Evidence map›Paper›PMID 25251910›Full record

ArticleHIV medicine2015

The association of adiposity with kidney function decline among HIV-infected adults: findings from the Fat Redistribution and Metabolic Changes in HIV Infection (FRAM) study.

A Malkina, R Scherzer, M G Shlipak, P Bacchetti, P C Tien, C Grunfeld, L Kosmiski, C A Peralta

Open access · bronzeAbstract read
In one paragraph

Article in HIV medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 95% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

A MalkinaUniversity of California San Francisco Division of Nephrology, San Francisco, CA, USA; Veterans Affairs Medical Center Department of Medicine, San Francisco, CA, USA.
R Scherzer
M G Shlipak
P Bacchetti
P C Tien
C Grunfeld
L Kosmiski
C A Peralta
San Francisco VA Medical Center · USUniversity of California, San Francisco · USUniversity of Colorado Denver · US

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GERMAN, MICHAEL S · 2003 to 2019
$21.8M
Racial/Ethnic Disparities in Kidney Function Decline: Genes or Environment?K23DK082793 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PERALTA, CARMEN ALICIA · 2009 to 2013
$786k
A Triple Marker Approach To Optimize CKD Detection Among Black and White AdultsR03DK095877 · NIDDK · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI PERALTA, CARMEN ALICIA · 2012 to 2014
$514k
NIDDK NIH HHS 1K23DK082793-01NIDDK NIH HHS 1R03DK095877-01NIDDK NIH HHS K23 DK082793NIDDK NIH HHS P30 DK063720NIDDK NIH HHS R03 DK095877
6 · The paper itself

Abstract

objectivesThe aim of the study was to investigate the association of adiposity with longitudinal kidney function change in 544 HIV-infected persons in the Study of Fat Redistribution and Metabolic Change in HIV infection (FRAM) cohort over 5 years of follow-up.

methodsThe regional distribution of muscle and adipose tissue was quantified by whole-body magnetic resonance imaging (MRI), and total adiponectin and leptin levels were measured in serum. Kidney function was assessed using the estimated glomerular filtration rate from serum cystatin C (eGFRCys), obtained at baseline and follow-up. Rapid kidney function decline was defined as annual loss of eGFRCys ≥ 3 mL/min/1.73 m(2) , and incident chronic kidney disease (CKD) was defined as eGFRCys <60 mL/min/1.73 m(2) . Multivariate regression analysis was adjusted for age, race, gender, glucose, antihypertensive use, serum albumin, baseline and change in HIV viral load.

resultsAt baseline, mean age was 43 years, mean eGFRCys was 86 mL/min/1.73 m(2) , and 21% of patients had albuminuria. The mean (± standard deviation) eGFRCys decline was -0.11 ± 4.87 mL/min/1.73 m(2) per year; 23% of participants had rapid kidney function decline, and 10% developed incident CKD. The lowest tertile of visceral adipose tissue and the highest tertile of adiponectin were both marginally associated with annual kidney function decline of -0.5 mL/min/1.73 m(2) each, but these associations were not statistically significant after adjustment. We found no statistically significant associations of MRI-measured regional adiposity or serum adipokines with rapid kidney function decline or incident CKD (all P-values>0.1 in adjusted models).

conclusionsContrary to findings in the general population, adiposity did not have a substantial association with longitudinal change in kidney function among HIV-infected persons.

Indexed as

Body Fat DistributionAdipose TissueAdiposityAdultAIDS-Associated NephropathyAlbuminuriaBiomarkersCystatin CFemaleFollow-Up StudiesGlomerular Filtration RateHIV InfectionsHumansLongitudinal StudiesMagnetic Resonance ImagingMaleBiomarkersCystatin CadiposityFat Redistribution and Metabolic Changes in HIV Infection (FRAM)HIVkidney decline

Identifiers

PMID25251910
PMCPMC4320665
OpenAlexW1565839428

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.