Aortic Stiffness and Kidney Disease in an Elderly Population
Background/Aims: The causes of chronic kidney disease (CKD) in older people are not well understood. Aortic stiffness increases with age and results in the transmission of increased pulsatility into the kidney microvasculature, potentially contributing to CKD in older populations. Methods: We utiliz...
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| Veröffentlicht in: | American journal of nephrology 2015-01, Vol.41 (4-5), p.320-328 |
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| creator | Michener, Katherine H. Mitchell, Gary F. Noubary, Farzad Huang, Naya Harris, Tamara Andresdottir, Margret B. Palsson, Runolfur Gudnason, Vilmundur Levey, Andrew S. |
| description | Background/Aims: The causes of chronic kidney disease (CKD) in older people are not well understood. Aortic stiffness increases with age and results in the transmission of increased pulsatility into the kidney microvasculature, potentially contributing to CKD in older populations. Methods: We utilized data from the Age, Gene/Environment, Susceptibility-Reykjavik Study, a community-based prospective cohort study of cardiovascular disease (CVD) in Iceland. The relationship of carotid pulse pressure (CPP) and carotid-femoral pulse wave velocity (CFPWV) with estimated glomerular filtration rate (eGFR) based on creatinine and cystatin C and urine albumin-creatinine ratio (ACR) was assessed using linear regression, adjusting for demographics and CVD risk factors. Results: 940 participants (mean (SD) age 75.8 (4.7) years, mean (SD) CFPWV 12.9 (4.2) m/s, mean (SD) CPP 69 (21) mm Hg, mean (SD) eGFR 68 (16) ml/min/1.73 m 2 , and median (IQR) ACR 3 (2-6) mg/g) were included in this study. At CPP greater than 85 mm Hg, a higher CPP was associated with a lower eGFR in unadjusted analyses but not after adjustment. CPP was significantly associated with a higher ACR in fully adjusted models (β (95% CI) = 0.14 (0.03, 0.24) ln mg/g per SD). Higher CFPWV was associated with lower eGFR and higher ACR in unadjusted analyses but not after adjustment. Conclusion: Greater aortic stiffness may be associated with modestly higher levels of albuminuria in the elderly. The association between aortic stiffness and lower eGFR may be confounded by age and CVD risk factors. |
| doi_str_mv | 10.1159/000431332 |
| format | Article |
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Aortic stiffness increases with age and results in the transmission of increased pulsatility into the kidney microvasculature, potentially contributing to CKD in older populations. Methods: We utilized data from the Age, Gene/Environment, Susceptibility-Reykjavik Study, a community-based prospective cohort study of cardiovascular disease (CVD) in Iceland. The relationship of carotid pulse pressure (CPP) and carotid-femoral pulse wave velocity (CFPWV) with estimated glomerular filtration rate (eGFR) based on creatinine and cystatin C and urine albumin-creatinine ratio (ACR) was assessed using linear regression, adjusting for demographics and CVD risk factors. Results: 940 participants (mean (SD) age 75.8 (4.7) years, mean (SD) CFPWV 12.9 (4.2) m/s, mean (SD) CPP 69 (21) mm Hg, mean (SD) eGFR 68 (16) ml/min/1.73 m 2 , and median (IQR) ACR 3 (2-6) mg/g) were included in this study. At CPP greater than 85 mm Hg, a higher CPP was associated with a lower eGFR in unadjusted analyses but not after adjustment. CPP was significantly associated with a higher ACR in fully adjusted models (β (95% CI) = 0.14 (0.03, 0.24) ln mg/g per SD). Higher CFPWV was associated with lower eGFR and higher ACR in unadjusted analyses but not after adjustment. Conclusion: Greater aortic stiffness may be associated with modestly higher levels of albuminuria in the elderly. The association between aortic stiffness and lower eGFR may be confounded by age and CVD risk factors.