Association of Hypertriglyceridemia With the Incidence and Progression of Chronic Kidney Disease and Modification of the Association by Daily Alcohol Consumption

Kazuhiko Tsuruya, Hisako Yoshida, Masaharu Nagata, Takanari Kitazono, Kunitoshi Iseki, Chiho Iseki, Shouichi Fujimoto, Tsuneo Konta, Toshiki Moriyama, Kunihiro Yamagata, Ichiei Narita, Kenjiro Kimura, Masahide Kondo, Koichi Asahi, Yasuo Ohashi, Tsuyoshi Watanabe

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective The association of serum triglycerides (TGs) and alcohol consumption with chronic kidney disease (CKD) is unclear. The purpose of this study was to investigate the association of serum TG and daily alcohol consumption with CKD in the general population. Design The design of the study was longitudinal cohort study. Subjects Male (n = 47,737) and female (n = 69,542) participants were grouped into quartiles based on serum TG levels. Main Outcome Measures We examined the associations of serum TG with annual changes in estimated glomerular filtration rate (eGFR) in all participants, the incident CKD in participants without CKD, and the progression of CKD in participants with CKD. We also examined the association of alcohol consumption with these factors and whether daily alcohol consumption alters the association of serum TG with renal prognosis. Results The higher quartile of serum TG at baseline was significantly associated with a greater decline in eGFR during the 2-year study period in all participants, even after adjustment for confounding factors. Serum TG was also significantly associated with the incidence and progression of CKD after 2 years in participants with and without CKD at baseline, respectively. Moreover, daily alcohol consumption was protectively associated with these outcomes. Stratified analysis according to the alcohol consumption status revealed that daily alcohol consumption modified the association of high TG with eGFR and CKD. Conclusion(s) Elevated serum TG was associated with the decline in eGFR and the incidence and progression of CKD. In addition, these associations were modified by daily alcohol consumption in this Japanese population.

Original languageEnglish
Pages (from-to)381-394
Number of pages14
JournalJournal of Renal Nutrition
Volume27
Issue number6
DOIs
Publication statusPublished - Nov 1 2017

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Hypertriglyceridemia
Chronic Renal Insufficiency
Alcohol Drinking
Triglycerides
Incidence
Serum
Glomerular Filtration Rate
Population
Longitudinal Studies
Disease Progression
Cohort Studies
Outcome Assessment (Health Care)
Kidney

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Nephrology

Cite this

Association of Hypertriglyceridemia With the Incidence and Progression of Chronic Kidney Disease and Modification of the Association by Daily Alcohol Consumption. / Tsuruya, Kazuhiko; Yoshida, Hisako; Nagata, Masaharu; Kitazono, Takanari; Iseki, Kunitoshi; Iseki, Chiho; Fujimoto, Shouichi; Konta, Tsuneo; Moriyama, Toshiki; Yamagata, Kunihiro; Narita, Ichiei; Kimura, Kenjiro; Kondo, Masahide; Asahi, Koichi; Ohashi, Yasuo; Watanabe, Tsuyoshi.

In: Journal of Renal Nutrition, Vol. 27, No. 6, 01.11.2017, p. 381-394.

Research output: Contribution to journalArticle

Tsuruya, K, Yoshida, H, Nagata, M, Kitazono, T, Iseki, K, Iseki, C, Fujimoto, S, Konta, T, Moriyama, T, Yamagata, K, Narita, I, Kimura, K, Kondo, M, Asahi, K, Ohashi, Y & Watanabe, T 2017, 'Association of Hypertriglyceridemia With the Incidence and Progression of Chronic Kidney Disease and Modification of the Association by Daily Alcohol Consumption', Journal of Renal Nutrition, vol. 27, no. 6, pp. 381-394. https://doi.org/10.1053/j.jrn.2017.05.002
Tsuruya, Kazuhiko ; Yoshida, Hisako ; Nagata, Masaharu ; Kitazono, Takanari ; Iseki, Kunitoshi ; Iseki, Chiho ; Fujimoto, Shouichi ; Konta, Tsuneo ; Moriyama, Toshiki ; Yamagata, Kunihiro ; Narita, Ichiei ; Kimura, Kenjiro ; Kondo, Masahide ; Asahi, Koichi ; Ohashi, Yasuo ; Watanabe, Tsuyoshi. / Association of Hypertriglyceridemia With the Incidence and Progression of Chronic Kidney Disease and Modification of the Association by Daily Alcohol Consumption. In: Journal of Renal Nutrition. 2017 ; Vol. 27, No. 6. pp. 381-394.
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abstract = "Objective The association of serum triglycerides (TGs) and alcohol consumption with chronic kidney disease (CKD) is unclear. The purpose of this study was to investigate the association of serum TG and daily alcohol consumption with CKD in the general population. Design The design of the study was longitudinal cohort study. Subjects Male (n = 47,737) and female (n = 69,542) participants were grouped into quartiles based on serum TG levels. Main Outcome Measures We examined the associations of serum TG with annual changes in estimated glomerular filtration rate (eGFR) in all participants, the incident CKD in participants without CKD, and the progression of CKD in participants with CKD. We also examined the association of alcohol consumption with these factors and whether daily alcohol consumption alters the association of serum TG with renal prognosis. Results The higher quartile of serum TG at baseline was significantly associated with a greater decline in eGFR during the 2-year study period in all participants, even after adjustment for confounding factors. Serum TG was also significantly associated with the incidence and progression of CKD after 2 years in participants with and without CKD at baseline, respectively. Moreover, daily alcohol consumption was protectively associated with these outcomes. Stratified analysis according to the alcohol consumption status revealed that daily alcohol consumption modified the association of high TG with eGFR and CKD. Conclusion(s) Elevated serum TG was associated with the decline in eGFR and the incidence and progression of CKD. In addition, these associations were modified by daily alcohol consumption in this Japanese population.",
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AU - Tsuruya, Kazuhiko

