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Updated: Mar 28, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Prehypertension and Chronic Kidney Disease in Chinese Population: Four-Year Follow-Up Study
Hao Xue1, Jianli Wang2, Jinhong Hou2
1Department of Cardiology, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing 100853, People's Republic of China.
Insights
Prehypertension significantly increases the risk of developing chronic kidney disease (CKD) in the Chinese population. This study found prehypertension is an independent risk factor for new CKD events.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Epidemiology
Background:
- Hypertension is a known cause of chronic kidney disease (CKD).
- The association between prehypertension and CKD risk remains controversial.
- Understanding prehypertension's role in CKD is crucial for public health.
Purpose of the Study:
- To investigate if prehypertension elevates the risk of CKD events in the Chinese population.
- To quantify the association between prehypertension and incident CKD.
Main Methods:
- Prospective study involving 20,034 individuals with prehypertension and 12,351 with ideal blood pressure.
- CKD defined as estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m².
- Kaplan-Meier and multivariate Cox regression analyses were employed.
Main Results:
- Higher cumulative incidence of CKD events in the prehypertensive group (2.10%) compared to the ideal blood pressure group (1.46%).
- Prehypertension was associated with a 1.69-fold increased risk of new CKD events.
- Increased risks observed in both females (1.68-fold) and males (2.14-fold) after adjusting for risk factors.
Conclusions:
- Prehypertension is identified as an independent risk factor for new-onset CKD in the Chinese population.
- These findings highlight the importance of managing prehypertension to prevent kidney disease progression.
- Early intervention for prehypertension may mitigate CKD incidence.
Abstract:
Hypertension is a well established cause of chronic kidney disease (CKD). However, the effect of prehypertension on risk of CKD is controversial. The aim of this study is to determine whether prehypertension increases the risk of CKD events in the Chinese population. We enrolled 20,034 with prehypertension and 12,351 with ideal blood pressure in this prospective study. CKD was defined as an estimated glomerular filtration rate (eGFR) <60 ml/min 1.73 m2. The new occurrences of CKD events were collected during follow-up. Cumulative survival and freedom for the occurrence of new CKD events was analyzed using the Kaplan-Meier approach. Multivariate Cox Regression was used to analyze the effect of prehypertension on CKD. The median follow-up time was 47 (interquartile range 44-51) months. 601 new onset CKD events occurred during the follow-up period. The cumulative incidence of new CKD events was higher in the prehypertensive population than that in the ideal blood pressure population (2.10% vs 1.46%, P = 0.0001). Multivariate Cox Regression showed that relative risks (RRs) for the new onset CKD events in the prehypertensive population were 1.69 (95% confidence intervals (CI): 1.41~2.04, P = 0.001) higher than those in the ideal blood pressure population. Similarly, the risks were 1.68 (95% CI: 1.33~2.13 P = 0.001) times higher in females and 2.14 (95% CI: 1.58~2.91 P = 0.001) times higher in males by adjustment for traditional CV risk factors. Our findings demonstrated prehypertension is an independent risk factor for the occurrence of new CKD events in the Chinese population.
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