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ABSTRACT: Background
Chronic kidney disease (CKD) increases cardiovascular disease (CVD) risk. However, the association of mildly reduced kidney function with CVD risk is unclear.Methods and results
This study investigated the association of estimated glomerular filtration rate (eGFR) with prevalent CVDs, 10-year Framingham risk for coronary heart disease (CHD), and 10-year risk of atherosclerotic cardiovascular diseases (ASCVD) in 239 832 participants from the baseline of the Risk Evaluation of cAncers in Chinese diabeTic Individuals: a lONgitudinal study. With an interviewer-assisted questionnaire, we collected information on CVD, including reported CHD, stroke, or myocardial infarction. Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation was used to calculate eGFR. Compared with individuals with normal eGFR (?90 mL/min per 1.73 m(2)), those with decreased eGFR (75-89, 60-74, and <60 mL/min per 1.73 m(2)) had higher risk of prevalent obesity, diabetes mellitus, hypertension, and dyslipidemia in both men and women (P for trend all <0.001). Moreover, a significantly higher 10-year Framingham risk for CHD and 10-year risk for ASCVD was observed in both men and women with mildly decreased eGFR (60-89 mL/min per 1.73 m(2)).Conclusions
Even mildly reduced eGFR (under 90 mL/min per 1.73 m(2)) is associated with elevated 10-year Framingham risk for CHD and 10-year ASCVD risk among Chinese adults.
SUBMITTER: Lu J
PROVIDER: S-EPMC5015372 | biostudies-literature | 2016 Jul
REPOSITORIES: biostudies-literature
Lu Jieli J Mu Yiming Y Su Qing Q Shi Lixin L Liu Chao C Zhao Jiajun J Chen Lulu L Li Qiang Q Yang Tao T Yan Li L Wan Qin Q Wu Shengli S Liu Yan Y Wang Guixia G Luo Zuojie Z Tang Xulei X Chen Gang G Huo Yanan Y Gao Zhengnan Z Ye Zhen Z Wang Youmin Y Qin Guijun G Deng Huacong H Yu Xuefeng X Shen Feixia F Chen Li L Zhao Liebin L Sun Jichao J Sun Wanwan W Wang Tiange T Du Rui R Lin Lin L Dai Meng M Xu Yu Y Xu Min M Bi Yufang Y Lai Shenghan S Li Donghui D Wang Weiqing W Ning Guang G
Journal of the American Heart Association 20160722 7
<h4>Background</h4>Chronic kidney disease (CKD) increases cardiovascular disease (CVD) risk. However, the association of mildly reduced kidney function with CVD risk is unclear.<h4>Methods and results</h4>This study investigated the association of estimated glomerular filtration rate (eGFR) with prevalent CVDs, 10-year Framingham risk for coronary heart disease (CHD), and 10-year risk of atherosclerotic cardiovascular diseases (ASCVD) in 239 832 participants from the baseline of the Risk Evaluat ...[more]