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Association of Body Weight Variability with Adverse Cardiovascular Outcomes in Patients with Pre-Dialysis Chronic Kidney Disease

Authors
 Sang Heon Suh  ;  Tae Ryom Oh  ;  Hong Sang Choi  ;  Chang Seong Kim  ;  Eun Hui Bae  ;  Sue K Park  ;  Yong-Soo Kim  ;  Yeong Hoon Kim  ;  Kyu Hun Choi  ;  Kook-Hwan Oh  ;  Seong Kwon Ma  ;  Soo Wan Kim 
Citation
 NUTRIENTS, Vol.13(10) : 3381, 2021-10 
Journal Title
NUTRIENTS
Issue Date
2021-10
MeSH
Body Weight* ; Cardiovascular Diseases / complications* ; Female ; Follow-Up Studies ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Proportional Hazards Models ; Renal Dialysis* ; Renal Insufficiency, Chronic / complications*
Keywords
all-cause mortality ; body weight variability ; cardiovascular events ; chronic kidney disease
Abstract
To investigate the association of body weight variability (BWV) with adverse cardiovascular (CV) outcomes in patient with pre-dialysis chronic kidney disease (CKD), a total of 1867 participants with pre-dialysis CKD from Korean Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD) were analyzed. BWV was defined as the average absolute difference between successive values. The primary outcome was a composite of non-fatal CV events and all-cause mortality. Secondary outcomes were fatal and non-fatal CV events and all-cause mortality. High BWV was associated with increased risk of the composite outcome (adjusted hazard ratio (HR) 1.745, 95% confidence interval (CI) 1.065 to 2.847) as well as fatal and non-fatal CV events (adjusted HR 1.845, 95% CI 1.136 to 2.996) and all-cause mortality (adjusted HR 1.861, 95% CI 1.101 to 3.145). High BWV was associated with increased risk of fatal and non-fatal CV events, even in subjects without significant body weight gain or loss during follow-up periods (adjusted HR 2.755, 95% CI 1.114 to 6.813). In conclusion, high BWV is associated with adverse CV outcomes in patients with pre-dialysis CKD.
Files in This Item:
T202126174.pdf Download
DOI
10.3390/nu13103381
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Kyu Hun(최규헌) ORCID logo https://orcid.org/0000-0003-0095-9011
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190563
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