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Association between Body Mass Index and Chronic Kidney Disease in Asian Populations: A Participant-level Meta-Analysis

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机构: [1]Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore [2]Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore [3]Duke NUS Med Sch, Ctr Quantitat Med, Singapore, Singapore [4]Duke NUS Med Sch, Ophthalmol & Visual Sci Acad, Clin Program, Singapore, Singapore [5]Singapore Gen Hosp, Dept Renal Med, Singapore, Singapore [6]Capital Med Univ, Beijing Tongren Hosp, Beijing Tongren Eye Ctr, Beijing Inst Ophthalmol,Beijing Ophthalmol & Visu, Beijing, Peoples R China [7]Suraj Eye Inst, Nagpur, Maharashtra, India [8]Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore [9]Yonsei Univ, Coll Med, Dept Ophthalmol, Seoul, South Korea [10]Ufa Eye Res Inst, Ufa, Russia [11]Heidelberg Univ, Med Fac Mannheim, Dept Ophthalmol, Mannheim, Germany [12]Inst Mol & Clin Ophthalmol Basel, Basel, Switzerland
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关键词: Asian Body Mass Index Chronic kidney disease Obesity

摘要:
Obesity and chronic kidney disease (CKD) are major public health problems worldwide. However, the association between body mass index (BMI) and CKD is inconclusive in Asians. In this meta-analysis, eight population-based studies, from China, India, Russia (Asian), Singapore and South Korea, provided individual-level data (n=50037). CKD was defined as an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2. BMI was analyzed both as a continuous variable and in three categories: <25kg/m2, normal; 25-29.9kg/m2, overweight; and >= 30kg/m2, obese. The association between BMI and CKD was evaluated in each study using multivariable logistic regression models and individual estimates were pooled using random-effect meta-analysis to obtain the pooled odds ratio (OR) and 95% confidence interval (CI). Associations were also evaluated in subgroups of age, gender, smoking, diabetes, and hypertension status. Of 50037 adults, 4258 (8.5%) had CKD. 13328 (26.6%) individuals were overweight while 4440 (8.9%) were obese. The prevalence of any CKD ranged from 3.5% to 29.1% across studies. In pooled analysis, both overweight and obesity were associated with increased odds of CKD, with pooled OR (95% CI) of 1.15 (1.03-1.29) and 1.23 (1.06-1.42), respectively. In subgroup analyses, significant associations between BMI and CKD were observed in adult males, non-smokers, and those with diabetes and arterial hypertension (all p<0.05). When evaluated as a continuous variable, BMI was not significantly associated with CKD. If confirmed in longitudinal studies, these results may have clinical implications in risk stratification and preventive measures, given that obesity and CKD are two major chronic diseases with substantial public health burden worldwide.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 2 区 妇产科学 3 区 老年医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 老年医学 2 区 妇产科学
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出版当年[2019]版:
Q1 OBSTETRICS & GYNECOLOGY Q2 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q1 OBSTETRICS & GYNECOLOGY Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore [2]Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore
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通讯机构: [2]Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore [4]Duke NUS Med Sch, Ophthalmol & Visual Sci Acad, Clin Program, Singapore, Singapore [*1]Acad, Singapore Eye Res Inst, 20 Coll Rd,Discovery Tower Level 6, Singapore 169856, Singapore
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