Academic Journal
Association between Body Mass Index and Chronic Kidney Disease in Asian Populations: A Participant-level Meta-Analysis
| العنوان: | Association between Body Mass Index and Chronic Kidney Disease in Asian Populations: A Participant-level Meta-Analysis |
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| المساهمون: | Bjorn Kaijun Betzler, Rehena Sultana, Riswana Banu, Yih Chung Tham, Cynthia Ciwei Lim, Ya Xing Wang, Vinay Nangia, E Shyong Tai, Tyler Hyungtaek Rim, Mukharram M Bikbov, Jost B Jonas, Ching-Yu Cheng, Charumathi Sabanayagam, Rim, Tyler Hyungtaek |
| بيانات النشر: | Elsevier/North Holland Biomedical Press |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Aged, Asians / statistics & numerical data, Body Mass Index, Female, Glomerular Filtration Rate, Humans, Male, Middle Aged, Obesity / complications, Obesity / epidemiology, Overweight / complications, Overweight / epidemiology, Renal Insufficiency, Chronic / ethnology, Chronic / etiology, Risk Factors, Asian, Chronic kidney disease, Obesity |
| الوصف: | 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. ; restriction |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0378-5122 1873-4111 |
| Relation: | MATURITAS; J02190; OAK-2022-05360; https://ir.ymlib.yonsei.ac.kr/handle/22282913/191109; https://www.sciencedirect.com/science/article/pii/S037851222100267X; T999202275; MATURITAS, Vol.154 : 46-54, 2021-12 |
| DOI: | 10.1016/j.maturitas.2021.09.005 |
| الاتاحة: | https://ir.ymlib.yonsei.ac.kr/handle/22282913/191109 https://doi.org/10.1016/j.maturitas.2021.09.005 https://www.sciencedirect.com/science/article/pii/S037851222100267X |
| Rights: | CC BY-NC-ND 2.0 KR |
| رقم الانضمام: | edsbas.3527FAAF |
| قاعدة البيانات: | BASE |
| تدمد: | 03785122 18734111 |
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| DOI: | 10.1016/j.maturitas.2021.09.005 |