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ABSTRACT: Objective
The prevalence of chronic kidney disease (CKD) is increasing globally, and CKD is closely related to cardiovascular disease (CVD). CKD and CVD share several risk factors (RF), such as diabetes, hypertension, obesity and smoking, and the prevalence of these RF has changed during the last decades, and we aimed to study the effect on renal function over time.Design
Repeated cross-sectional population-based studies.Setting
The two Northern counties (Norr- and Västerbotten) in Sweden.Participants
Within the MONitoring Trends and Determinants of CArdiovascular Disease (MONICA) study, seven surveys were performed between 1986 and 2014, including participants aged 25-64 years (n=10 185).Interventions
None.Measures
Information on anthropometry, blood pressure and cardiovascular risk factors was collected. Creatinine and cystatin C were analysed in stored blood samples and the estimated glomerular filtration rate (eGFR) calculated using the creatinine-based Lund-Malmö revised and Chronic Kidney Disease Epidemiology Collaboration (eGFRcrea) equations as well as the cystatin C-based Caucasian, Asian, Paediatric and Adult cohort (CAPA) equation (eGFRcysC). Renal function over time was analysed using univariable and multivariable linear regression models.Results
Renal function, both eGFRcrea and eGFRcysC, decreased over time (both p<0.001) and differed between counties and sexes. In a multivariable analysis, study year remained inversely associated with both eGFRcrea and eGFRcysC (both p<0.001) after adjustment for classical cardiovascular RF.Conclusion
Renal function has deteriorated in Northern Sweden between 1986 and 2014.
SUBMITTER: de Man Lapidoth J
PROVIDER: S-EPMC10471859 | biostudies-literature | 2023 Aug
REPOSITORIES: biostudies-literature
de Man Lapidoth Julia J Hultdin Johan J Jonsson P Andreas PA Eriksson Svensson Maria M Wennberg Maria M Zeller Tanja T Söderberg Stefan S
BMJ open 20230830 8
<h4>Objective</h4>The prevalence of chronic kidney disease (CKD) is increasing globally, and CKD is closely related to cardiovascular disease (CVD). CKD and CVD share several risk factors (RF), such as diabetes, hypertension, obesity and smoking, and the prevalence of these RF has changed during the last decades, and we aimed to study the effect on renal function over time.<h4>Design</h4>Repeated cross-sectional population-based studies.<h4>Setting</h4>The two Northern counties (Norr- and Väster ...[more]