension were also important correlates of increased arterial stiffness. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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