Association between alcohol intake and measures of incident CKD: An analysis of nationwide health screening data
Autoři:
Minseon Park aff001; Seung Min Lee aff002; Hyung-Jin Yoon aff002
Působiště autorů:
Department of Family Medicine, Seoul National University Hospital, Seoul, Republic of Korea
aff001; Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Republic of Korea
aff002
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222123
Souhrn
To evaluate the association between alcohol intake and incident chronic kidney disease measures as well as the sex differences in this association, we analyzed health screening data of 14,190,878 adults who underwent health screening ≥3 times and had glomerular filtration rate (eGFR) ≥60 mL/min/1.73 m2 and normal proteinuria at baseline. eGFR was calculated with the Chronic Kidney Disease Epidemiology Collaboration equation. Proteinuria was defined as ≥1+ dipstick proteinuria and low eGFR as <60 mL/min/1.73 m2. The risk of incident proteinuria and low eGFR was analyzed with an extended Cox model with alcohol intake level as a time-varying determinant and the annual change of eGFR with generalized linear model. A J-shape association of alcohol intake with the incident proteinuria was observed in men (adjusted hazard ratio [aHR], 0.961, 95% confidence interval [CI], 0.953–0.970 in men drinking alcohol <10 g/day; aHR 1.139, 95% CI, 1.123–1.154 in men drinking alcohol ≥40 g/day, compared with non-drinking men), and a positive association was seen in women (aHR, 1.034, 95% CI, 1.023–1.044 in women drinking alcohol <10 g/day; aHR, 1.094, 95% CI, 1.034–1.158 in women drinking alcohol ≥40 g/day, compared with non-drinking women). In both sexes, an inverse association of alcohol intake with the annual eGFR decline and incident low eGFR was observed. This study observed a beneficial effect of moderate alcohol intake on incident proteinuria in men and a protective effect of alcohol intake of any amount on the annual eGFR decline and incident low eGFR in both sexes. The long-term implications of these observations need to be elucidated with future studies.
Klíčová slova:
Biology and life sciences – Anatomy – Medicine and health sciences – Pathology and laboratory medicine – Physiology – Diagnostic medicine – Signs and symptoms – Nutrition – Body fluids – Physiological processes – Public and occupational health – Diet – Alcohol consumption – Vascular medicine – Health screening – Sports science – Sports and exercise medicine – Blood pressure – Nephrology – Chronic kidney disease – Urine – Proteinuria – Ingestion
Zdroje
1. Room R, Babor T, Rehm J. Alcohol and public health. Lancet. 2005;365(9458):519–30. doi: 10.1016/S0140-6736(05)17870-2 15705462
2. Webster AC, Nagler EV, Morton RL, Masson P. Chronic Kidney Disease. The Lancet. 2017;389(10075):1238–52.
3. Chen N, Hsu CC, Yamagata K, Langham R. Challenging chronic kidney disease: experience from chronic kidney disease prevention programs in Shanghai, Japan, Taiwan and Australia. Nephrology (Carlton, Vic). 2010;15 Suppl 2:31–6.
