Trends in renal function in Northern Sweden 1986-2014: data from the seven cross-sectional surveys within the Northern Sweden MONICA study

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Trends in renal function in Northern Sweden 1986-2014: data from the seven cross-sectional surveys within the Northern Sweden MONICA study. / de Man Lapidoth, Julia; Hultdin, Johan; Jonsson, P Andreas; Eriksson Svensson, Maria; Wennberg, Maria; Zeller, Tanja; Söderberg, Stefan.

In: BMJ OPEN, Vol. 13, No. 8, 30.08.2023, p. e072664.

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de Man Lapidoth, J, Hultdin, J, Jonsson, PA, Eriksson Svensson, M, Wennberg, M, Zeller, T & Söderberg, S 2023, 'Trends in renal function in Northern Sweden 1986-2014: data from the seven cross-sectional surveys within the Northern Sweden MONICA study', BMJ OPEN, vol. 13, no. 8, pp. e072664. https://doi.org/10.1136/bmjopen-2023-072664

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@article{ace47372fb01472b8c4e8bb3991bfa54,
title = "Trends in renal function in Northern Sweden 1986-2014: data from the seven cross-sectional surveys within the Northern Sweden MONICA study",
abstract = "OBJECTIVE: The prevalence of chronic kidney disease (CKD) is increasing globally, and CKD is closely related to cardiovascular disease (CVD). CKD and CVD share several risk factors (RF), such as diabetes, hypertension, obesity and smoking, and the prevalence of these RF has changed during the last decades, and we aimed to study the effect on renal function over time.DESIGN: Repeated cross-sectional population-based studies.SETTING: The two Northern counties (Norr- and V{\"a}sterbotten) in Sweden.PARTICIPANTS: Within the MONitoring Trends and Determinants of CArdiovascular Disease (MONICA) study, seven surveys were performed between 1986 and 2014, including participants aged 25-64 years (n=10 185).INTERVENTIONS: None.MEASURES: Information on anthropometry, blood pressure and cardiovascular risk factors was collected. Creatinine and cystatin C were analysed in stored blood samples and the estimated glomerular filtration rate (eGFR) calculated using the creatinine-based Lund-Malm{\"o} revised and Chronic Kidney Disease Epidemiology Collaboration (eGFRcrea) equations as well as the cystatin C-based Caucasian, Asian, Paediatric and Adult cohort (CAPA) equation (eGFRcysC). Renal function over time was analysed using univariable and multivariable linear regression models.RESULTS: Renal function, both eGFRcrea and eGFRcysC, decreased over time (both p<0.001) and differed between counties and sexes. In a multivariable analysis, study year remained inversely associated with both eGFRcrea and eGFRcysC (both p<0.001) after adjustment for classical cardiovascular RF.CONCLUSION: Renal function has deteriorated in Northern Sweden between 1986 and 2014.",
keywords = "Adult, Humans, Child, Cross-Sectional Studies, Cystatin C, Cardiovascular Diseases/epidemiology, Creatinine, Sweden/epidemiology, Renal Insufficiency, Chronic/epidemiology, Kidney/physiology",
author = "{de Man Lapidoth}, Julia and Johan Hultdin and Jonsson, {P Andreas} and {Eriksson Svensson}, Maria and Maria Wennberg and Tanja Zeller and Stefan S{\"o}derberg",
note = "{\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2023",
month = aug,
day = "30",
doi = "10.1136/bmjopen-2023-072664",
language = "English",
volume = "13",
pages = "e072664",
journal = "BMJ OPEN",
issn = "2044-6055",
publisher = "British Medical Journal Publishing Group",
number = "8",

}

RIS

TY - JOUR

T1 - Trends in renal function in Northern Sweden 1986-2014: data from the seven cross-sectional surveys within the Northern Sweden MONICA study