</description><identifier>ISSN: 0250-8095</identifier><identifier>EISSN: 1421-9670</identifier><identifier>DOI: 10.1159/000431332</identifier><identifier>PMID: 26067356</identifier><identifier>CODEN: AJNED9</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Aged ; Aged, 80 and over ; Albuminuria - epidemiology ; Albuminuria - urine ; Aorta - physiopathology ; Arterial occlusive diseases ; Arterial Pressure ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - physiopathology ; Care and treatment ; Carotid Arteries ; Cohort Studies ; Creatinine - blood ; Creatinine - urine ; Cystatin C - blood ; Diagnosis ; Female ; Femoral Artery ; Geriatric research ; Glomerular Filtration Rate ; Humans ; Iceland ; Kidney diseases ; Linear Models ; Male ; Microvessels ; Original Report: Patient-Oriented, Translational Research ; Prospective Studies ; Pulse Wave Analysis ; Renal Circulation ; Renal Insufficiency, Chronic - epidemiology ; Vascular Stiffness</subject><ispartof>American journal of nephrology, 2015-01, Vol.41 (4-5), p.320-328</ispartof><rights>2015 National Institutes of Health (NIH). Published by S. Karger AG, Basel</rights><rights>2015 National Institutes of Health (NIH). Published by S. Karger AG, Basel.</rights><rights>COPYRIGHT 2015 S. Karger AG</rights><rights>Copyright (c) 2015 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-e153dd81a1b0db5196e4e5c0a2de5f4f540d5e45deb2fb9122d19ea95d194f9d3</citedby><cites>FETCH-LOGICAL-c455t-e153dd81a1b0db5196e4e5c0a2de5f4f540d5e45deb2fb9122d19ea95d194f9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,782,786,887,2433,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26067356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Michener, Katherine H.</creatorcontrib><creatorcontrib>Mitchell, Gary F.</creatorcontrib><creatorcontrib>Noubary, Farzad</creatorcontrib><creatorcontrib>Huang, Naya</creatorcontrib><creatorcontrib>Harris, Tamara</creatorcontrib><creatorcontrib>Andresdottir, Margret B.</creatorcontrib><creatorcontrib>Palsson, Runolfur</creatorcontrib><creatorcontrib>Gudnason, Vilmundur</creatorcontrib><creatorcontrib>Levey, Andrew S.</creatorcontrib><title>Aortic Stiffness and Kidney Disease in an Elderly Population</title><title>American journal of nephrology</title><addtitle>Am J Nephrol</addtitle><description>Background/Aims: The causes of chronic kidney disease (CKD) in older people are not well understood. Aortic stiffness increases with age and results in the transmission of increased pulsatility into the kidney microvasculature, potentially contributing to CKD in older populations. Methods: We utilized data from the Age, Gene/Environment, Susceptibility-Reykjavik Study, a community-based prospective cohort study of cardiovascular disease (CVD) in Iceland. The relationship of carotid pulse pressure (CPP) and carotid-femoral pulse wave velocity (CFPWV) with estimated glomerular filtration rate (eGFR) based on creatinine and cystatin C and urine albumin-creatinine ratio (ACR) was assessed using linear regression, adjusting for demographics and CVD risk factors. Results: 940 participants (mean (SD) age 75.8 (4.7) years, mean (SD) CFPWV 12.9 (4.2) m/s, mean (SD) CPP 69 (21) mm Hg, mean (SD) eGFR 68 (16) ml/min/1.73 m 2 , and median (IQR) ACR 3 (2-6) mg/g) were included in this study. At CPP greater than 85 mm Hg, a higher CPP was associated with a lower eGFR in unadjusted analyses but not after adjustment. CPP was significantly associated with a higher ACR in fully adjusted models (β (95% CI) = 0.14 (0.03, 0.24) ln mg/g per SD). Higher CFPWV was associated with lower eGFR and higher ACR in unadjusted analyses but not after adjustment. Conclusion: Greater aortic stiffness may be associated with modestly higher levels of albuminuria in the elderly. The association between aortic stiffness and lower eGFR may be confounded by age and CVD risk factors.