Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study
Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ku, Elaine [verfasserIn] Vittinghoff, Eric [verfasserIn] Jacobs, David R. [verfasserIn] Lewis, Cora E. [verfasserIn] Allen, Norrina B. [verfasserIn] Bibbins-Domingo, Kirsten [verfasserIn] Shlipak, Michael [verfasserIn] Kramer, Holly [verfasserIn] Peralta, Carmen A. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: American journal of kidney diseases - Philadelphia, Pa. : Elsevier Saunders, 1981, 72, Seite 243-250 |
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| Übergeordnetes Werk: |
volume:72 ; pages:243-250 |
| DOI / URN: |
10.1053/j.ajkd.2017.12.015 |
|---|
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ELV000090638 |
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| 245 | 1 | 0 | |a Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study |
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| 520 | |a Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. | ||
| 650 | 4 | |a Blood pressure | |
| 650 | 4 | |a SBP | |
| 650 | 4 | |a DBP | |
| 650 | 4 | |a hypertension | |
| 650 | 4 | |a BP slope | |
| 650 | 4 | |a kidney function | |
| 650 | 4 | |a estimated glomerular filtration rate (eGFR) | |
| 650 | 4 | |a eGFR trajectory | |
| 650 | 4 | |a young adulthood | |
| 650 | 4 | |a modifiable risk factor | |
| 650 | 4 | |a renal outcome | |
| 650 | 4 | |a kidney function | |
| 700 | 1 | |a Vittinghoff, Eric |e verfasserin |4 aut | |
| 700 | 1 | |a Jacobs, David R. |e verfasserin |4 aut | |
| 700 | 1 | |a Lewis, Cora E. |e verfasserin |4 aut | |
| 700 | 1 | |a Allen, Norrina B. |e verfasserin |4 aut | |
| 700 | 1 | |a Bibbins-Domingo, Kirsten |e verfasserin |4 aut | |
| 700 | 1 | |a Shlipak, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Kramer, Holly |e verfasserin |4 aut | |
| 700 | 1 | |a Peralta, Carmen A. |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t American journal of kidney diseases |d Philadelphia, Pa. : Elsevier Saunders, 1981 |g 72, Seite 243-250 |h Online-Ressource |w (DE-627)320593169 |w (DE-600)2019205-8 |w (DE-576)091138760 |x 1523-6838 |7 nnns |
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10.1053/j.ajkd.2017.12.015 doi (DE-627)ELV000090638 (ELSEVIER)S0272-6386(18)30106-9 DE-627 ger DE-627 rda eng 610 DE-600 44.88 bkl Ku, Elaine verfasserin aut Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. Blood pressure SBP DBP hypertension BP slope kidney function estimated glomerular filtration rate (eGFR) eGFR trajectory young adulthood modifiable risk factor renal outcome kidney function Vittinghoff, Eric verfasserin aut Jacobs, David R. verfasserin aut Lewis, Cora E. verfasserin aut Allen, Norrina B. verfasserin aut Bibbins-Domingo, Kirsten verfasserin aut Shlipak, Michael verfasserin aut Kramer, Holly verfasserin aut Peralta, Carmen A. verfasserin aut Enthalten in American journal of kidney diseases Philadelphia, Pa. : Elsevier Saunders, 1981 72, Seite 243-250 Online-Ressource (DE-627)320593169 (DE-600)2019205-8 (DE-576)091138760 1523-6838 nnns volume:72 pages:243-250 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2011 GBV_ILN_4305 44.88 Urologie Nephrologie AR 72 243-250 |
| spelling |
10.1053/j.ajkd.2017.12.015 doi (DE-627)ELV000090638 (ELSEVIER)S0272-6386(18)30106-9 DE-627 ger DE-627 rda eng 610 DE-600 44.88 bkl Ku, Elaine verfasserin aut Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. Blood pressure SBP DBP hypertension BP slope kidney function estimated glomerular filtration rate (eGFR) eGFR trajectory young adulthood modifiable risk factor renal outcome kidney function Vittinghoff, Eric verfasserin aut Jacobs, David R. verfasserin aut Lewis, Cora E. verfasserin aut Allen, Norrina B. verfasserin aut Bibbins-Domingo, Kirsten verfasserin aut Shlipak, Michael verfasserin aut Kramer, Holly verfasserin aut Peralta, Carmen A. verfasserin aut Enthalten in American journal of kidney diseases Philadelphia, Pa. : Elsevier Saunders, 1981 72, Seite 243-250 Online-Ressource (DE-627)320593169 (DE-600)2019205-8 (DE-576)091138760 1523-6838 nnns volume:72 pages:243-250 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2011 GBV_ILN_4305 44.88 Urologie Nephrologie AR 72 243-250 |
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10.1053/j.ajkd.2017.12.015 doi (DE-627)ELV000090638 (ELSEVIER)S0272-6386(18)30106-9 DE-627 ger DE-627 rda eng 610 DE-600 44.88 bkl Ku, Elaine verfasserin aut Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. Blood pressure SBP DBP hypertension BP slope kidney function estimated glomerular filtration rate (eGFR) eGFR trajectory young adulthood modifiable risk factor renal outcome kidney function Vittinghoff, Eric verfasserin aut Jacobs, David R. verfasserin aut Lewis, Cora E. verfasserin aut Allen, Norrina B. verfasserin aut Bibbins-Domingo, Kirsten verfasserin aut Shlipak, Michael verfasserin aut Kramer, Holly verfasserin aut Peralta, Carmen A. verfasserin aut Enthalten in American journal of kidney diseases Philadelphia, Pa. : Elsevier Saunders, 1981 72, Seite 243-250 Online-Ressource (DE-627)320593169 (DE-600)2019205-8 (DE-576)091138760 1523-6838 nnns volume:72 pages:243-250 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2011 GBV_ILN_4305 44.88 Urologie Nephrologie AR 72 243-250 |