AU - de Man Lapidoth, Julia

AU - Hultdin, Johan

AU - Jonsson, P Andreas

AU - Eriksson Svensson, Maria

AU - Wennberg, Maria

AU - Zeller, Tanja

AU - Söderberg, Stefan

N1 - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2023/8/30

Y1 - 2023/8/30

N2 - OBJECTIVE: The prevalence of chronic kidney disease (CKD) is increasing globally, and CKD is closely related to cardiovascular disease (CVD). CKD and CVD share several risk factors (RF), such as diabetes, hypertension, obesity and smoking, and the prevalence of these RF has changed during the last decades, and we aimed to study the effect on renal function over time.DESIGN: Repeated cross-sectional population-based studies.SETTING: The two Northern counties (Norr- and Västerbotten) in Sweden.PARTICIPANTS: Within the MONitoring Trends and Determinants of CArdiovascular Disease (MONICA) study, seven surveys were performed between 1986 and 2014, including participants aged 25-64 years (n=10 185).INTERVENTIONS: None.MEASURES: Information on anthropometry, blood pressure and cardiovascular risk factors was collected. Creatinine and cystatin C were analysed in stored blood samples and the estimated glomerular filtration rate (eGFR) calculated using the creatinine-based Lund-Malmö revised and Chronic Kidney Disease Epidemiology Collaboration (eGFRcrea) equations as well as the cystatin C-based Caucasian, Asian, Paediatric and Adult cohort (CAPA) equation (eGFRcysC). Renal function over time was analysed using univariable and multivariable linear regression models.RESULTS: Renal function, both eGFRcrea and eGFRcysC, decreased over time (both p<0.001) and differed between counties and sexes. In a multivariable analysis, study year remained inversely associated with both eGFRcrea and eGFRcysC (both p<0.001) after adjustment for classical cardiovascular RF.CONCLUSION: Renal function has deteriorated in Northern Sweden between 1986 and 2014.

AB - OBJECTIVE: The prevalence of chronic kidney disease (CKD) is increasing globally, and CKD is closely related to cardiovascular disease (CVD). CKD and CVD share several risk factors (RF), such as diabetes, hypertension, obesity and smoking, and the prevalence of these RF has changed during the last decades, and we aimed to study the effect on renal function over time.DESIGN: Repeated cross-sectional population-based studies.SETTING: The two Northern counties (Norr- and Västerbotten) in Sweden.PARTICIPANTS: Within the MONitoring Trends and Determinants of CArdiovascular Disease (MONICA) study, seven surveys were performed between 1986 and 2014, including participants aged 25-64 years (n=10 185).INTERVENTIONS: None.MEASURES: Information on anthropometry, blood pressure and cardiovascular risk factors was collected. Creatinine and cystatin C were analysed in stored blood samples and the estimated glomerular filtration rate (eGFR) calculated using the creatinine-based Lund-Malmö revised and Chronic Kidney Disease Epidemiology Collaboration (eGFRcrea) equations as well as the cystatin C-based Caucasian, Asian, Paediatric and Adult cohort (CAPA) equation (eGFRcysC). Renal function over time was analysed using univariable and multivariable linear regression models.RESULTS: Renal function, both eGFRcrea and eGFRcysC, decreased over time (both p<0.001) and differed between counties and sexes. In a multivariable analysis, study year remained inversely associated with both eGFRcrea and eGFRcysC (both p<0.001) after adjustment for classical cardiovascular RF.CONCLUSION: Renal function has deteriorated in Northern Sweden between 1986 and 2014.

KW - Adult

KW - Humans

KW - Child

KW - Cross-Sectional Studies

KW - Cystatin C

KW - Cardiovascular Diseases/epidemiology

KW - Creatinine

KW - Sweden/epidemiology

KW - Renal Insufficiency, Chronic/epidemiology

KW - Kidney/physiology

U2 - 10.1136/bmjopen-2023-072664

DO - 10.1136/bmjopen-2023-072664

M3 - SCORING: Journal article

C2 - 37648389

VL - 13

SP - e072664

JO - BMJ OPEN

JF - BMJ OPEN

SN - 2044-6055

IS - 8

ER -