Evidence map›Paper›PMID 40730993›Full record

ArticleBMC public health2025

Cardiometabolic risk phenotypes and chronic kidney disease incidence in older adults: a nationwide longitudinal cohort study.

Zhihe Zeng, Zhaoyang Xiao

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Zhihe ZengDepartment of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China.
Zhaoyang XiaoDepartment of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China. Xiaozhaoy2012@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is mixed evidence for an association between cardiometabolic risk factors and chronic kidney disease risk (CKD). This study aimed to determine whether different latent classes of cardiometabolic conditions were associated with chronic kidney disease risk.

methodData from 7,195 participants in the China Health and Retirement Longitudinal Study (CHARLS) were analyzed. Latent class analysis was performed using data on obesity, high-density lipoprotein cholesterol, triglyceride, hypertension, diabetes, arthritis or rheumatism, and systemic inflammatory conditions and heart disease. Confounder-adjusted multiple logistic regressions were conducted to estimate CKD incidence by cardiometabolic latent classes. Sensitivity analyses were performed across cross-sectional and longitudinal samples, as well as derivation and validation cohorts.

resultsThree cardiometabolic classes were identified: relatively healthy cardiometabolic (RHC) phenotype, metabolic syndrome (MetS) phenotype, and cardiovascular disease (CVD) phenotype, which accounted for 66.2%, 19.9%, and 13.8%, respectively. The incidence of CKD was 12.7% in the CVD group, 9.4% in the MetS group, and 5.9% in the RHC group. After adjusting for confounding factors, it was found that the metabolic syndrome type had a 54% increased risk of newly diagnosed CKD compared to the healthy heart type (OR = 1.54, 95% CI: 1.22-1.93), while the cardiovascular type increased by 104% (OR = 2.04, 95% CI: 1.61-2.57). Sensitivity analyses showed high consistency (> 90%) in class assignments, confirming model robustness.

conclusionDifferent cardiometabolic phenotypes are associated with an increased risk of new-onset CKD. Gender and age are important factors influencing the strength of this association. Phenotypic classification may improve CKD risk stratification and guide early prevention efforts.

Indexed as

Cardiometabolic Risk FactorsCardiovascular DiseasesRenal Insufficiency, ChronicAgedChinaCross-Sectional StudiesFemaleHumansIncidenceLongitudinal StudiesMaleMetabolic SyndromeMiddle AgedPhenotypeRisk FactorsCardiometabolic diseaseCardiometabolic phenotypeChronic kidney diseaseLatent class analysisSensitivity analysis

Identifiers

PMID40730993
PMCPMC12309190

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.