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2015 ; 4
(5
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Joint Effect of Hypertension and Elevated Serum Phosphorus on the Risk of
Mortality in National Health and Nutrition Examination Survey-III
#MMPMID25994440
Vart P
; Nigatu YT
; Jaglan A
; van Zon SK
; Shafique K
J Am Heart Assoc
2015[May]; 4
(5
): ä PMID25994440
show ga
BACKGROUND: Elevated serum phosphorus might aggravate the effect of hypertension
on mortality. The objective of this study was to examine the joint effect of
hypertension and serum phosphorus on the risk of mortality. METHODS AND RESULTS:
A large prospective (n=15 833), population-based cohort of participants from the
National Health and Nutritional Examination Survey III was examined to test
potential synergism between hypertension, elevated serum phosphorus, and the risk
of mortality. Interaction on additive scale and multiplicative scale was
estimated. After a median follow-up of 14.3 years, 1691 cases of cardiovascular
mortality and 3875 cases of all-cause mortality were identified. Interaction was
observed between hypertension and elevated serum phosphorus on the additive scale
for cardiovascular mortality (relative excess risk due to interaction, 0.99, 95%
CI: 0.06; 1.92, adjusted for age, gender, race, and estimated glomerular
filtration rate). No statistically significant interaction was found between
hypertension and serum phosphorus for all-cause mortality on the additive scale.
No significant interaction was detected on the multiplicative scale. In
sensitivity analysis, excluding participants who died in first 2 years and
adjustment for additional confounders resulted in essentially similar findings.
CONCLUSIONS: The joint effect of hypertension and elevated serum phosphorus was
larger than the sum of the independent effects on cardiovascular mortality but
not on all-cause mortality. Future studies should investigate whether controlling
elevated serum phosphorus in hypertensive individuals helps in prevention of
extra risk of cardiovascular mortality.