Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women
Aims: The present study aimed to investigate relationships among abdominal obesity, metabolic abnormalities, and the prevalence of chronic kidney disease (CKD) in relatively lean Japanese men and women. Participants and methods: The participants included 8133 men and 15 934 women between 40 and 75...
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| Format: | Article |
| Language: | English |
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Japan Epidemiological Association
2016-08-01
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| Series: | Journal of Epidemiology |
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| Online Access: | https://www.jstage.jst.go.jp/article/jea/26/8/26_JE20150208/_pdf |
| _version_ | 1818971665224171520 |
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| author | Masaru Sakurai |
| author_facet | Masaru Sakurai |
| author_sort | Masaru Sakurai |
| collection | DOAJ |
| description | Aims: The present study aimed to investigate relationships among abdominal obesity, metabolic abnormalities, and
the prevalence of chronic kidney disease (CKD) in relatively lean Japanese men and women.
Participants and methods: The participants included 8133 men and 15 934 women between 40 and 75 years of
age recruited from the government health check-up center in Kanazawa City, Japan. The prevalence of abdominal
obesity, high blood pressure, dyslipidemia, and high fasting plasma glucose levels were assessed according to the
Japanese criteria for metabolic syndrome. The estimated glomerular filtration rate (eGFR) was calculated using the
modified Modification of Diet in Renal Disease equation for the Japanese population, and participants with an eGFR
<60 mL/min/1.73 m2 and/or proteinuria were diagnosed with CKD.
Results: Overall, 23% of males and 14% of females met criteria for CKD. Having more numerous complicated
metabolic abnormalities was significantly associated with a higher odds ratio (OR) of CKD for men and women,
irrespective of abdominal obesity. However, there was a sex difference in the OR of CKD for obese participants
without metabolic abnormalities, such that abdominal obesity without metabolic abnormalities was significantly
associated with a higher OR for men (multivariate-adjusted OR 1.63; 95% confidence interval [CI], 1.16–2.28) but
not for women (OR 1.01; 95% CI, 0.71–1.44).
Conclusions: The present findings demonstrated that obesity without metabolic abnormalities was associated with
a higher risk of CKD in men but not women in a relatively lean Japanese population. |
| first_indexed | 2024-12-20T14:55:56Z |
| format | Article |
| id | doaj.art-95fe6f326ec9492ab263cdb8f3b87b13 |
| institution | Directory Open Access Journal |
| issn | 0917-5040 1349-9092 |
| language | English |
| last_indexed | 2024-12-20T14:55:56Z |
| publishDate | 2016-08-01 |
| publisher | Japan Epidemiological Association |
| record_format | Article |
| series | Journal of Epidemiology |
| spelling | doaj.art-95fe6f326ec9492ab263cdb8f3b87b132022-12-21T19:36:53ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922016-08-0126844044610.2188/jea.JE20150208Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and WomenMasaru SakuraiAims: The present study aimed to investigate relationships among abdominal obesity, metabolic abnormalities, and the prevalence of chronic kidney disease (CKD) in relatively lean Japanese men and women. Participants and methods: The participants included 8133 men and 15 934 women between 40 and 75 years of age recruited from the government health check-up center in Kanazawa City, Japan. The prevalence of abdominal obesity, high blood pressure, dyslipidemia, and high fasting plasma glucose levels were assessed according to the Japanese criteria for metabolic syndrome. The estimated glomerular filtration rate (eGFR) was calculated using the modified Modification of Diet in Renal Disease equation for the Japanese population, and participants with an eGFR <60 mL/min/1.73 m2 and/or proteinuria were diagnosed with CKD. Results: Overall, 23% of males and 14% of females met criteria for CKD. Having more numerous complicated metabolic abnormalities was significantly associated with a higher odds ratio (OR) of CKD for men and women, irrespective of abdominal obesity. However, there was a sex difference in the OR of CKD for obese participants without metabolic abnormalities, such that abdominal obesity without metabolic abnormalities was significantly associated with a higher OR for men (multivariate-adjusted OR 1.63; 95% confidence interval [CI], 1.16–2.28) but not for women (OR 1.01; 95% CI, 0.71–1.44). Conclusions: The present findings demonstrated that obesity without metabolic abnormalities was associated with a higher risk of CKD in men but not women in a relatively lean Japanese population.https://www.jstage.jst.go.jp/article/jea/26/8/26_JE20150208/_pdfabdominal obesity; chronic kidney disease; metabolic syndrome; sex differences |
| spellingShingle | Masaru Sakurai Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women Journal of Epidemiology abdominal obesity; chronic kidney disease; metabolic syndrome; sex differences |
| title | Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women |
| title_full | Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women |
| title_fullStr | Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women |
| title_full_unstemmed | Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women |
| title_short | Sex Differences in Associations Among Obesity, Metabolic Abnormalities, and Chronic Kidney Disease in Japanese Men and Women |
| title_sort | sex differences in associations among obesity metabolic abnormalities and chronic kidney disease in japanese men and women |
| topic | abdominal obesity; chronic kidney disease; metabolic syndrome; sex differences |
| url | https://www.jstage.jst.go.jp/article/jea/26/8/26_JE20150208/_pdf |
| work_keys_str_mv | AT masarusakurai sexdifferencesinassociationsamongobesitymetabolicabnormalitiesandchronickidneydiseaseinjapanesemenandwomen |