Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program
Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program. The Kidney Early Evaluation Program (KEEP 2.0) cross-sectional, community-based study, targeted individuals at increased risk for kidney disease and measured blood glucose, creat...
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| Veröffentlicht in: | Kidney international 2005-04, Vol.67 (4), p.1483-1488 |
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| container_title | Kidney international |
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| creator | El-Achkar, Tarek M. Ohmit, Suzanne E. Mccullough, Peter A. Crook, Errol D. Brown, Wendy W. Grimm, Richard Bakris, George L. Keane, William F. Flack, John M. |
| description | Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program.
The Kidney Early Evaluation Program (KEEP 2.0) cross-sectional, community-based study, targeted individuals at increased risk for kidney disease and measured blood glucose, creatinine, and hemoglobin.
KEEP 2.0 screening data were used to determine the prevalence of anemia by level of kidney function and diabetes status. Estimated glomerular filtration rate (EGFR) was calculated using serum creatinine values, and categorized as ≥90, 60–89, 30–59 and 200 mg/dL.
Data were available on 5380 participants screened from August 2000 through December 2001. Diabetes was present in 26.9% of participants, and anemia in 7.7%; 15.9% of participants had at least moderately reduced kidney function (EGFR |
| doi_str_mv | 10.1111/j.1523-1755.2005.00226.x |
| format | Article |
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The Kidney Early Evaluation Program (KEEP 2.0) cross-sectional, community-based study, targeted individuals at increased risk for kidney disease and measured blood glucose, creatinine, and hemoglobin.
KEEP 2.0 screening data were used to determine the prevalence of anemia by level of kidney function and diabetes status. Estimated glomerular filtration rate (EGFR) was calculated using serum creatinine values, and categorized as ≥90, 60–89, 30–59 and <30 mL/min/1.73m2. Anemia was defined as hemoglobin <12 g/dL in men and in women aged >50 years, and <11 g/dL in women ≤50 years. Diabetes was defined as participant-reported diagnosis, fasting glucose >125 mg/dL, or nonfasting glucose >200 mg/dL.
Data were available on 5380 participants screened from August 2000 through December 2001. Diabetes was present in 26.9% of participants, and anemia in 7.7%; 15.9% of participants had at least moderately reduced kidney function (EGFR <60 mL/min/1.73m2). In participants with diabetes, anemia prevalence at the 4 levels of descending EGFR were 8.7%, 7.5%, 22.2%, and 52.4%, compared with 6.9%, 5.0%, 7.9%, and 50.0% in persons without diabetes. In a multivariable model, participants of non-white race/ethnicity, those with diabetes and those with EGFR <30 or 30–59 mL/min/1.73m2 had significantly increased odds of anemia. In addition, a significant sex-diabetes interaction was identified; odds of anemia were 4-fold greater in men than women with diabetes relative to sex-matched participants without diabetes.
Diabetes was independently correlated with anemia, more so in men than women, and may be linked to premature expression of anemia in persons with moderate reductions in kidney function.</description><identifier>ISSN: 0085-2538</identifier><identifier>EISSN: 1523-1755</identifier><identifier>DOI: 10.1111/j.1523-1755.2005.00226.x</identifier><identifier>PMID: 15780101</identifier><identifier>CODEN: KDYIA5</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; anemia ; Anemia - epidemiology ; Anemias. Hemoglobinopathies ; Biological and medical sciences ; diabetes ; Diabetic Nephropathies - complications ; Diabetic Nephropathies - physiopathology ; Diseases of red blood cells ; estimated glomerular filtration rate ; Female ; Hematologic and hematopoietic diseases ; hemoglobin ; Humans ; Hypertension - complications ; K/DOQI ; kidney disease ; kidney function ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Renal Insufficiency - complications ; Renal Insufficiency - etiology ; Renal Insufficiency - physiopathology ; United States</subject><ispartof>Kidney international, 2005-04, Vol.67 (4), p.1483-1488</ispartof><rights>2005 International Society of Nephrology</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Apr 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-f154147de48cc63458779f16015a0eb2a62a14445cef184656791f19bcef769e3</citedby><cites>FETCH-LOGICAL-c501t-f154147de48cc63458779f16015a0eb2a62a14445cef184656791f19bcef769e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/210126828?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16661617$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15780101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Achkar, Tarek M.</creatorcontrib><creatorcontrib>Ohmit, Suzanne E.</creatorcontrib><creatorcontrib>Mccullough, Peter A.</creatorcontrib><creatorcontrib>Crook, Errol D.</creatorcontrib><creatorcontrib>Brown, Wendy W.</creatorcontrib><creatorcontrib>Grimm, Richard</creatorcontrib><creatorcontrib>Bakris, George L.</creatorcontrib><creatorcontrib>Keane, William F.</creatorcontrib><creatorcontrib>Flack, John M.</creatorcontrib><creatorcontrib>Kidney Early Evaluation Program</creatorcontrib><title>Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program</title><title>Kidney international</title><addtitle>Kidney Int</addtitle><description>Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program.
