期刊
JOURNAL OF CLINICAL HYPERTENSION
卷 20, 期 4, 页码 775-783出版社
WILEY
DOI: 10.1111/jch.13239
关键词
African American; albuminuria; chronic kidney disease; CKD progression; estimated glomerular filtration rate; rapid kidney function decline; uric acid
资金
- National Heart, Lung, and Blood Institute [HHSN268201300046C, HHSN268201300047C, HHSN268201300048C, HHSN268201300049C, HHSN268201300050C]
- National Institute on Minority Health and Health Disparities
- NIH National Institute of Diabetes, Digestive, and Kidney Disease [R01DK102134-01]
- Veterans Affairs Puget Sound Health Care System
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [R01DK102134] Funding Source: NIH RePORTER
Whether elevated uric acid (UA) is an independent risk factor for chronic kidney disease (CKD) is not well established. The authors evaluated the relationship of UA with rapid kidney function decline (RKFD) and incident CKD among 3702 African Americans (AAs) in the Jackson Heart Study with serum UA levels measured at baseline exam (2000-2004). RKFD was defined as 30% eGFR loss and incident CKD as development of eGFR <60mL/min/1.73m(2) with a 25% decline in eGFR between baseline and exam 3 (2009-2013). RKFD and CKD were found in 11.4% and 7.5% of the participants, respectively. In a fully adjusted model, the odds of RKFD (OR, 1.8; 95% CI, 1.25-2.49) and incident CKD (OR, 2.00; 95% CI, 1.31-3.06) were significantly higher among participants in the top UA quartile vs bottom quartile. In the JHS, elevated UA was significantly associated with RKFD and incident CKD.
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