Pulse Pressure, Instead of Brachium-Ankle Pulse Wave Velocity, is Associated with Reduced Kidney Function in a Chinese Han Population

Kidney and Blood Pressure Research

Chen X.³  Huang J.³  Cai G.³  Feng Z.³  Li Z.³  Ma J.³  Bai X.²  Jia L.¹  Zhang J.³  Zhang W.³  Chen L.³  Sun X.³ 

[1] Department of Nephrology, Second Hospital of Jilin University, Changchun, China$$Department of Nephrology, Chinese People’s Liberation Army General Hospital, Chinese People’s Liberation Army Institute of Nephrology, State Key Laboratory of Kidney Disease, National Clinic Research Center for Kidney Diseases, Beijing, China$$;Department of Gerontology and Geriatrics, First Affiliated Hospital of China Medical University, Shenyang, China$$;Department of Nephrology, Chinese People’s Liberation Army General Hospital, Chinese People’s Liberation Army Institute of Nephrology, State Key Laboratory of Kidney Disease, National Clinic Research Center for Kidney Diseases, Beijing, China$$

关键词: Pulse wave velocity;    eGFR;    Smoking;    Healthy;    Chinese;   

DOI  :  10.1159/000468531

来源: S Karger AG

【 摘 要 】

Background/Aims: In this study, we aim to investigate the association between renal function and arterial stiffness in a Chinese Han population, and further to discuss the effects of smoking on renal function. Methods: We collected the data of the brachium-ankle pulse wave velocity (baPWV), blood pressure, blood chemistry and smoking status. Then, the multiple linear regression was done to explore the relationship between estimated glomerular filtration (eGFR) and baPWV. Further, the parameters were compared among the four groups divided according to the quartiles of baPWV. Finally, the baPWV, eGFR and albuminuria values were compared between smokers and non-smokers. Results: baPWV is associated with eGFR in the correlation analysis and univariate linear regression model. After adjustment, the pulse pressure (PP) instead of baPWV showed a significant association with eGFR. Nevertheless, the eGFR values differed among the four baPWV groups; the baPWV values were significantly higher in the subjects at the CKD (eGFR<60 mL/min/1.73 m²) and the early CKD stage (eGFR60–80 mL/min/1.73 m²). The baPWV values and the ratio of proteinuria were significantly increased in smokers. Conclusion: PP but not baPWV is a predictor of declined renal function. Smokers have worse arterial stiffness and worse renal function.

【 授权许可】

Unknown