Huang X, Sui X, Ruiz JR, Hirth V, Ortega FB, Blair SN, Carrero JJ. Parental history of premature cardiovascular disease, estimated GFR, and rate of estimated GFR decline: results from the Aerobics Center Longitudinal Study.
Am J Kidney Dis 2015;
65:692-700. [PMID:
25600488 DOI:
10.1053/j.ajkd.2014.11.021]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Accepted: 11/18/2014] [Indexed: 11/11/2022]
Abstract
BACKGROUND
Despite cardiovascular disease (CVD) and chronic kidney disease sharing similar causes and interplay, it is unknown if a broader relationship between these diseases exists across generations. We investigated the association between parental CVD history and estimated glomerular filtration rate (eGFR) in the community.
STUDY DESIGN
Cross-sectional and longitudinal analyses.
SETTING & PARTICIPANTS
13,241 community-based adults with serum creatinine measurement and follow-up visits (from 1-8 visits ~2 years apart) from the Aerobics Center Longitudinal Study.
PREDICTORS
Premature parental CVD history (before age 50 years).
OUTCOMES
eGFR, decreased eGFR (<60 mL/min/1.73 m(2)), and rate of eGFR decline.
MEASUREMENTS
Information for parental history was collected by protocol-standardized questionnaires. eGFR was assessed with serum creatinine.
RESULTS
3,339 (25.2%) participants reported a history of parental CVD. Individuals with parental CVD had significantly lower eGFRs compared with those without parental CVD (69.4 ± 12.9 vs 74.8 ± 14.2 mL/min/1.73 m(2); P<0.001). After multivariable adjustment, parental CVD was associated independently with higher odds of having decreased eGFR (adjusted OR, 1.68; 95% CI, 1.52-1.86). Random-coefficient models showed that individuals with parental CVD had a faster decline in eGFR compared with those without parental CVD (sex- and ethnicity-adjusted annual change of -0.47 vs -0.41 mL/min/1.73 m(2); P=0.06).
LIMITATIONS
~70% of participants did not attend a second examination.
CONCLUSIONS
Parental history of CVD was associated with lower baseline eGFR, higher odds of decreased eGFR, and a nominally faster rate of eGFR decline in the offspring. Such findings may imply previously unrecognized cross-generational links between both diseases and be of support in community screening programs.
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