Evidence mapPaperPMID 41935255Full record

ArticleBMC nephrology2026

Arterial stiffness and incident chronic kidney disease risk: a two-phase retrospective cohort study.

Guang Yang, Xin Shen, Ying Ding, Bokai Cheng, Yansong Zheng, Jiahui Zhao

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Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

6 authors.

Guang YangDepartment of Geriatric Nephrology, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China.
Xin ShenDepartment of Geriatric Nephrology, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China.
Ying DingDepartment of Geriatric Nephrology, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China.
Bokai ChengDepartment of Geriatric Nephrology, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China.
Yansong ZhengHealth Management Institute, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China. zhengyansong@301hospital.com.cn.
Jiahui ZhaoDepartment of Geriatric Nephrology, The Second Medical Centre and National Clinical Research Centre for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China. zhaojiahui@301hospital.com.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of arterial stiffness (AS) on incident chronic kidney disease (CKD) in healthy individuals remains unclear. In this study, we examined the relationship between AS, measured using brachial-ankle pulse wave velocity (baPWV), and cardiovascular-metabolic comorbidities in predicting CKD development.

methodsThis two-phase retrospective cohort study used data from the Chinese People’s Liberation Army General Hospital (2009–2021). The cross-sectional phase included 83,354 participants (77,711 without CKD and 5,643 with CKD), whereas the longitudinal phase included 13,738 participants. The association between baPWV and incident CKD was assessed using Cox regression analysis with restricted cubic splines, stratification, and mediation.

resultsCKD exhibited a prevalence of 6.77%. Participants with CKD had significantly higher baPWV than those without CKD. Compared to the reference category (< 1,400 cm/s), participants with baPWV ≥ 1,800 cm/s showed markedly increased odds of CKD development. Longitudinal analysis identified 403 incident CKD cases (2.93%) over a mean follow-up of 2.95 ± 2.02 years. A dose–response relationship was observed between baPWV and CKD development (p < 0.001), with the highest baPWV category conferring a 65% greater risk (p < 0.05). Mediation analysis showed significant indirect effects through systolic blood pressure (52.9%), diastolic blood pressure (45.1%), hyperlipidaemia (27.5%), and glycated haemoglobin (15.3%) (all p < 0.05).

conclusionsElevated baPWV values are associated with greater incident CKD risk, with blood pressure and glucose-lipid metabolism dysfunction potentially mediating this association. Further research is needed to determine whether interventions targeting AS and metabolic parameters reduce CKD incidence.

Indexed as

Renal Insufficiency, ChronicVascular StiffnessAdultAnkle Brachial IndexChinaCross-Sectional StudiesFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedPulse Wave AnalysisRetrospective StudiesRisk FactorsArterial stiffnessBrachial-ankle pulse wave velocityChronic kidney diseaseComorbidityIncidenceRisk assessment

Identifiers

PMID41935255
PMCPMC13188728

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