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Albuminuria - epidemiology</subject><subject>Albuminuria - urine</subject><subject>Aorta - physiopathology</subject><subject>Arterial occlusive diseases</subject><subject>Arterial Pressure</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Care and treatment</subject><subject>Carotid Arteries</subject><subject>Cohort Studies</subject><subject>Creatinine - blood</subject><subject>Creatinine - urine</subject><subject>Cystatin C - blood</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Femoral Artery</subject><subject>Geriatric research</subject><subject>Glomerular Filtration Rate</subject><subject>Humans</subject><subject>Iceland</subject><subject>Kidney diseases</subject><subject>Linear Models</subject><subject>Male</subject><subject>Microvessels</subject><subject>Original Report: Patient-Oriented, Translational Research</subject><subject>Prospective Studies</subject><subject>Pulse Wave Analysis</subject><subject>Renal Circulation</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Vascular Stiffness</subject><issn>0250-8095</issn><issn>1421-9670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpd0VFrFDEQB_Agij2rD76LLAiiD6tJNpPdgAhHbatYUFCfQ3Yze5eaS67JrnDf3pS7HtqngeSXITN_Qp4z-o4xUO8ppaJhTcMfkAUTnNVKtvQhWVAOtO6oghPyJOdrShnvaPuYnHBJZduAXJAPy5gmN1Q_JjeOAXOuTLDVV2cD7qpPLqPJWLlQTqtzbzH5XfU9bmdvJhfDU_JoND7js0M9Jb8uzn-efa6vvl1-OVte1YMAmGpk0FjbMcN6antgSqJAGKjhFmEUIwhqAQVY7PnYK8a5ZQqNglLEqGxzSj7u-27nfoN2wDAl4_U2uY1JOx2N0__fBLfWq_hHC2ACGlkavDk0SPFmxjzpjcsDem8CxjlrJlWnJBecF_rqHr2OcwplPM1aCm3XgmiLer1XK-NRr9H4aZ2jn2-3kvVSNrIDDkALfLuHQ4o5JxyPv2ZU34anj-EV-_LfMY_yLq0CXuzBb5NWmI7g8P4vT4Sb5w</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Michener, Katherine H.</creator><creator>Mitchell, Gary F.</creator><creator>Noubary, Farzad</creator><creator>Huang, Naya</creator><creator>Harris, Tamara</creator><creator>Andresdottir, Margret B.</creator><creator>Palsson, Runolfur</creator><creator>Gudnason, Vilmundur</creator><creator>Levey, Andrew S.</creator><general>S. Karger AG</general><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>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150101</creationdate><title>Aortic Stiffness and Kidney Disease in an Elderly Population</title><author>Michener, Katherine H. ; Mitchell, Gary F. ; Noubary, Farzad ; Huang, Naya ; Harris, Tamara ; Andresdottir, Margret B. ; Palsson, Runolfur ; Gudnason, Vilmundur ; Levey, Andrew S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-e153dd81a1b0db5196e4e5c0a2de5f4f540d5e45deb2fb9122d19ea95d194f9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Albuminuria - epidemiology</topic><topic>Albuminuria - urine</topic><topic>Aorta - physiopathology</topic><topic>Arterial occlusive diseases</topic><topic>Arterial Pressure</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - physiopathology</topic><topic>Care and treatment</topic><topic>Carotid Arteries</topic><topic>Cohort Studies</topic><topic>Creatinine - blood</topic><topic>Creatinine - urine</topic><topic>Cystatin C - blood</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Femoral Artery</topic><topic>Geriatric research</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Iceland</topic><topic>Kidney diseases</topic><topic>Linear Models</topic><topic>Male</topic><topic>Microvessels</topic><topic>Original Report: Patient-Oriented, Translational Research</topic><topic>Prospective Studies</topic><topic>Pulse Wave Analysis</topic><topic>Renal Circulation</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Vascular Stiffness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Michener, Katherine H.