4. Koning SH, Gansevoort RT, Mukamal KJ, Rimm EB, Bakker SJ, Joosten MM. Alcohol consumption is inversely associated with the risk of developing chronic kidney disease. Kidney Int. 2015;87(5):1009–16. doi: 10.1038/ki.2014.414 25587707
5. Hsu YH, Pai HC, Chang YM, Liu WH, Hsu CC. Alcohol consumption is inversely associated with stage 3 chronic kidney disease in middle-aged Taiwanese men. BMC Nephrol. 2013;14:254. doi: 10.1186/1471-2369-14-254 24238625
6. Schaeffner ES, Kurth T, de Jong PE, Glynn RJ, Buring JE, Gaziano JM. Alcohol consumption and the risk of renal dysfunction in apparently healthy men. Arch Intern Med. 2005;165(9):1048–53. doi: 10.1001/archinte.165.9.1048 15883245
7. White SL, Polkinghorne KR, Cass A, Shaw JE, Atkins RC, Chadban SJ. Alcohol consumption and 5-year onset of chronic kidney disease: the AusDiab study. Nephrol Dial Transplant. 2009;24(8):2464–72. doi: 10.1093/ndt/gfp114 19307230
8. Shankar A, Klein R, Klein BE. The association among smoking, heavy drinking, and chronic kidney disease. Am J Epidemiol. 2006;164(3):263–71. doi: 10.1093/aje/kwj173 16775042
9. Sato KK, Hayashi T, Uehara S, Kinuhata S, Oue K, Endo G, et al. Drinking pattern and risk of chronic kidney disease: the kansai healthcare study. Am J Nephrol. 2014;40(6):516–22. doi: 10.1159/000370051 25531762
10. Kaartinen K, Niemela O, Syrjanen J, Porsti I, Harmoinen A, Pasternack A, et al. Alcohol consumption and kidney function in IgA glomerulonephritis. Nephron Clinical practice. 2009;112(2):c86–93. doi: 10.1159/000213086 19390207
11. Metcalf PA, Baker JR, Scragg RK, Dryson E, Scott AJ, Wild CJ. Albuminuria in people at least 40 years old: effect of alcohol consumption, regular exercise, and cigarette smoking. Clinical chemistry. 1993;39(9):1793–7. 8375049
12. Matsumoto A, Nagasawa Y, Yamamoto R, Shinzawa M, Hasuike Y, Kuragano T, et al. The association of alcohol and smoking with CKD in a Japanese nationwide cross-sectional survey. Hypertens Res. 2017;40(8):771–8. doi: 10.1038/hr.2017.25 28275237
13. Uehara S, Hayashi T, Kogawa Sato K, Kinuhata S, Shibata M, Oue K, et al. Relationship Between Alcohol Drinking Pattern and Risk of Proteinuria: The Kansai Healthcare Study. J Epidemiol. 2016;26(9):464–70. doi: 10.2188/jea.JE20150158 26902169
14. Colafella KMM, Denton KM. Sex-specific differences in hypertension and associated cardiovascular disease. Nature reviews Nephrology. 2018;14(3):185–201. doi: 10.1038/nrneph.2017.189 29380817
15. Kronborg J, Solbu M, Njolstad I, Toft I, Eriksen BO, Jenssen T. Predictors of change in estimated GFR: a population-based 7-year follow-up from the Tromso study. Nephrol Dial Transplant. 2008;23(9):2818–26. doi: 10.1093/ndt/gfn148 18400822
16. Yamagata K, Ishida K, Sairenchi T, Takahashi H, Ohba S, Shiigai T, et al. Risk factors for chronic kidney disease in a community-based population: a 10-year follow-up study. Kidney Int. 2007;71(2):159–66. doi: 10.1038/sj.ki.5002017 17136030
17. Cheol Seong S, Kim YY, Khang YH, Heon Park J, Kang HJ, Lee H, et al. Data Resource Profile: The National Health Information Database of the National Health Insurance Service in South Korea. International journal of epidemiology. 2017;46(3):799–800. doi: 10.1093/ije/dyw253 27794523
18. Park JT, Kim BG, Jhun HJ. Alcohol consumption and the CAGE questionnaire in Korean adults: results from the Second Korea National Health and Nutrition Examination Survey. J Korean Med Sci. 2008;23(2):199–206. doi: 10.3346/jkms.2008.23.2.199 18437000
19. Matsushita K, Mahmoodi BK, Woodward M, Emberson JR, Jafar TH, Jee SH, et al. Comparison of risk prediction using the CKD-EPI equation and the MDRD study equation for estimated glomerular filtration rate. Jama. 2012;307(18):1941–51. doi: 10.1001/jama.2012.3954 22570462
20. Reynolds K, Gu D, Chen J, Tang X, Yau CL, Yu L, et al. Alcohol consumption and the risk of end-stage renal disease among Chinese men. Kidney Int. 2008;73(7):870–6. doi: 10.1038/sj.ki.5002774 18185503