The Kidney Early Evaluation Program (KEEP 2.0) cross-sectional, community-based study, targeted individuals at increased risk for kidney disease and measured blood glucose, creatinine, and hemoglobin.
KEEP 2.0 screening data were used to determine the prevalence of anemia by level of kidney function and diabetes status. Estimated glomerular filtration rate (EGFR) was calculated using serum creatinine values, and categorized as ≥90, 60–89, 30–59 and <30 mL/min/1.73m2. Anemia was defined as hemoglobin <12 g/dL in men and in women aged >50 years, and <11 g/dL in women ≤50 years. Diabetes was defined as participant-reported diagnosis, fasting glucose >125 mg/dL, or nonfasting glucose >200 mg/dL.
Data were available on 5380 participants screened from August 2000 through December 2001. Diabetes was present in 26.9% of participants, and anemia in 7.7%; 15.9% of participants had at least moderately reduced kidney function (EGFR <60 mL/min/1.73m2). In participants with diabetes, anemia prevalence at the 4 levels of descending EGFR were 8.7%, 7.5%, 22.2%, and 52.4%, compared with 6.9%, 5.0%, 7.9%, and 50.0% in persons without diabetes. In a multivariable model, participants of non-white race/ethnicity, those with diabetes and those with EGFR <30 or 30–59 mL/min/1.73m2 had significantly increased odds of anemia. In addition, a significant sex-diabetes interaction was identified; odds of anemia were 4-fold greater in men than women with diabetes relative to sex-matched participants without diabetes.
Diabetes was independently correlated with anemia, more so in men than women, and may be linked to premature expression of anemia in persons with moderate reductions in kidney function.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>anemia</subject><subject>Anemia - epidemiology</subject><subject>Anemias. Hemoglobinopathies</subject><subject>Biological and medical sciences</subject><subject>diabetes</subject><subject>Diabetic Nephropathies - complications</subject><subject>Diabetic Nephropathies - physiopathology</subject><subject>Diseases of red blood cells</subject><subject>estimated glomerular filtration rate</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>hemoglobin</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>K/DOQI</subject><subject>kidney disease</subject><subject>kidney function</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Renal Insufficiency - complications</subject><subject>Renal Insufficiency - etiology</subject><subject>Renal Insufficiency - physiopathology</subject><subject>United States</subject><issn>0085-2538</issn><issn>1523-1755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU1vEzEQhi0EomnhJ4AsJLjt4vH6Y5dbqQpFVIJDOVuOd9w47Eewd0vy7-s0UStxwQdb43nm1cy8hFBgJeTzcV2C5FUBWsqSMyZLxjhX5fYZWTwmnpMFY7UsuKzqE3Ka0prluKnYS3ICUtcMGCzI9ircrjDSTcQ72-HgkI6e2gH7YOnfMK1oG-wSJ0y0x64L05xoGGg_thjthPR3aAfc5a80ex9cyAq7T_RmhfT7IXNpY5fvLD7bKYwD_RnH22j7V-SFt13C18f3jPz6cnlzcVVc__j67eL8unCSwVR4kAKEblHUzqlKyFrrxoNiIC3DJbeKWxBCSIceaqGk0g14aJY51qrB6ox8OOhu4vhnxjSZPiSXR8kzjnMySstKc8Ey-O4fcD3Occi9GZ5XxVXN6wzVB8jFMaWI3mxi6G3cGWBmb41Zm70DZu-A2VtjHqwx21z69qg_L3tsnwqPXmTg_RGwydnORzu4kJ44pRQo0Jl7c-AGO80RHwEhGgkNz_nPhzzmtd4FjCY9-IJtiOgm047h_93eA8u1toI</recordid><startdate>20050401</startdate><enddate>20050401</enddate><creator>El-Achkar, Tarek M.</creator><creator>Ohmit, Suzanne E.</creator><creator>Mccullough, Peter A.</creator><creator>Crook, Errol D.</creator><creator>Brown, Wendy W.</creator><creator>Grimm, Richard</creator><creator>Bakris, George L.</creator><creator>Keane, William F.</creator><creator>Flack, John M.</creator><general>Elsevier Inc</general><general>Nature Publishing</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20050401</creationdate><title>Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program</title><author>El-Achkar, Tarek M. ; Ohmit, Suzanne E. ; Mccullough, Peter A. ; Crook, Errol D. ; Brown, Wendy W. ; Grimm, Richard ; Bakris, George L. ; Keane, William F. ; Flack, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c501t-f154147de48cc63458779f16015a0eb2a62a14445cef184656791f19bcef769e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>anemia</topic><topic>Anemia - epidemiology</topic><topic>Anemias. Hemoglobinopathies</topic><topic>Biological and medical sciences</topic><topic>diabetes</topic><topic>Diabetic Nephropathies - complications</topic><topic>Diabetic Nephropathies - physiopathology</topic><topic>Diseases of red blood cells</topic><topic>estimated glomerular filtration rate</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>hemoglobin</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>K/DOQI</topic><topic>kidney disease</topic><topic>kidney function</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Renal Insufficiency - complications</topic><topic>Renal Insufficiency - etiology</topic><topic>Renal Insufficiency - physiopathology</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El-Achkar, Tarek M.</creatorcontrib><creatorcontrib>Ohmit, Suzanne E.</creatorcontrib><creatorcontrib>Mccullough, Peter A.</creatorcontrib><creatorcontrib>Crook, Errol D.</creatorcontrib><creatorcontrib>Brown, Wendy W.</creatorcontrib><creatorcontrib>Grimm, Richard</creatorcontrib><creatorcontrib>Bakris, George L.</creatorcontrib><creatorcontrib>Keane, William F.</creatorcontrib><creatorcontrib>Flack, John M.</creatorcontrib><creatorcontrib>Kidney Early Evaluation Program</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Kidney international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>El-Achkar, Tarek M.</au><au>Ohmit, Suzanne E.</au><au>Mccullough, Peter A.</au><au>Crook, Errol D.</au><au>Brown, Wendy W.</au><au>Grimm, Richard</au><au>Bakris, George L.</au><au>Keane, William F.</au><au>Flack, John M.</au><aucorp>Kidney Early Evaluation Program</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program</atitle><jtitle>Kidney international</jtitle><addtitle>Kidney Int</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>67</volume><issue>4</issue><spage>1483</spage><epage>1488</epage><pages>1483-1488</pages><issn>0085-2538</issn><eissn>1523-1755</eissn><coden>KDYIA5</coden><abstract>Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program.
The Kidney Early Evaluation Program (KEEP 2.0) cross-sectional, community-based study, targeted individuals at increased risk for kidney disease and measured blood glucose, creatinine, and hemoglobin.
KEEP 2.0 screening data were used to determine the prevalence of anemia by level of kidney function and diabetes status. Estimated glomerular filtration rate (EGFR) was calculated using serum creatinine values, and categorized as ≥90, 60–89, 30–59 and <30 mL/min/1.73m2. Anemia was defined as hemoglobin <12 g/dL in men and in women aged >50 years, and <11 g/dL in women ≤50 years. Diabetes was defined as participant-reported diagnosis, fasting glucose >125 mg/dL, or nonfasting glucose >200 mg/dL.
Data were available on 5380 participants screened from August 2000 through December 2001. Diabetes was present in 26.9% of participants, and anemia in 7.7%; 15.9% of participants had at least moderately reduced kidney function (EGFR <60 mL/min/1.73m2). In participants with diabetes, anemia prevalence at the 4 levels of descending EGFR were 8.7%, 7.5%, 22.2%, and 52.4%, compared with 6.9%, 5.0%, 7.9%, and 50.0% in persons without diabetes. In a multivariable model, participants of non-white race/ethnicity, those with diabetes and those with EGFR <30 or 30–59 mL/min/1.73m2 had significantly increased odds of anemia. In addition, a significant sex-diabetes interaction was identified; odds of anemia were 4-fold greater in men than women with diabetes relative to sex-matched participants without diabetes.
Diabetes was independently correlated with anemia, more so in men than women, and may be linked to premature expression of anemia in persons with moderate reductions in kidney function.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15780101</pmid><doi>10.1111/j.1523-1755.2005.00226.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; Alma/SFX Local Collection |
| subjects | Adult Age Distribution Aged Aged, 80 and over anemia Anemia - epidemiology Anemias. Hemoglobinopathies Biological and medical sciences diabetes Diabetic Nephropathies - complications Diabetic Nephropathies - physiopathology Diseases of red blood cells estimated glomerular filtration rate Female Hematologic and hematopoietic diseases hemoglobin Humans Hypertension - complications K/DOQI kidney disease kidney function Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Renal Insufficiency - complications Renal Insufficiency - etiology Renal Insufficiency - physiopathology United States |
| title | Higher prevalence of anemia with diabetes mellitus in moderate kidney insufficiency: The Kidney Early Evaluation Program |
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