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.

Plos One
|December 17, 2015
PubMed

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.

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