</creatorcontrib><creatorcontrib>Mitchell, Gary F.</creatorcontrib><creatorcontrib>Noubary, Farzad</creatorcontrib><creatorcontrib>Huang, Naya</creatorcontrib><creatorcontrib>Harris, Tamara</creatorcontrib><creatorcontrib>Andresdottir, Margret B.</creatorcontrib><creatorcontrib>Palsson, Runolfur</creatorcontrib><creatorcontrib>Gudnason, Vilmundur</creatorcontrib><creatorcontrib>Levey, Andrew S.</creatorcontrib><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>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</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)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Michener, Katherine H.</au><au>Mitchell, Gary F.</au><au>Noubary, Farzad</au><au>Huang, Naya</au><au>Harris, Tamara</au><au>Andresdottir, Margret B.</au><au>Palsson, Runolfur</au><au>Gudnason, Vilmundur</au><au>Levey, Andrew S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic Stiffness and Kidney Disease in an Elderly Population</atitle><jtitle>American journal of nephrology</jtitle><addtitle>Am J Nephrol</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>41</volume><issue>4-5</issue><spage>320</spage><epage>328</epage><pages>320-328</pages><issn>0250-8095</issn><eissn>1421-9670</eissn><coden>AJNED9</coden><abstract>Background/Aims: The causes of chronic kidney disease (CKD) in older people are not well understood. Aortic stiffness increases with age and results in the transmission of increased pulsatility into the kidney microvasculature, potentially contributing to CKD in older populations. Methods: We utilized data from the Age, Gene/Environment, Susceptibility-Reykjavik Study, a community-based prospective cohort study of cardiovascular disease (CVD) in Iceland. The relationship of carotid pulse pressure (CPP) and carotid-femoral pulse wave velocity (CFPWV) with estimated glomerular filtration rate (eGFR) based on creatinine and cystatin C and urine albumin-creatinine ratio (ACR) was assessed using linear regression, adjusting for demographics and CVD risk factors. Results: 940 participants (mean (SD) age 75.8 (4.7) years, mean (SD) CFPWV 12.9 (4.2) m/s, mean (SD) CPP 69 (21) mm Hg, mean (SD) eGFR 68 (16) ml/min/1.73 m 2 , and median (IQR) ACR 3 (2-6) mg/g) were included in this study. At CPP greater than 85 mm Hg, a higher CPP was associated with a lower eGFR in unadjusted analyses but not after adjustment. CPP was significantly associated with a higher ACR in fully adjusted models (β (95% CI) = 0.14 (0.03, 0.24) ln mg/g per SD). Higher CFPWV was associated with lower eGFR and higher ACR in unadjusted analyses but not after adjustment. Conclusion: Greater aortic stiffness may be associated with modestly higher levels of albuminuria in the elderly. The association between aortic stiffness and lower eGFR may be confounded by age and CVD risk factors.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>26067356</pmid><doi>10.1159/000431332</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Albuminuria - epidemiology Albuminuria - urine Aorta - physiopathology Arterial occlusive diseases Arterial Pressure Cardiovascular Diseases - epidemiology Cardiovascular Diseases - physiopathology Care and treatment Carotid Arteries Cohort Studies Creatinine - blood Creatinine - urine Cystatin C - blood Diagnosis Female Femoral Artery Geriatric research Glomerular Filtration Rate Humans Iceland Kidney diseases Linear Models Male Microvessels Original Report: Patient-Oriented, Translational Research Prospective Studies Pulse Wave Analysis Renal Circulation Renal Insufficiency, Chronic - epidemiology Vascular Stiffness |
| title | Aortic Stiffness and Kidney Disease in an Elderly Population |
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