The Relation of C - Reactive Protein to Chronic Kidney Disease in African Americans: The Jackson Heart StudyReportar como inadecuado


The Relation of C - Reactive Protein to Chronic Kidney Disease in African Americans: The Jackson Heart Study


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Citation

Fox, Ervin R., Emelia J. Benjamin, Daniel F. Sarpong, Harsha Nagarajarao, Jason K. Taylor, Michael W. Steffes, Abdullah K. Salahudeen, Michael F. Flessner, Ermeg L. Akylbekova, Caroline S. Fox, Robert J. Garrison, Herman A. Taylor. -The relation of C - reactive protein to chronic kidney disease in African Americans: the Jackson Heart Study- BMC Nephrology 11:1. 2010

Abstract

BACKGROUND: African Americans have an increased incidence and worse prognosis with chronic kidney disease CKD - estimated glomerular filtration rate eGFR <60 ml-min-1.73 m2 than their counterparts of European-descent. Inflammation has been related to renal disease in non-Hispanic whites, but there are limited data on the role of inflammation in renal dysfunction in African Americans in the community. METHODS: We examined the cross-sectional relation of log transformed C-reactive protein CRP to renal function eGFR by Modification of Diet and Renal Disease equation in African American participants of the community-based Jackson Heart Study-s first examination 2000 to 2004. We conducted multivariable linear regression relating CRP to eGFR adjusting for age, sex, body mass index, systolic and diastolic blood pressure, diabetes, total-HDL cholesterol, triglycerides, smoking, antihypertensive therapy, lipid lowering therapy, hormone replacement therapy, and prevalent cardiovascular disease events. In a secondary analysis we assessed the association of CRP with albuminuria defined as albumin-to-creatinine ratio > 30 mg-g. RESULTS: Participants n = 4320, 63.2% women had a mean age ± SD of 54.0 ± 12.8 years. The prevalence of CKD was 5.2% n = 228 cases. In multivariable regression, CRP concentrations were higher in those with CKD compared to those without CKD mean CRP 3.2 ± 1.1 mg-L vs. 2.4 ± 1.0 mg-L, respectively p < 0.0001. CRP was significantly associated with albuminuria in sex and age adjusted model however not in the multivariable adjusted model p > 0.05. CONCLUSION: CRP was associated with CKD however not albuminuria in multivariable-adjusted analyses. The study of inflammation in the progression of renal disease in African Americans merits further investigation.Rights

Copyright 2010 Fox et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http:-creativecommons.org-licenses-by-2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

MED: Medicine Papers - SPH Epidemiology Papers -



Autor: Fox, Ervin R. - Benjamin, Emelia J. - Sarpong, Daniel F. - Nagarajarao, Harsha - Taylor, Jason K. - Steffes, Michael W. - Salahud

Fuente: https://open.bu.edu/







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