21. Roerecke M, Kaczorowski J, Tobe SW, Gmel G, Hasan OSM, Rehm J. The effect of a reduction in alcohol consumption on blood pressure: a systematic review and meta-analysis. Lancet Public Health. 2017;2(2):e108–e20. doi: 10.1016/S2468-2667(17)30003-8 29253389
22. McFadden CB, Brensinger CM, Berlin JA, Townsend RR. Systematic review of the effect of daily alcohol intake on blood pressure. American journal of hypertension. 2005;18(2 Pt 1):276–86. doi: 10.1016/j.amjhyper.2004.07.020 15752957
23. Hojnacki JL, Deschenes RN, Cluette-Brown JE, Mulligan JJ, Osmolski TV, Rencricca NJ, et al. Effect of drinking pattern on plasma lipoproteins and body weight. Atherosclerosis. 1991;88(1):49–59. doi: 10.1016/0021-9150(91)90256-3 1878009
24. McCarthy ET, Zhou J, Eckert R, Genochio D, Sharma R, Oni O, et al. Ethanol at low concentrations protects glomerular podocytes through alcohol dehydrogenase and 20-HETE. Prostaglandins Other Lipid Mediat. 2015;116–117:88–98. doi: 10.1016/j.prostaglandins.2014.10.006 25447342
25. Zakhari S. Alcohol and the cardiovascular system: molecular mechanisms for beneficial and harmful action. Alcohol health and research world. 1997;21(1):21–9. 15706760
26. Davies MJ, Baer DJ, Judd JT, Brown ED, Campbell WS, Taylor PR. Effects of moderate alcohol intake on fasting insulin and glucose concentrations and insulin sensitivity in postmenopausal women: a randomized controlled trial. Jama. 2002;287(19):2559–62. doi: 10.1001/jama.287.19.2559 12020337
27. Joosten MM, Beulens JW, Kersten S, Hendriks HF. Moderate alcohol consumption increases insulin sensitivity and ADIPOQ expression in postmenopausal women: a randomised, crossover trial. Diabetologia. 2008;51(8):1375–81. doi: 10.1007/s00125-008-1031-y 18504547
28. Brien SE, Ronksley PE, Turner BJ, Mukamal KJ, Ghali WA. Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies. Bmj. 2011;342:d636. doi: 10.1136/bmj.d636 21343206
29. Burchfiel CM, Tracy RE, Chyou PH, Strong JP. Cardiovascular risk factors and hyalinization of renal arterioles at autopsy. The Honolulu Heart Program. Arterioscler Thromb Vasc Biol. 1997;17(4):760–8. doi: 10.1161/01.atv.17.4.760 9108792
30. Park M, Yoon E, Lim YH, Kim H, Choi J, Yoon HJ. Renal hyperfiltration as a novel marker of all-cause mortality. J Am Soc Nephrol. 2015;26(6):1426–33. doi: 10.1681/ASN.2014010115 25343954
31. Vatsalya V, Liaquat HB, Ghosh K, Mokshagundam SP, McClain CJ. A Review on the Sex Differences in Organ and System Pathology with Alcohol Drinking. Curr Drug Abuse Rev. 2016;9(2):87–92. doi: 10.2174/1874473710666170125151410 28124600
32. Matsushita K, Coresh J, Sang Y, Chalmers J, Fox C, Guallar E, et al. Estimated glomerular filtration rate and albuminuria for prediction of cardiovascular outcomes: a collaborative meta-analysis of individual participant data. The lancet Diabetes & endocrinology. 2015;3(7):514–25.
33. Robles NR, Felix FJ, Fernandez-Berges D, Perez-Castan J, Zaro MJ, Lozano L, et al. Prevalence of abnormal urinary albumin excretion in elderly people: a Spanish survey. Int Urol Nephrol. 2013;45(2):553–60. doi: 10.1007/s11255-013-0380-8 23355028
34. Nair S, O’Brien SV, Hayden K, Pandya B, Lisboa PJ, Hardy KJ, et al. Effect of a cooked meat meal on serum creatinine and estimated glomerular filtration rate in diabetes-related kidney disease. Diabetes Care. 2014;37(2):483–7. doi: 10.2337/dc13-1770 24062331
Článok vyšiel v časopise
PLOS One
2019 Číslo 9
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- Graviola (Annona muricata) attenuates behavioural alterations and testicular oxidative stress induced by streptozotocin in diabetic rats
- CH(II), a cerebroprotein hydrolysate, exhibits potential neuro-protective effect on Alzheimer’s disease
- Comparison between Aptima Assays (Hologic) and the Allplex STI Essential Assay (Seegene) for the diagnosis of Sexually transmitted infections
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania