Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006

Background: The objective of this study was designed to illustrate the association between cardiovascular risk factors and CKD. Methods: Subjects aged between 30 and 74 who participated in the National Health and Nutrition Examination Survey (2003-2006) were included for analysis, and Framingham ris...

Full description

Bibliographic Details
Main Authors: Chien Yu Lina, Jou WeiLinaa
Format: Article
Language:English
Published: The Korean Society of Nephrology 2012-06-01
Series:Kidney Research and Clinical Practice
Online Access:http://www.sciencedirect.com/science/article/pii/S2211913212004998
_version_ 1818515575037493248
author Chien Yu Lina
Jou WeiLinaa
author_facet Chien Yu Lina
Jou WeiLinaa
author_sort Chien Yu Lina
collection DOAJ
description Background: The objective of this study was designed to illustrate the association between cardiovascular risk factors and CKD. Methods: Subjects aged between 30 and 74 who participated in the National Health and Nutrition Examination Survey (2003-2006) were included for analysis, and Framingham risk score was calculated. Glomerular filtration rate was estimated (eGFR) by the Modification of Diet in Renal Disease (MDRD) Equation, and CKD was defined as eGFR less than 60 ml/min/1.73m2. Results: A total of 2524 men (mean age: 51±13) and 2516 women (mean age: 50±13) completed both cardiovascular risk assessment and renal function evaluation. The proportion of Mexican Hispanic, other Hispanic, whites, blacks, and other races was 20.4%, 3.1%, 51.9%, 20.4%, and 4.2%, respectively. The 10-year coronary risk, defined as high (>=20%), intermediate (10∼20%), and low (< 10%) was assigned to 374 (14.8%), 654 ( 25.9%), and 1496 (59.3%) male subjects, and to 44 (1.7%), 365 (14.5%), and 2107 (83.7%) female subjects. The crude prevalence of CKD was 5.7% in men and 7.2% in women. The markers of renal function including serum creatinine, estimate GFR, percentage of CKD, urine albumin/creatinine ratio and percentage of microalbuminuria all correlated with the degree of Framingham risk score. Male subjects in the high- and intermediate-CHD-risk group was positively associated with the risk of microalbuminuria in subjects with normal GFR ≧ 90cc/min/1.73m2 (odds ratio:, 95% CI:, p < 0.001, and OR:, 95% CI:, p < 0.001) as compared to those in the low-CHD-risk group. In the female, the odds ratio was (high risk vs. low risk, 95% CI:, p < 0.001) and (intermediate risk vs. low risk: 95% CI:, p < 0.001). Male subjects in the high- and intermediate-CHD-risk group was positively associated … Conclusion: The population-based cohort has demonstrated that Framingham risk score could be used as a potential predictor not only for future CHD but also for concurrent CKD.
first_indexed 2024-12-11T00:30:39Z
format Article
id doaj.art-a4336c2535434059b6bbad0c63bc621d
institution Directory Open Access Journal
issn 2211-9132
language English
last_indexed 2024-12-11T00:30:39Z
publishDate 2012-06-01
publisher The Korean Society of Nephrology
record_format Article
series Kidney Research and Clinical Practice
spelling doaj.art-a4336c2535434059b6bbad0c63bc621d2022-12-22T01:27:21ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322012-06-01312A5210.1016/j.krcp.2012.04.466Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006Chien Yu LinaJou WeiLinaaBackground: The objective of this study was designed to illustrate the association between cardiovascular risk factors and CKD. Methods: Subjects aged between 30 and 74 who participated in the National Health and Nutrition Examination Survey (2003-2006) were included for analysis, and Framingham risk score was calculated. Glomerular filtration rate was estimated (eGFR) by the Modification of Diet in Renal Disease (MDRD) Equation, and CKD was defined as eGFR less than 60 ml/min/1.73m2. Results: A total of 2524 men (mean age: 51±13) and 2516 women (mean age: 50±13) completed both cardiovascular risk assessment and renal function evaluation. The proportion of Mexican Hispanic, other Hispanic, whites, blacks, and other races was 20.4%, 3.1%, 51.9%, 20.4%, and 4.2%, respectively. The 10-year coronary risk, defined as high (>=20%), intermediate (10∼20%), and low (< 10%) was assigned to 374 (14.8%), 654 ( 25.9%), and 1496 (59.3%) male subjects, and to 44 (1.7%), 365 (14.5%), and 2107 (83.7%) female subjects. The crude prevalence of CKD was 5.7% in men and 7.2% in women. The markers of renal function including serum creatinine, estimate GFR, percentage of CKD, urine albumin/creatinine ratio and percentage of microalbuminuria all correlated with the degree of Framingham risk score. Male subjects in the high- and intermediate-CHD-risk group was positively associated with the risk of microalbuminuria in subjects with normal GFR ≧ 90cc/min/1.73m2 (odds ratio:, 95% CI:, p < 0.001, and OR:, 95% CI:, p < 0.001) as compared to those in the low-CHD-risk group. In the female, the odds ratio was (high risk vs. low risk, 95% CI:, p < 0.001) and (intermediate risk vs. low risk: 95% CI:, p < 0.001). Male subjects in the high- and intermediate-CHD-risk group was positively associated … Conclusion: The population-based cohort has demonstrated that Framingham risk score could be used as a potential predictor not only for future CHD but also for concurrent CKD.http://www.sciencedirect.com/science/article/pii/S2211913212004998
spellingShingle Chien Yu Lina
Jou WeiLinaa
Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006
Kidney Research and Clinical Practice
title Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006
title_full Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006
title_fullStr Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006
title_full_unstemmed Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006
title_short Association Of Framingham Risk Score With Chronic Kidney Disease – Insight From National Health And Nutrition Examination Survey 2003-2006
title_sort association of framingham risk score with chronic kidney disease insight from national health and nutrition examination survey 2003 2006
url http://www.sciencedirect.com/science/article/pii/S2211913212004998
work_keys_str_mv AT chienyulina associationofframinghamriskscorewithchronickidneydiseaseinsightfromnationalhealthandnutritionexaminationsurvey20032006
AT jouweilinaa associationofframinghamriskscorewithchronickidneydiseaseinsightfromnationalhealthandnutritionexaminationsurvey20032006