AU - Yoshida, Hisako

AU - Nagata, Masaharu

AU - Kitazono, Takanari

AU - Iseki, Kunitoshi

AU - Iseki, Chiho

AU - Fujimoto, Shouichi

AU - Konta, Tsuneo

AU - Moriyama, Toshiki

AU - Yamagata, Kunihiro

AU - Narita, Ichiei

AU - Kimura, Kenjiro

AU - Kondo, Masahide

AU - Asahi, Koichi

AU - Ohashi, Yasuo

AU - Watanabe, Tsuyoshi

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Objective The association of serum triglycerides (TGs) and alcohol consumption with chronic kidney disease (CKD) is unclear. The purpose of this study was to investigate the association of serum TG and daily alcohol consumption with CKD in the general population. Design The design of the study was longitudinal cohort study. Subjects Male (n = 47,737) and female (n = 69,542) participants were grouped into quartiles based on serum TG levels. Main Outcome Measures We examined the associations of serum TG with annual changes in estimated glomerular filtration rate (eGFR) in all participants, the incident CKD in participants without CKD, and the progression of CKD in participants with CKD. We also examined the association of alcohol consumption with these factors and whether daily alcohol consumption alters the association of serum TG with renal prognosis. Results The higher quartile of serum TG at baseline was significantly associated with a greater decline in eGFR during the 2-year study period in all participants, even after adjustment for confounding factors. Serum TG was also significantly associated with the incidence and progression of CKD after 2 years in participants with and without CKD at baseline, respectively. Moreover, daily alcohol consumption was protectively associated with these outcomes. Stratified analysis according to the alcohol consumption status revealed that daily alcohol consumption modified the association of high TG with eGFR and CKD. Conclusion(s) Elevated serum TG was associated with the decline in eGFR and the incidence and progression of CKD. In addition, these associations were modified by daily alcohol consumption in this Japanese population.

AB - Objective The association of serum triglycerides (TGs) and alcohol consumption with chronic kidney disease (CKD) is unclear. The purpose of this study was to investigate the association of serum TG and daily alcohol consumption with CKD in the general population. Design The design of the study was longitudinal cohort study. Subjects Male (n = 47,737) and female (n = 69,542) participants were grouped into quartiles based on serum TG levels. Main Outcome Measures We examined the associations of serum TG with annual changes in estimated glomerular filtration rate (eGFR) in all participants, the incident CKD in participants without CKD, and the progression of CKD in participants with CKD. We also examined the association of alcohol consumption with these factors and whether daily alcohol consumption alters the association of serum TG with renal prognosis. Results The higher quartile of serum TG at baseline was significantly associated with a greater decline in eGFR during the 2-year study period in all participants, even after adjustment for confounding factors. Serum TG was also significantly associated with the incidence and progression of CKD after 2 years in participants with and without CKD at baseline, respectively. Moreover, daily alcohol consumption was protectively associated with these outcomes. Stratified analysis according to the alcohol consumption status revealed that daily alcohol consumption modified the association of high TG with eGFR and CKD. Conclusion(s) Elevated serum TG was associated with the decline in eGFR and the incidence and progression of CKD. In addition, these associations were modified by daily alcohol consumption in this Japanese population.

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