Evidence map›Paper›PMID 29642060›Full record

ArticleKidney & blood pressure research2018

Metabolic Syndrome Severity and Risk of CKD and Worsened GFR: The Jackson Heart Study.

Mark D DeBoer, Stephanie L Filipp, Solomon K Musani, Mario Sims, Mark D Okusa, Matthew Gurka

Open access · goldAbstract read
In one paragraph

Article in Kidney & blood pressure research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 49 citations in OpenAlex.

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  8. Gut microbial metabolites SCFAs and chronic kidney disease.Journal of translational medicine · 2024
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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

6 authors at 4 institutions in 1 country.

Mark D DeBoerDepartment of Pediatrics, Division of Pediatric Endocrinology, University of Virginia, Charlottesville, Virginia, USA.
Stephanie L FilippDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Solomon K MusaniDepartment of Medicine, Jackson Heart Study, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Mario SimsDepartment of Medicine, Jackson Heart Study, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Mark D OkusaDepartment of Medicine, Division of Nephrology, University of Virginia, Charlottesville, Virginia, USA.
Matthew GurkaDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
University of Florida · USUniversity of Virginia · USJackson Memorial Hospital · USUniversity of Mississippi Medical Center · US

Funding

Leukocyte Trafficking in Acute Renal FailureR01DK062324 · NIDDK · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI OKUSA, MARK DOUGLAS · 2003 to 2016
$4.4M
Ultrasound for Non-Invasive Prevention of Acute Kidney InjuryR01DK105133 · NIDDK · UNIVERSITY OF VIRGINIA · PI OKUSA, MARK DOUGLAS · 2015 to 2019
$2.4M
Socioeconomic Status and Subjective Social Status as Modifiers of Stressors and Discrimination in their Relationship with MetS Severity Over TimeR01HL120960 · NHLBI · WEST VIRGINIA UNIVERSITY · PI DEBOER, MARK DANIEL, GURKA, MATTHEW JAMES · 2014 to 2018
$2.1M
NHLBI NIH HHS R01 HL120960NIDDK NIH HHS R01 DK062324NIDDK NIH HHS R01 DK105133
6 · The paper itself

Abstract

BACKGROUND/

aimsThe metabolic syndrome (MetS), as assessed using dichotomous criteria, is associated with increased risk of future chronic kidney disease (CKD), though this relationship is unclear among African Americans, who have lower risk for MetS but higher risk for CKD.

methodsWe performed logistic regression using a sex- and race-specific MetS-severity z-score to assess risk of incident CKD among 2,627 African-American participants of the Jackson Heart Study, assessed at baseline and 8 years later. Based on quartile of baseline MetS severity, we further assessed prevalence of being in the lowest quartile of baseline GFR, the lowest quartile of relative GFR at follow-up, microalbuminuria and incident CKD.

resultsHigher MetS-severity was associated with higher prevalence of GFR in the lowest quartile at baseline among males and females. Among African-American females but not males, higher baseline MetS-severity was associated with a higher prevalence of baseline elevations in microabuminuria (p<0.01), steep decline in GFR (p<0.001) and a higher incidence of CKD (p<0.0001). Women in increasing quartiles of baseline MetS-severity exhibited a linear trend toward higher odds of future CKD (p<0.05), with those in the 4th quartile of MetS-severity (compared to the 1st) having an odds ratio of 2.47 (95% confidence interval 1.13, 5.37); no such relationship was seen among men (p value for trend 0.49).

conclusionMetS-severity exhibited sex-based interactions regarding risk for future GFR deterioration and CKD, with increasing risk in women but not men. These data may have implications for triggering CKD screening among African-American women with higher degrees of MetS-severity.

Indexed as

Glomerular Filtration RateSeverity of Illness IndexAdultAgedAlbuminuriaBlack or African AmericanFemaleFollow-Up StudiesHumansIncidenceLogistic ModelsMaleMetabolic SyndromeMiddle AgedRacial GroupsRenal Insufficiency, ChronicCardiovascular diseaseChronic kidney diseaseGlomerular filtration rateMetabolic syndromeMicroalbuminuriaRisk

Identifiers

PMID29642060
PMCPMC6037309
OpenAlexW2806201004

What OpenQuestion holds

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Registered trials

None linked

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.