Risk factors for increased left ventricular hypertrophy in patients with chronic kidney disease: findings from the CKD-JAC study

Kosaku Nitta, Satoshi Iimuro, Enyu Imai, Seiichi Matsuo, Hirofumi Makino, Tadao Akizawa, Tsuyoshi Watanabe, Yasuo Ohashi, Akira Hishida

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Although left ventricular hypertrophy (LVH) has been established as a predictor of cardiovascular events in chronic kidney disease (CKD), the relationship between the prevalence of LVH and CKD stage during the pre-dialysis period has not been fully examined. Methods: We measured left ventricular mass index (LVMI) in a cross-sectional cohort of participants in the Chronic Kidney Disease Japan Cohort (CKD-JAC) study to identify factors that are associated with increased LVMI in patients with stage 3–5 CKD. Results: We analyzed the baseline characteristics in 1088 participants (male 63.8%, female 36.2%). Diabetes mellitus was the underlying disease in 41.7% of the patients, and mean age was 61.8 ± 11.1 years. LVH was detected in 23.4% of the patients at baseline. By multivariate logistic analysis, independent risk factors for LVH were past history of cardiovascular disease [odds ratio (OR) 2.364; 95% confidence interval ([CI) 1.463–3.822; P = 0.0004], body mass index (OR 1.108; 95% CI 1.046–1.173; P = 0.0005), systolic blood pressure (OR 1.173; 95% CI 1.005–1.369; P = 0.0433), urinary albumin (OR 1.425; 95% CI 1.028–1.974; P = 0.0333), and serum total cholesterol level (OR 0.994; 95% CI 0.989–0.999; P = 0.0174). Conclusion: The cross-sectional baseline data from the CKD-JAC study shed light on the association between LVH and risk factors in patients with decreased renal function. Further longitudinal analyses of the CKD-JAC cohort are needed to evaluate the prognostic value of LVH in CKD patients.

Original languageEnglish
Pages (from-to)85-98
Number of pages14
JournalClinical and Experimental Nephrology
Volume23
Issue number1
DOIs
Publication statusPublished - Jan 22 2019

Keywords

  • Albuminuria
  • Antihypertensive agent
  • Body mass index
  • Chronic kidney disease
  • Hypertension
  • Left ventricular hypertrophy
  • Mineral metabolism

ASJC Scopus subject areas

  • Physiology
  • Nephrology
  • Physiology (medical)

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