Cited by 1,578Chronic Kidney Disease and DiabetesAcute Kidney Injury ResearchHormonal and reproductive studies

Longitudinal Studies on the Rate of Decline in Renal Function with Age

Lindeman, Robert D., Tobin, Jordan, Shock, Nathan W.·1985·Journal of the American Geriatrics Society

Abstract

Serial creatinine clearances (5 to 14 studies) were obtained for 446 normal volunteers in the Baltimore Longitudinal Study of Aging followed between 1958 and 1981. When those subjects with possible renal or urinary tract disease and subjects on diuretics and antihypertensives were removed from the study, leaving a group of 254 "normal" subjects, the mean decrease in creatinine clearance was 0.75 ml/min/year. The slopes of the creatinine clearance vs. time fell into a normal (Gaussian) distribution around this mean. One third of all subjects followed had no absolute decrease in renal function (positive slope of creatinine clearance vs. time) and there was a small group of patients who showed a statistically significant increase (P less than 0.05) in creatinine clearance with age.

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Crossref · 10.1111/j.1532-5415.1985.tb07117.x

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  • Reduced thirst and reduced urine concentration by the kidney increase dehydration risk in older adults.

    “Among age-related physiological changes, reduced thirst and reduced urine concentration by the kidney increase dehydration risk (9,(243)(244)(245)(246).”

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Authors
Lindeman, R. D., Tobin, J., & Shock, N. W.
Affiliations
  • Georgetown University (US)
  • Johns Hopkins University (US)
  • Johns Hopkins Bayview Medical Center (US)
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
1985-04
Volume
33
Issue
4
Pages
278-285
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
OpenAlex
W2007789292
Cited by
1,578
References
0
Citations by year
2026: 25 · 2025: 35 · 2024: 53 · 2023: 38 · 2022: 43 · 2021: 40 · 2020: 62 · 2019: 63 · 2018: 63 · 2017: 59 · 2016: 60 · 2015: 71 · 2014: 73 · 2013: 66 · 2012: 76
FWCI
6.75
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
  • Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
Keywords
renal function decline, aging, creatinine clearance, longitudinal decline, normal volunteers, Baltimore Longitudinal Study of Aging
MeSH terms
Adult, Aged, Aging, Creatinine, Humans, Hypertension, Kidney, Longitudinal Studies, Male, Middle Aged, Regression Analysis, Urologic Diseases

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