Risk factors for chronic kidney disease are present decades before diagnosis

June 26, 2014

Risk factors for chronic kidney disease (CKD) are present and identifiable 30 years before diagnosis, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN). The findings suggest avenues for future research to determine whether certain early interventions can prevent future kidney disease.

Approximately 60 million people globally have CKD. Caroline S. Fox, MD MPH, Gearoid McMahon, MB, BCh (National Heart Lung and Blood Institute's Framingham Heart Study and the Center for Population Studies), and their colleagues investigated whether CKD risk factors might be present decades before the diagnosis of CKD. "One of the benefits of the Framingham Heart Study is that we have a very long duration of follow-up. As a result, we are able to look far back in time prior to when individuals develop a disease to examine their risk factors," said Dr. Fox.

The researchers identified 441 new cases of CKD among participants of the Framingham Heart Study, and they matched them with 882 controls who did not develop CKD. Those who ultimately developed CKD were 76% more likely to have had hypertension, 71% more likely to have been obese, and 43% more likely to have had higher triglycerides 30 years before CKD diagnosis. They were also 38% more likely to have had hypertension, 35% more likely to have had higher triglyceride levels, and nearly 3-times more likely to have had diabetes 20 years before CKD . The more risk factors an individual had in the past, the more likely they were to develop CKD.

"This research shows that these risk factors are present long before the disease is diagnosed. This is important because it suggests that we should be addressing these earlier in life to potentially prevent future disease," said Dr. McMahon.

Explore further: Chronic kidney disease a recipe for kidney failure? Not necessarily

More information: The article, entitled "Mid-Adulthood Risk Factor Profiles for CKD," will appear online at jasn.asnjournals.org/ on June 26, 2014.

Related Stories

Nonalcoholic fatty liver disease linked to CKD in T1DM

April 9, 2014

(HealthDay)—For patients with type 1 diabetes, nonalcoholic fatty liver disease (NAFLD) is independently associated with the risk of incident chronic kidney disease (CKD), according to a study published online April 2 in ...

Recommended for you

In sub-Saharan Africa, cancer can be an infectious disease

August 26, 2016

In 1963, Irish surgeon Denis Parson Burkitt airmailed samples of an unusual jaw tumor found in Ugandan children to his colleague, Anthony Epstein, at Middlesex Hospital in London. Epstein, an expert in chicken viruses and ...

Zika virus may persist in the vagina days after infection

August 25, 2016

The Zika virus reproduces in the vaginal tissue of pregnant mice several days after infection, according to a study by Yale researchers. From the genitals, the virus spreads and infects the fetal brain, impairing fetal development. ...

Team discovers how Zika virus causes fetal brain damage

August 24, 2016

Infection by the Zika virus diverts a key protein necessary for neural cell division in the developing human fetus, thereby causing the birth defect microcephaly, a team of Yale scientists reported Aug. 24 in the journal ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.