Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
December 1, 2019Lipids in Health and DiseaseOpen Access

The association of metabolic syndrome components and chronic kidney disease in patients with hypertension

View Full Paper
Ask AI
Bookmark
Share

Key result

Elevated triglycerides linked to ~81% higher odds of CKD in hypertensive patients.

  • OR 1.81
  • 95% CI 1.28-2.57
  • P<0.01
  • n=2,484

Why the study?

Hypertension is a leading cause of chronic kidney disease, and the association between metabolic syndrome components and CKD prevalence in hypertensive patients is unclear.

Are metabolic syndrome components associated with a higher prevalence of chronic kidney disease in patients with hypertension?

Population

2484 patients with hypertension in 15 cities in China

Comparison

Presence vs absence of metabolic syndrome components and different hypertension grades

Design

Multi-center cross-sectional study

Authors

KXKun XieUniversity of Science and Technology of ChinaLBLiwen BaoFudan UniversityXJXiaofei JiangZhuhai People's Hospital

Discussion

Loading...

Member takes

Implication

May inform CKD risk stratification in hypertension; hypothesis-generating and requires longitudinal confirmation.

Study Design

Type

Cross-Sectional (n=2,484)

Multicenter

Yes

Structured PICO

Are metabolic syndrome components associated with a higher prevalence of chronic kidney disease in patients with hypertension?

P
Population
2,484 adult patients with primary hypertension in China were evaluated in a cross-sectional study to assess the association between metabolic syndrome components and chronic kidney disease.
E
Exposure
Presence of metabolic syndrome components (elevated triglycerides, elevated fasting blood glucose, higher hypertension grades)
C
Comparator
Absence of metabolic syndrome components or lower hypertension grades
O
Outcome
Prevalence of chronic kidney disease (CKD)

Main Result

Odds Ratio: 1.81 (95% CI 1.28–2.57)

p-value: p=<0.01

In hypertensive patients, metabolic syndrome components, particularly elevated triglycerides, are strongly and independently associated with chronic kidney disease.

Limitations

  • Relatively small sample size with convenience sampling, which may introduce bias
  • Cross-sectional design prevents determining causal relationships between metabolic syndrome components and CKD

Cite This Study

Xie et al. (2019) conducted a cross-sectional in Hypertension (n=2,484). Elevated triglycerides vs. Normal triglycerides was evaluated on Prevalence of chronic kidney disease (CKD) (OR 1.81, 95% CI 1.28-2.57, p=<0.01). Elevated triglycerides were significantly associated with the prevalence of chronic kidney disease in patients with hypertension (OR 1.81), independent of diabetes and hypertension grades.

synapsesocial.com/papers/6ab0822b2b72bb68c5778816https://doi.org/10.1186/s12944-019-1121-5

Topics

Hypertension management
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Metabolic Syndrome and Chronic Kidney Disease in U.S. Adults2004 · 1,365 citations
  2. 2Global Disparities of Hypertension Prevalence and Control2016 · 3,602 citations
  3. 32013 ESH/ESC Guidelines for the management of arterial hypertension2013 · 13,686 citations
  4. 4Diagnosis and Management of the Metabolic Syndrome2005 · 11,934 citations
  5. 5Evaluation of the Modification of Diet in Renal Disease Study Equation in a Large Diverse Population2007 · 576 citations