The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.

Approximately 26.3 million people in the United States have chronic kidney disease and many more are at risk of developing the condition. The association between specific metabolic syndrome components and chronic kidney disease in African American individuals is uncertain.Baseline data from 4,933 pa...

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Main Authors: Vincent L Mendy, Mario J Azevedo, Daniel F Sarpong, Sylvia E Rosas, Olugbemiga T Ekundayo, Jung Hye Sung, Azad R Bhuiyan, Brenda C Jenkins, Clifton Addison
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4081650?pdf=render
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author Vincent L Mendy
Mario J Azevedo
Daniel F Sarpong
Sylvia E Rosas
Olugbemiga T Ekundayo
Jung Hye Sung
Azad R Bhuiyan
Brenda C Jenkins
Clifton Addison
author_facet Vincent L Mendy
Mario J Azevedo
Daniel F Sarpong
Sylvia E Rosas
Olugbemiga T Ekundayo
Jung Hye Sung
Azad R Bhuiyan
Brenda C Jenkins
Clifton Addison
author_sort Vincent L Mendy
collection DOAJ
description Approximately 26.3 million people in the United States have chronic kidney disease and many more are at risk of developing the condition. The association between specific metabolic syndrome components and chronic kidney disease in African American individuals is uncertain.Baseline data from 4,933 participants of the Jackson Heart Study were analyzed. Logistic regression models were used to estimate the odds and 95% confidence intervals of chronic kidney disease associated with individual components, metabolic syndrome, the number of components, and specific combinations of metabolic syndrome components.Metabolic syndrome was common with a prevalence of 42.0%. Chronic kidney disease was present in 19.4% of participants. The prevalence of metabolic components was high: elevated blood pressure (71.8%), abdominal obesity (65.8%), low fasting high density lipoprotein cholesterol (37.3%), elevated fasting glucose (32.2%) and elevated triglycerides (16.2%). Elevated blood pressure, triglycerides, fasting blood glucose, and abdominal obesity were significantly associated with increased odds of chronic kidney disease. Participants with metabolic syndrome had a 2.22-fold (adjusted odds ratio (AOR) 2.22; 95% CI, 1.78-2.78) increase in the odds of chronic kidney disease compared to participants without metabolic syndrome. The combination of elevated fasting glucose, elevated triglycerides, and abdominal obesity was associated with the highest odds for chronic kidney disease (AOR 25.11; 95% CI, 6.94-90.90).Metabolic syndrome as well as individual or combinations of metabolic syndrome components are independently associated with chronic kidney disease in African American adults.
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spelling doaj.art-b754e41505ac4796b0c84a066fc700132022-12-22T03:02:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10161010.1371/journal.pone.0101610The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.Vincent L MendyMario J AzevedoDaniel F SarpongSylvia E RosasOlugbemiga T EkundayoJung Hye SungAzad R BhuiyanBrenda C JenkinsClifton AddisonApproximately 26.3 million people in the United States have chronic kidney disease and many more are at risk of developing the condition. The association between specific metabolic syndrome components and chronic kidney disease in African American individuals is uncertain.Baseline data from 4,933 participants of the Jackson Heart Study were analyzed. Logistic regression models were used to estimate the odds and 95% confidence intervals of chronic kidney disease associated with individual components, metabolic syndrome, the number of components, and specific combinations of metabolic syndrome components.Metabolic syndrome was common with a prevalence of 42.0%. Chronic kidney disease was present in 19.4% of participants. The prevalence of metabolic components was high: elevated blood pressure (71.8%), abdominal obesity (65.8%), low fasting high density lipoprotein cholesterol (37.3%), elevated fasting glucose (32.2%) and elevated triglycerides (16.2%). Elevated blood pressure, triglycerides, fasting blood glucose, and abdominal obesity were significantly associated with increased odds of chronic kidney disease. Participants with metabolic syndrome had a 2.22-fold (adjusted odds ratio (AOR) 2.22; 95% CI, 1.78-2.78) increase in the odds of chronic kidney disease compared to participants without metabolic syndrome. The combination of elevated fasting glucose, elevated triglycerides, and abdominal obesity was associated with the highest odds for chronic kidney disease (AOR 25.11; 95% CI, 6.94-90.90).Metabolic syndrome as well as individual or combinations of metabolic syndrome components are independently associated with chronic kidney disease in African American adults.http://europepmc.org/articles/PMC4081650?pdf=render
spellingShingle Vincent L Mendy
Mario J Azevedo
Daniel F Sarpong
Sylvia E Rosas
Olugbemiga T Ekundayo
Jung Hye Sung
Azad R Bhuiyan
Brenda C Jenkins
Clifton Addison
The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.
PLoS ONE
title The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.
title_full The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.
title_fullStr The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.
title_full_unstemmed The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.
title_short The association between individual and combined components of metabolic syndrome and chronic kidney disease among African Americans: the Jackson Heart Study.
title_sort association between individual and combined components of metabolic syndrome and chronic kidney disease among african americans the jackson heart study
url http://europepmc.org/articles/PMC4081650?pdf=render
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