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2015 ; 10
(9
): e0137449
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Relationship between Serum Uric Acid Levels and Chronic Kidney Disease in a
Japanese Cohort with Normal or Mildly Reduced Kidney Function
#MMPMID26356235
Toyama T
; Furuichi K
; Shimizu M
; Hara A
; Iwata Y
; Sakai N
; Perkovic V
; Kobayashi M
; Mano T
; Kaneko S
; Wada T
PLoS One
2015[]; 10
(9
): e0137449
PMID26356235
show ga
BACKGROUND: Some observational studies have shown the relationships between
hyperuricemia and chronic kidney disease (CKD); however, the threshold of serum
uric acid (SUA) for deterioration of kidney function and the association between
SUA and kidney injury by baseline kidney function remains unclear. This study
aimed to clarify the relationships between SUA and reduced kidney function.
METHODS: We analyzed a historical cohort of male Japanese individuals who
underwent medical checkup between 1998 and 2007. Participants with baseline data
and who were followed up for at least one year were included and stratified
according to baseline kidney function. Kidney function was classified as normal
[estimated glomerular filtration rate (eGFR) ? 90 ml/min/1.73 m2] or mildly
reduced (eGFR 60-89 ml/min/1.73 m2). The outcome measured was kidney impairment
defined as a decrease in eGFR to < 60 ml/min/1.73 m2. Associations between SUA
and risk for outcome and eGFR slopes were assessed. RESULTS: A total of 41632
subjects with mean age 45.4 years were included. During a mean follow-up of four
years, 3186 (7.6%) subjects developed kidney dysfunction. Subjects with SUA ? 6.0
mg/dL had a significantly increased risk for kidney impairment compared with
subjects with SUA of 4-4.9 mg/dL. SUA threshold levels were different according
to baseline kidney function; SUA ? 7.0 and ? 6.0 mg/dL for normal and mildly
reduced kidney function, respectively. Approximately the same trends were
observed for eGFR slopes. CONCLUSION: In the general population, hyperuricemia
appears to be a risk factor for kidney impairment in males. For participants with
mild kidney dysfunction, even a slight elevation of SUA can be a risk factor.