Titre :
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Prediction of Cardiovascular Disease Mortality by Proteinuria and Reduced Kidney Function : Pooled Analysis of 39,000 Individuals From 7 Cohort Studies in Japan (2013)
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Auteurs :
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Masaharu NAGATA ;
Epoch-Japan Research Group (Japon) ;
Toshiharu NINOMIYA ;
Department of Environmental Medicine, Kyushu University (Fukuoka, Japon) ;
Yutaka KIYOHARA ;
Department of Medicine and Clinical Science, Kyushu University (Fukuoka, Japon) ;
Yoshitaka Murakami ;
Fujiko IRIE ;
Department of Health Science, Shiga University of Medical Science (Otsu, Japon) ;
Toshimi SAIRENCHI ;
Katsuyuki MIURA ;
Tomonori OKAMURA ;
Hirotsugu UESHIMA
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Type de document :
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Article
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Dans :
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American journal of epidemiology (vol. 178, n° 1, Juillet 2013)
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Pagination :
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1-11
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Langues:
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Anglais
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Mots-clés :
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Protéinurie
;
Cardiopathie coronaire
;
Insuffisance rénale
;
Homme
;
Japon
;
Epidémiologie
;
Asie
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Résumé :
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[BDSP. Notice produite par INIST-CNRS GAnR0xlF. Diffusion soumise à autorisation]. There are limited studies addressing whether proteinuria and estimated glomerular filtration rate (eGFR) are independently associated with cardiovascular disease in Asia. Using data from 7 prospective cohorts recruited between 1980 and 1994 in Japan, we assessed the influence of proteinuria (>=1+on dipstick) and reduced eGFR on the risk of cardiovascular disease mortality in 39,405 participants (40-89 years) without kidney failure. During a 10.1-year follow-up, 1,927 subjects died from cardiovascular disease. Proteinuria was associated with a 1.75-fold (95% confidence interval (Cl) : 1.44,2.11) increased risk of cardiovascular disease mortality after adjustment for potential confounding factors. Additionally, the multivariate-adjusted hazard ratio of cardiovascular disease mortality increased linearly with lower eGFR levels (Ptrend=90 mL/minute/1.73 m2. Subjects with both proteinuria and eGFR of
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