AI Article Synopsis
- - The study aimed to investigate how metabolic and anthropometric indices can predict chronic kidney disease (CKD) in Chinese adults aged 45-85, utilizing data from a large ongoing health study conducted between 2011 and 2015.
- - Over a 5-year follow-up, CKD developed in 3% of males and 4.1% of females, with factors like high triglycerides, low HDL cholesterol, and elevated body shape indices identified as independent risk predictors for CKD.
- - The research concluded that specific metabolic and anthropometric factors can indicate the risk of CKD, and a composite scoring system combining these indices could effectively differentiate between individuals at risk and those who are not, enhancing CKD management.
Article Abstract
Purpose: The roles of metabolic indices in predicting chronic kidney disease (CKD) were lacking. This study aimed to examine the concomitant impact of metabolic and novel anthropometric indices on incident CKD in the Chinese populations.
Methods: This prospective cohort study included 1825 males and 2218 females aged between 45 and 85 years, derived from the ongoing prospectively cohort of China Health and Retirement Longitudinal Study (CHARLS), from 2011 to 2015. The outcome was defined as an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m.
Results: During the 5-years follow-up period, 3.0% (55/1825) of males and 4.1% (90/2218) of the females developed CKD. After multivariable adjustment, elevated triglyceride (TG), low high-density lipoprotein cholesterol (HDL-C), serum uric acid (sUA), elevated visceral fat index (VFI), elevated body shape index (BSI) and elevated body roundness index (BRI) in males, and sUA, and BRI in females were the independent predictors for CKD. Composite scores, composed of sUA, history of cardiovascular disease (CVD), waist circumstance (WC), HDL-C, and BRI in males and sUA, hypertension, and BRI in females were constructed that could accurately predict CKD.
Conclusion: Our study found that elevated levels of TG, sUA, BSI, BRI, and diminished HDL in males and elevated levels of sUA, and BRI in females, are indicative of the incident CKD. The composite score, integrating a history of disease, metabolic indices, and noval anthropometric indices, could accurately differentiate individuals with and without incident CKD, proving useful for CKD care and management.
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