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Updated: Jul 12, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Risk of chronic kidney disease in hypertensive patients with other metabolic conditions
Insights
Hypertension significantly increases chronic kidney disease (CKD) risk. Comorbid conditions, particularly diabetes, further elevate this risk substantially in hypertensive patients.
Area of Science:
- Nephrology
- Cardiology
- Endocrinology
Background:
- Investigated chronic kidney disease (CKD) risk over six years in hypertensive patients.
- Utilized a retrospective cohort design with electronic medical records.
- Assessed the impact of diabetes, hyperlipidaemia, and high body mass index on CKD risk.
Discussion:
- Adjusted for age, sex, smoking status, and baseline glomerular filtration rate (GFR).
- Hypertensive patients without other metabolic risk factors showed a 2.0 relative risk of CKD.
- Hypertensive patients with metabolic conditions exhibited increased CKD risk, ranging from 2.4 to 5.5.
Key Insights:
- Confirms elevated CKD risk in hypertensive individuals.
- Risk escalates with co-occurring metabolic conditions, especially diabetes.
- Diabetes significantly amplifies CKD risk in hypertensive patients.
Outlook:
- Highlights the need for targeted interventions for hypertensive patients with metabolic comorbidities.
- Emphasizes the critical role of diabetes management in preventing CKD progression.
- Suggests further research into the synergistic effects of metabolic factors on kidney health.
Abstract:
Using a retrospective cohort design and electronic medical records, we examined chronic kidney disease (CKD) risk over a 6-year period among hypertensive patients in relation to the presence of diabetes, hyperlipidaemia and/or high body mass index. After adjusting for age, sex, smoking status and baseline glomerular filtration rate (GFR), hypertensive patients without other metabolic risk factors had a relative risk of CKD (versus normotensive patients) of 2.0 (95% CI 1.8-2.2); hypertensive patients with other metabolic conditions had adjusted relative risks ranging from 2.4 to 2.6 for those without comorbid diabetes, and from 3.3 to 5.5 for those with comorbid diabetes. Our study thus confirms prior research demonstrating elevated CKD risk in hypertensive patients, and suggests that this risk varies substantially in relation to other metabolic conditions, especially diabetes.
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Hypertension III: Clinical Manifestations and Diagnostic Studies