Author/EditorKosugi, Takaaki
Eriguchi, Masahiro
Yoshida, Hisako
Tasaki, Hikari
Fukata, Fumihiro
Nishimoto, Masatoshi
Matsui, Masaru
Samejima, Ken-ichi
Iseki, Kunitoshi
Fujimoto, Shouichi
Konta, Tsuneo
Moriyama, Toshiki
Yamagata, Kunihiro
Narita, Ichiei
Kasahara, Masato
Shibagaki, Yugo
Kondo, Masahide
Asahi, Koichi
Watanabe, Tsuyoshi
Tsuruya, Kazuhiko
Japan Specific Health Checkups (J-SHC) Study Group
Alternative Title慢性腎臓病と脂質異常症の新規発症との関連の検討 : The Japan Specific Health Checkups (J-SHC) study
Note (General)type:Thesis
Background and aims: Dyslipidemias are common among patients with chronic kidney disease (CKD) and are a major risk factor for cardiovascular disease. This study aimed to investigate the association between early-stage CKD and new-onset dyslipidemia for each lipid profile. Methods: This nationwide longitudinal study included data from the Japan Specific Health Checkups (J-SHC) Study. New-onset dyslipidemia was indicated by hypertriglyceridemia (High-TG; ≥150 mg/dL), hyper-LDL cholesterolemia (High-LDL-C; ≥140 mg/dL), or hypo-HDL chelesterolemia (Low-HDL-C; <40 mg/dL) levels according to the guideline of Japan Atherosclerosis Society, or High-TG/HDL-C ratio (≥3.5) which was a good predictor of atherosclerosis. The incidence of new-onset dyslipidemia was compared between participants with and without CKD. Survival curves were used to analyze the incidence of each dyslipidemia. Results: Of 289,462 participants with a median follow-up period of 3 years, the incidence of High-TG, High-LDL-C, Low-HDL-C, and High-TG/HDL-C ratios were 64.4/1000 person-years, 83.1/1000 person-years, 14.5/1000 person-years, and 39.6/1000 person-years, respectively. The adjusted hazard ratios (95% confidence intervals) for High-TG, High-LDL-C, Low-HDL-C, and High-TG/HDL-C ratio were 1.09 (1.05-1.13), 0.99 (0.95-1.04), 1.12 (1.05-1.18), and 1.14 (1.09-1.18), respectively, in CKD participants as compared to non-CKD participants. Decreased eGFR and presence of proteinuria were independently associated with higher risks for new-onset of High-TG, Low-HDL-C, and High-TG/HDL-C ratios. Conclusions: CKD was associated with a higher risk of new-onset High-TG, Low-HDL-C, and High-TG/HDL-C ratios, but not High-LDL-C, in the general population. These CKD-specific lipid abnormalities may explain the residual risk for CKD-related cardiovascular disease.
博士(医学)・甲第823号・令和4年3月15日
Copyright © 2021 Elsevier B.V. All rights reserved.
identifier:Atherosclerosis Vol.332 p.24-32 (2021 Sep)
identifier:00219150
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4006
identifier:Atherosclerosis, 332: 24-32
DOIinfo:doi/10.1016/j.atherosclerosis.2021.08.004
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2022-06-05T18:01:14+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション