Interaction effect of blood glucose and pressure on the risk of chronic kidney disease: a population-based prospective cohort study.


Journal

Endocrine
ISSN: 1559-0100
Titre abrégé: Endocrine
Pays: United States
ID NLM: 9434444

Informations de publication

Date de publication:
08 2022
Historique:
received: 24 11 2021
accepted: 23 05 2022
pubmed: 2 7 2022
medline: 29 7 2022
entrez: 1 7 2022
Statut: ppublish

Résumé

To evaluate the interaction effect of blood glucose and blood pressure on the risk of chronic kidney disease (CKD). 31,165 subjects were selected without CKD at baseline and had completed the first follow-up from "Jinchang cohort". Cox regression model and restricted cubic splines functions were used to evaluate the effects of blood glucose or pressure on the incidence of CKD and dose-response relationship after adjusting for confounding covariates. Synergic effect was assessed by the multiplicative or additive interaction scale. Among 31,165 subjects, 1307 new-onset CKD were observed during 68905.78 person-years follow-up, and the incidence density was 18.97 per 1000 person-years. The risk of CKD gradually increased with the increase of blood pressure in diabetes, pre-diabetes and normal groups (P Blood glucose and pressure were independent risk factors in incidence of CKD, but there was only a negative multiplicative interaction between hypertension and diabetes, but no additive interaction effect between them.

Identifiants

pubmed: 35778587
doi: 10.1007/s12020-022-03094-9
pii: 10.1007/s12020-022-03094-9
doi:

Substances chimiques

Blood Glucose 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

252-261

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Minzhen Wang (M)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Miao Xia (M)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Hongyan Yang (H)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Desheng Zhang (D)

Workers' Hospital of Jinchuan Group Co, Ltd, Jinchang, 737100, Gansu, China.

Yanan Zhao (Y)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Yingqian He (Y)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Jing Liu (J)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Lulu Zhang (L)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.

Chun Yin (C)

Workers' Hospital of Jinchuan Group Co, Ltd, Jinchang, 737100, Gansu, China. yinchun0217@sina.com.

Yana Bai (Y)

Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China. baiyana@lzu.edu.cn.

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