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Predictors of New-Onset Kidney Disease in a Community-Based Population
Abstract
Context Kidney disease is associated with an increased risk for the development of cardiovascular disease and end-stage renal disease; however, risk factors for kidney disease have not been well studied. Objective To identify predictors of the development of new-onset kidney disease. Design, setting, and participants A community-based, longitudinal cohort study of 2585 participants who attended both a baseline examination in 1978-1982 and a follow-up examination in 1998-2001, and who were free of kidney disease at baseline. Main outcome measures Kidney disease was assessed by the Modification of Diet in Renal Disease Study equation and defined by a glomerular filtration rate (GFR) in the fifth or lower percentile ( Results At baseline, there were 1223 men and 1362 women, with a mean age of 43 years, who were free of preexisting kidney disease. After a mean follow-up of 18.5 years, 244 participants (9.4%) had developed kidney disease. In multivariable models, baseline age (odds ratio [OR], 2.36 per 10-year increment; 95% confidence interval [CI], 2.00-2.78), GFR ( or =120 mL/min per 1.73 m2), a mildly reduced GFR ( Conclusions Established cardiovascular disease risk factors are associated with the development of new-onset kidney disease. Patients with a mildly reduced GFR should be monitored for progression to kidney disease.
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“While dyslipidemia is a risk factor for progressive kidney disease (8,10,20,21)”
From Effects of Fibrates in Kidney Disease (2012) · cites this paper as [8]
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“disease with 23% increased odds in patients with high BMI (>30 kg/m(2)).(111) The mech-”
BackgroundSocioeconomic Disadvantage and Kidney Disease in the United States, Australia, and Thailand
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“identified predictors for new-onset kidney disease examining the communitybased population of the Framingham Offspring Study [19].”
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“While up to 10% of people in the general population are expected to develop renal insufficiency [2], over 57% of hypertensive patients will develop some degree of renal insufficiency [3].”
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Miricescu, D., Bălan, D., Tulin, A. D., Ştiru, O., Văcăroiu, I. A., Mihai, D. A., Popa, C. O., Enyedi, M., Nedelea, A., Nica, A. E., et al. (2021) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2021.9969 · Cited by 61
“The authors observed that BMI predicted new onset kidney diseases (37).”
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“The most important established risk factors for CKD are diabetes and hypertension (4-7).”
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“This study was designed to clarify the association between OSAS and the estimated glomerular filtration rate (eGFR), a key indicator of CKD, and to investigate whether short-term CPAP therapy can improve the eGFR.”
BackgroundInfluentialInflammation and Trajectory of Renal Function in Community‐Dwelling Older Adults
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“The results of our study support those previously published by confirming the important roles of age, gender [5-8,29,30] and CVD [31-33] in predicting cases of CKD.”
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“Several epidemiological studies associated age, high blood pressure, diabetes, proteinuria, dyslipidaemia and smoking with the subsequent decline in estimated glomerular filtration rate (eGFR) [2,3].”
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“Only four individuals continued to have renal impairment at 5 years with one remaining stable within stage 3 CKD but three deteriorating to stage 4 CKD.”
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Obesity-related glomerulopathy and the nephron complement.
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“Recent epidemiological studies have demonstrated obesity to be a risk factor for the appearance of new-onset CKD in community-based populations [43, 44].”
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“assessed a subset of the Framingham cohort with normal kidney function at baseline that attended two examinations 10 years apart [16].”
Metabolic Syndrome and Kidney Disease
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“The BMI was also one predictor of chronic kidney disease (CKD) in the Framingham Study [”
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ResultDirect and indirect effects of obesity on the kidney.
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“followed 2,585 participants in a longitudinal study to examine risk factors for kidney disease [6].”
BackgroundCirculating Adipocytokines and Chronic Kidney Disease
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“Risk Factors for Renal Impairment The following potential risk factors for renal impairment were recorded for each patient: age, presence of diabetes, presence of hypertension, ice ball size, baseline renal function values, and history of partial nephrectomy or ablation of the solitary kidney [16–18].”
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“Furthermore, clinical and experiment data have shown that low HDL-C levels were a risk factor for the development of renal dysfunction [89,90].”
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“Obesity, through its association with diabetes mellitus [10, 11] and hypertension [12–16], is an indirect factor, in the development of CKD.”
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“Old age is also a risk factor for CKD in both univariate and multivariate analyses in this study, and this is in agreement with earlier studies.[3,34] The implication of this is that as our population ages, there is need to intensify screening strategies for CKD to detect early stages of the disease for more effective…”
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Impact of subclinical carotid atherosclerosis on incident chronic kidney disease in the elderly.
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“Therefore, the early identification of precursors and risk factors for CKD is essential, as new or established interventions have the potential of delaying progression to renal replacement therapy [ 6 ].”
BackgroundObesity-Associated Hypertension
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Genetic risk score and risk of stage 3 chronic kidney disease
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“In order to reduce potential variability between laboratories, serum creatinine concentration was calibrated using a 2-step process as previously described [4].”
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Metadata
- Authors
- Fox, C. S.
- Affiliations
- Framingham Heart Study (US)
- Corresponding author
- Fox, Caroline S.
- ORCID
- Fox, Caroline S.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2004-02-18
- Volume
- 291
- Issue
- 7
- Pages
- 844
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1992283514
- Cited by
- 1,241
- References
- 0
- Citations by year
- 2026: 21 · 2025: 28 · 2024: 50 · 2023: 37 · 2022: 53 · 2021: 62 · 2020: 62 · 2019: 47 · 2018: 49 · 2017: 59 · 2016: 81 · 2015: 49 · 2014: 79 · 2013: 83 · 2012: 68
- FWCI
- 28.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (n01hc25195-41-0-1)
- National Heart, Lung, and Blood Institute (N01‐HC25195)
- Topics
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- chronic kidney disease, risk factors, glomerular filtration rate, diabetes mellitus, smoking, body mass index, age, MDRD equation, cardiovascular disease, end-stage renal disease, community-based cohort, risk prediction model, renal function decline, hyperlipidemia, antihypertensive drugs, antihypertensive medication adherence
- MeSH terms
- Adult, Aged, Cardiovascular Diseases, Female, Glomerular Filtration Rate, Humans, Kidney Diseases, Longitudinal Studies, Male, Middle Aged, Risk Factors, Logistic Models
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