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Hypertriglyceridemia: an independent risk factor of chronic kidney disease in Taiwanese adults
Pei-Hsien Lee1, Hung-Yu Chang, Chun-Wu Tung
1Department of Nephrology, Chang Gung Memorial Hospital, Pu-tzu City, Chiayi, Taiwan.
Insights
High triglycerides (TGs) are an independent risk factor for chronic kidney disease (CKD) in Taiwanese adults over 40. Early screening for hypertriglyceridemia is crucial for preventing CKD progression.
Area of Science:
- Nephrology
- Endocrinology
- Public Health
Background:
- Chronic kidney disease (CKD) prevalence is high in Taiwan, especially among older adults.
- Dyslipidemia is a known CKD progression risk factor, but the role of triglycerides (TGs) is debated.
- This study investigates hypertriglyceridemia's impact on renal function in Taiwanese adults aged 40+.
Purpose of the Study:
- To evaluate the association between hypertriglyceridemia and chronic kidney disease (CKD) in Taiwanese adults.
- To determine if elevated triglyceride levels independently predict CKD risk.
- To inform public health strategies for CKD prevention in Taiwan.
Main Methods:
- A community-based medical screening of 18,422 Taiwanese adults (≥40 years) from 2002-2006.
- CKD defined as estimated glomerular filtration rate <60 mL/min/1.73 m².
- Multiple logistic regression analysis adjusted for age, BMI, blood pressure, glucose, and cholesterol.
Main Results:
- CKD prevalence was 24.2% in the study population.
- Elevated BMI, systolic blood pressure, fasting glucose, and cholesterol were associated with CKD.
- Hypertriglyceridemia (TG ≥200 mg/dL) showed an adjusted odds ratio of 1.901 for CKD, increasing to 2.205 for TG >500 mg/dL.
Conclusions:
- Hypertriglyceridemia is an independent risk factor for CKD in Taiwanese adults.
- Screening for high triglyceride levels is recommended for early CKD detection and prevention.
- Findings support targeted interventions for dyslipidemia to reduce CKD burden.
Background:
The prevalence and incidence of chronic kidney disease (CKD) are relatively high in Taiwanese patients than in patients of other countries, particularly in the older age groups. Dyslipidemia in patients with CKD has been recognized as a risk factor for disease progression but the role of triglycerides (TGs) remains controversial. With this regard, we evaluated the effects of hypertriglyceridemia on renal function in Taiwanese adults (aged >or=40 years).
Methods:
From January 2002 to December 2006, we conducted a community-based medical screening program in Chiayi County with 18,422 subjects (aged >or=40 years). The CKD was defined as an estimated glomerular filtration rate of <60 mL min 1.73 m. Age, body mass index, systolic blood pressure, fasting plasma glucose, and serum total cholesterol were considered as potential confounders.
Result:
The CKD was prevalent in 24.2% of the middle-aged and elderly population. By using multiple logistic regression models, we determined that old age and elevated levels of body mass index, systolic blood pressure, fasting plasma glucose, and cholesterol were associated with CKD. The adjusted odds ratios of CKD in participants with serum TG >==200 mg/dL was 1.901 (95% confidence interval: 1.07-3.36; P < 0.05) and in participants with serum TG > 500 mg/dL it increased to 2.205 (1.33-3.64, P < 0.05).
Conclusion:
Hypertriglyceridemia is an independent risk factor for CKD in Taiwanese adults. Thus, an effective screening program that identifies people with hypertriglyceridemia is warranted.
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