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10.1053/j.ajkd.2017.12.015 doi (DE-627)ELV000090638 (ELSEVIER)S0272-6386(18)30106-9 DE-627 ger DE-627 rda eng 610 DE-600 44.88 bkl Ku, Elaine verfasserin aut Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. Blood pressure SBP DBP hypertension BP slope kidney function estimated glomerular filtration rate (eGFR) eGFR trajectory young adulthood modifiable risk factor renal outcome kidney function Vittinghoff, Eric verfasserin aut Jacobs, David R. verfasserin aut Lewis, Cora E. verfasserin aut Allen, Norrina B. verfasserin aut Bibbins-Domingo, Kirsten verfasserin aut Shlipak, Michael verfasserin aut Kramer, Holly verfasserin aut Peralta, Carmen A. verfasserin aut Enthalten in American journal of kidney diseases Philadelphia, Pa. : Elsevier Saunders, 1981 72, Seite 243-250 Online-Ressource (DE-627)320593169 (DE-600)2019205-8 (DE-576)091138760 1523-6838 nnns volume:72 pages:243-250 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2011 GBV_ILN_4305 44.88 Urologie Nephrologie AR 72 243-250 |
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10.1053/j.ajkd.2017.12.015 doi (DE-627)ELV000090638 (ELSEVIER)S0272-6386(18)30106-9 DE-627 ger DE-627 rda eng 610 DE-600 44.88 bkl Ku, Elaine verfasserin aut Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. Blood pressure SBP DBP hypertension BP slope kidney function estimated glomerular filtration rate (eGFR) eGFR trajectory young adulthood modifiable risk factor renal outcome kidney function Vittinghoff, Eric verfasserin aut Jacobs, David R. verfasserin aut Lewis, Cora E. verfasserin aut Allen, Norrina B. verfasserin aut Bibbins-Domingo, Kirsten verfasserin aut Shlipak, Michael verfasserin aut Kramer, Holly verfasserin aut Peralta, Carmen A. verfasserin aut Enthalten in American journal of kidney diseases Philadelphia, Pa. : Elsevier Saunders, 1981 72, Seite 243-250 Online-Ressource (DE-627)320593169 (DE-600)2019205-8 (DE-576)091138760 1523-6838 nnns volume:72 pages:243-250 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2011 GBV_ILN_4305 44.88 Urologie Nephrologie AR 72 243-250 |
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However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. 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610 DE-600 44.88 bkl Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study Blood pressure SBP DBP hypertension BP slope kidney function estimated glomerular filtration rate (eGFR) eGFR trajectory young adulthood modifiable risk factor renal outcome |
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Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study |
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Ku, Elaine Vittinghoff, Eric Jacobs, David R. Lewis, Cora E. Allen, Norrina B. Bibbins-Domingo, Kirsten Shlipak, Michael Kramer, Holly Peralta, Carmen A. |
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changes in blood pressure during young adulthood and subsequent kidney function decline: findings from the coronary artery risk development in young adulthood (cardia) study |
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Changes in Blood Pressure During Young Adulthood and Subsequent Kidney Function Decline: Findings From the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study |
| abstract |
Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. |
| abstractGer |
Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. |
| abstract_unstemmed |
Background: Many studies have focused on the association between a single blood pressure (BP) measurement and risk for adverse outcomes. However, the association of BP trajectories during young adulthood with subsequent decline in kidney function has not been well defined.Study Design: Observational cohort study.Setting & Participants: 3,429 participants in the Coronary Artery Risk Development in Young Adulthood (CARDIA) Study enrolled between the ages of 18 and 30 years.Predictors: BP slope during the first 10 years of participation in CARDIA, derived from linear mixed models incorporating all repeated BP measures.Outcome: Decline in estimated glomerular filtration rate (eGFR) during the interval between years 10 and 20 of CARDIA participation using cystatin C measured at years 10, 15, and 20.Results: Mean age of CARDIA participants at year 0 was 25.1 years, 56% were women, and 53% were white. Every 10–mmHg higher level of systolic (SBP) and diastolic BP (DBP) in year 10 was associated with change in eGFR of −0.09 (95% CI, −0.13 to −0.06) and −0.07 (95% CI, −0.12 to −0.03) mL/min/1.73m2 per year, respectively. Every 10–mmHg increase in SBP slope between years 0 and 10 was associated with a subsequent −0.52 (95% CI, −1.02 to −0.03) mL/min/1.73m2 per year change in kidney function after adjustment for comorbid conditions and SBP at year 10. Similarly, every 10–mmHg increase in DBP slope between years 0 and 10 was associated with a subsequent change in kidney function of −0.65 (95% CI, −1.23 to −0.07) mL/min/1.73m2 per year, after adjustment for comorbid conditions and DBP in year 10.Limitations: Observational design.Conclusions: During young adulthood, increasing SBP and DBP are associated with a higher rate of subsequent kidney function decline, independent of BP measured at the beginning of eGFR assessment. |
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Vittinghoff, Eric Jacobs, David R. Lewis, Cora E. Allen, Norrina B. Bibbins-Domingo, Kirsten Shlipak, Michael Kramer, Holly Peralta, Carmen A. |
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