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Reduced risk for chronic kidney disease after recovery from metabolic syndrome: A nationwide population-based study

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Author(s)
김예림
Alternative Author(s)
Kim, Yae Rim
Publication Year
2020
Keyword
Chronic kidney diseasesDiabetes mellitusDyslipidemiaHypertensionMetabolic syndromeObesity
Abstract
Background:
Metabolic syndrome (MetS) is linked to various chronic comorbidities, including chronic kidney disease (CKD). However, few large studies have addressed whether recovery from MetS is associated with reduction in the risks of such comorbidities.

Methods:
This nationwide population-based study in Korea screened 10,664,268 people who received national health screening ≥ 3 times between 2012 and 2016. Those with a history of major cardiovascular events or preexisting CKD were excluded. We classified study groups into four, according to the course of MetS state, as defined by the harmonizing criteria. The main study outcome was incidental CKD (estimated glomerular filtration rate < 60 mL/min/1.73 m2 which was persistent until the last health exams). The study outcomes were investigated using multivariable logistic regression analysis, which was adjusted for clinical variables and the previous severity of MetS.

Results:
Four study groups included 6,315,301 subjects: 4,537,869 people without MetS, 1,034,605 with chronic MetS, 438,287 who developed MetS, and 304,540 who recovered from preexisting MetS. Those who developed MetS demonstrated higher risk of CKD (adjusted odds ratio [OR], 1.26 [1.23-1.29]) than did those who did not develop MetS. In contrast, MetS-recovery was associated with decreased risk of CKD (adjusted OR, 0.84 [0.82-0.86]) than that in people with chronic MetS. Among the MetS components, change in hypertension was associated with the largest difference in CKD risk.

Conclusion:
Reducing or preventing MetS may reduce the burden of CKD on a population-scale. Clinicians should consider the clinical importance of altering MetS status for risk of CKD.Keywords: Chronic kidney diseases, Diabetes mellitus, Dyslipidemia, Hypertension, Metabolic syndrome, Obesity
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine (의과대학)
Citation
Kidney Research and Clinical Practice, Vol.39(2) : 180-191, 2020
Type
Article
ISSN
2211-9140
DOI
10.23876/j.krcp.20.016
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/42765
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