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Association between prediabetes (defined by HbA1 C , fasting plasma glucose, and impaired glucose tolerance) and the development of chronic kidney disease: a 9-year prospective cohort study.
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- Author(s): Kim GS;Kim GS; Oh HH; Oh HH; Kim SH; Kim SH; Kim BO; Kim BO; Byun YS; Byun YS
- Source:
BMC nephrology [BMC Nephrol] 2019 Apr 16; Vol. 20 (1), pp. 130. Date of Electronic Publication: 2019 Apr 16.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 100967793 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2369 (Electronic) Linking ISSN: 14712369 NLM ISO Abbreviation: BMC Nephrol Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2000-
- Subject Terms: Glucose Intolerance*/blood ; Glucose Intolerance*/diagnosis ; Glucose Intolerance*/epidemiology ; Prediabetic State*/blood ; Prediabetic State*/epidemiology ; Renal Insufficiency, Chronic*/diagnosis ; Renal Insufficiency, Chronic*/epidemiology; Glycated Hemoglobin/*analysis; Blood Glucose/analysis ; Early Diagnosis ; Female ; Glomerular Filtration Rate ; Humans ; Incidence ; Male ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Republic of Korea/epidemiology ; Risk Assessment ; Risk Factors
- Abstract: Background: The aim of the present study was to investigate the clinical impact of prediabetes on the development of incident chronic kidney disease (CKD) in a Korean adult population, using data from the Korea Genome and Epidemiology Study.
Methods: This prospective cohort study included 7728 Korean adults without baseline CKD and type 2 diabetes. Prediabetes was defined by impaired fasting glucose (IFG), impaired glucose tolerance (IGT), and HbA1C level. CKD was defined as estimated glomerular filtration rate < 60 mL/min/1.73 m 2 . We assessed the predictive value of prediabetes for the incidence of CKD, and investigated the incidence of cardiovascular disease including coronary artery disease and stroke.
Results: Over a median follow-up period of 8.7 years, 871 of 7728 (11.3%) subjects developed incident CKD. Patients with prediabetes, as defined by IGT or HbA1C , developed incident CKD more frequently than the non-prediabetic group did. The risk of CKD development at follow-up was analyzed according to different prediabetes definitions. Compared with the non-prediabetic group, the IGT- (Hazard ratio [HR] = 1.135, 95% confidence interval [CI] = 1.182-1.310, P = 0.043) and HbA1C -defined prediabetic groups (HR = 1.391, 95% CI = 1.213-1.595, P < 0.001) were significantly associated with incident CKD after adjusting for traditional CKD risk factors; however, IFG was not associated with incident CKD.
Conclusion: IGT- or HbA1C -defined prediabetes is an independent predictor of incident CKD. The measurement of these parameters might enable early detection of CKD risk, allowing physicians to initiate preventive measures and improve patient outcomes. - References: Am J Kidney Dis. 2008 Mar;51(3):373-84. (PMID: 18295053)
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Korean J Intern Med. 2016 Sep;31(5):920-9. (PMID: 26759157) - Contributed Indexing: Keywords: Cardiovascular disease; Chronic kidney disease; General population; Prediabetes
- Accession Number: 0 (Blood Glucose)
0 (Glycated Hemoglobin A) - Publication Date: Date Created: 20190418 Date Completed: 20200423 Latest Revision: 20221207
- Publication Date: 20221213
- Accession Number: PMC6469043
- Accession Number: 10.1186/s12882-019-1307-0
- Accession Number: 30992067
- Source:
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