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Underweight status and development of end‐stage kidney disease: A nationwide population‐based study
BACKGROUND: Underweight status increases the risk of cardiovascular disease and mortality in the general population. However, whether underweight status is associated with an increased risk of developing end‐stage kidney disease is unknown. METHODS: A total of 9 845 420 participants aged ≥20 years w...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570067/ https://www.ncbi.nlm.nih.gov/pubmed/37503821 http://dx.doi.org/10.1002/jcsm.13297 |
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author | Kim, Chang Seong Oh, Tae Ryom Suh, Sang Heon Choi, Hong Sang Bae, Eun Hui Ma, Seong Kwon Kim, Bongseong Han, Kyung‐Do Kim, Soo Wan |
author_facet | Kim, Chang Seong Oh, Tae Ryom Suh, Sang Heon Choi, Hong Sang Bae, Eun Hui Ma, Seong Kwon Kim, Bongseong Han, Kyung‐Do Kim, Soo Wan |
author_sort | Kim, Chang Seong |
collection | PubMed |
description | BACKGROUND: Underweight status increases the risk of cardiovascular disease and mortality in the general population. However, whether underweight status is associated with an increased risk of developing end‐stage kidney disease is unknown. METHODS: A total of 9 845 420 participants aged ≥20 years who underwent health checkups were identified from the Korean National Health Insurance Service database and analysed. Individuals with underweight (body mass index [BMI] < 18.5 kg/m(2)) and obesity (BMI ≥ 25 kg/m(2)) were categorized according to the World Health Organization recommendations for Asian populations. RESULTS: During a mean follow‐up period of 9.2 ± 1.1 years, 26 406 participants were diagnosed with end‐stage kidney disease. After fully adjusting for other potential predictors, the moderate to severe underweight group (<17 kg/m(2)) had a significantly higher risk of end‐stage kidney disease than that of the reference (normal) weight group (adjusted hazard ratio, 1.563; 95% confidence interval, 1.337–1.828), and competing risk analysis to address the competing risk of death also showed the similar results (adjusted hazard ratio, 1.228; 95% confidence interval, 1.042–1.448). Compared with that of the reference BMI group (24–25 kg/m(2)), the adjusted hazard ratios for end‐stage kidney disease increased as the BMI decreased by 1 kg/m(2). In the sensitivity analysis, sustained underweight status or progression to underweight status over two repeated health checkups, when compared with normal weight status, had a higher hazard ratio for end‐stage kidney disease. CONCLUSIONS: Underweight status is associated with an increased risk of end‐stage kidney disease, and this association gradually strengthens as BMI decreases. |
format | Online Article Text |
id | pubmed-10570067 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105700672023-10-14 Underweight status and development of end‐stage kidney disease: A nationwide population‐based study Kim, Chang Seong Oh, Tae Ryom Suh, Sang Heon Choi, Hong Sang Bae, Eun Hui Ma, Seong Kwon Kim, Bongseong Han, Kyung‐Do Kim, Soo Wan J Cachexia Sarcopenia Muscle Original Articles BACKGROUND: Underweight status increases the risk of cardiovascular disease and mortality in the general population. However, whether underweight status is associated with an increased risk of developing end‐stage kidney disease is unknown. METHODS: A total of 9 845 420 participants aged ≥20 years who underwent health checkups were identified from the Korean National Health Insurance Service database and analysed. Individuals with underweight (body mass index [BMI] < 18.5 kg/m(2)) and obesity (BMI ≥ 25 kg/m(2)) were categorized according to the World Health Organization recommendations for Asian populations. RESULTS: During a mean follow‐up period of 9.2 ± 1.1 years, 26 406 participants were diagnosed with end‐stage kidney disease. After fully adjusting for other potential predictors, the moderate to severe underweight group (<17 kg/m(2)) had a significantly higher risk of end‐stage kidney disease than that of the reference (normal) weight group (adjusted hazard ratio, 1.563; 95% confidence interval, 1.337–1.828), and competing risk analysis to address the competing risk of death also showed the similar results (adjusted hazard ratio, 1.228; 95% confidence interval, 1.042–1.448). Compared with that of the reference BMI group (24–25 kg/m(2)), the adjusted hazard ratios for end‐stage kidney disease increased as the BMI decreased by 1 kg/m(2). In the sensitivity analysis, sustained underweight status or progression to underweight status over two repeated health checkups, when compared with normal weight status, had a higher hazard ratio for end‐stage kidney disease. CONCLUSIONS: Underweight status is associated with an increased risk of end‐stage kidney disease, and this association gradually strengthens as BMI decreases. John Wiley and Sons Inc. 2023-07-28 /pmc/articles/PMC10570067/ /pubmed/37503821 http://dx.doi.org/10.1002/jcsm.13297 Text en © 2023 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Kim, Chang Seong Oh, Tae Ryom Suh, Sang Heon Choi, Hong Sang Bae, Eun Hui Ma, Seong Kwon Kim, Bongseong Han, Kyung‐Do Kim, Soo Wan Underweight status and development of end‐stage kidney disease: A nationwide population‐based study |
title | Underweight status and development of end‐stage kidney disease: A nationwide population‐based study |
title_full | Underweight status and development of end‐stage kidney disease: A nationwide population‐based study |
title_fullStr | Underweight status and development of end‐stage kidney disease: A nationwide population‐based study |
title_full_unstemmed | Underweight status and development of end‐stage kidney disease: A nationwide population‐based study |
title_short | Underweight status and development of end‐stage kidney disease: A nationwide population‐based study |
title_sort | underweight status and development of end‐stage kidney disease: a nationwide population‐based study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570067/ https://www.ncbi.nlm.nih.gov/pubmed/37503821 http://dx.doi.org/10.1002/jcsm.13297 |
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