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Table 2 Associations of multi-marker panel, individuals’ biomarkers and multi-marker scores with incident CKD and rapid kidney function decline

From: Relation of multi-marker panel to incident chronic kidney disease and rapid kidney function decline in African Americans: the Jackson Heart Study

Biomarkers

Incident CKD

Rapid Kidney Function Decline (RKFD)

Cases/ # at risk

Multivariable Adjusted Odds Ratio (95% CI)

P-value

Cases/ # at risk

Multivariable Adjusted Odds Ratio (95% CI)

P-value

Entire panel

 

2.72 (1.63, 4.56)

0.001

 

2.61 (1.67, 4.08)

0.001

Adiponectin

 Continuous

 

1.24 (1.07, 1.44)

0.005

 

1.22 (1.06, 1.40)

0.006

 Q1

54/703

Reference

 

63/703

Reference

 

 Q2

71/703

1.37 (0.89, 2.09)

0.151

78/703

1.20 (0.83, 1.75)

0.330

 Q3

72/704

1.31 (0.85, 2.02)

0.217

72/704

1.14 (0.77, 1.67)

0.515

 Q4

98/703

1.66 (1.08, 2.55)

0.022

97/703

1.49 (1.02, 2.18)

0.045

Leptin

 Continuous

 

1.31 (1.06, 1.61)

0.011

 

1.12 (0.93, 1.34)

0.234

 Q1

54/698

Reference

…

67/698

Reference

…

 Q2

79/711

1.37 (0.89, 2.11)

0.151

77/711

1.13 (0.77, 1.66)

0.525

 Q3

73/699

1.52 (0.95, 2.42)

0.079

90/699

1.64 (1.10, 2.44)

0.015

 Q4

89/705

2.00 (1.18, 3.38)

0.009

76/705

1.29 (0.80, 2.06)

0.295

hsCRP

 Continuous

 

1.13 (0.96, 1.33)

0.149

 

1.17 (1.01, 1.36)

0.031

 Q1

53/700

Reference

…

56/700

Reference

…

 Q2

88/707

1.22 (0.80, 1.87)

0.358

81/707

1.12 (0.76, 1.65)

0.572

 Q3

85/705

1.32 (0.86, 2.02)

0.212

88/705

1.25 (0.85, 1.84)

0.258

 Q4

69/701

1.13 (0.71, 1.80)

0.593

85/701

1.28 (0.85, 1.92)

0.230

Aldosterone

 Continuous

 

0.92 (0.8,1.06)

0.229

 

0.85 (0.74, 0.96)

0.012

 Q1

77/698

Reference

…

93/698

Reference

…

 Q2

68/720

0.82 (0.55, 1.23)

0.347

80/720

0.88 (0.62,1.24)

0.461

 Q3

58/707

0.54 (0.35, 0.82)

0.004

66/707

0.66 (0.46, 0.95)

0.026

 Q4

92/688

0.68 (0.46, 1.04)

0.077

71/688

0.62 (0.43, 0.89)

0.009

Multi-marker Score

 0

40/651

Reference

 

42/651

Reference

 

 1

53/652

1.48 (0.94–2.33)

0.093

54/652

1.12 (0.75–1.67)

0.586

 2

73/652

2.02 (1.30–3.14)

0.002

74/652

1.62 (1.11–2.37)

0.001

 3

90/652

2.45 (1.53–3.91)

<.001

95/652

2.04 (1.40–2.99)

<.001

  1. Abbreviations: Q1 quartile 1, Q2 quartile 2, Q3 quartile 3, Q4 quartile 4, hsCRP high-sensitive C-reactive protein
  2. Incident chronic kidney disease (CKD) was defined a decline from eGFR ≥60 mL/min/1.73 m2 at exam1 to eGFR < 60 mL/min/1.73 m2 at exam 3 follow-up (median follow-up duration: 8.0 years)
  3. Rapid kidney function decline (RKFD) was defined as a decline in estimated glomerular filtration rate (eGFR) ≥ 30% from exam 1 to exam 3 (median follow-up duration: 8.0 years)
  4. Multivariate model for the estimation of ORs were for adjusted for age, sex, baseline estimated glomerular filtration rate (eGFR), systolic blood pressure, hypertension, use of hypertension medication, smoking, body mass index (BMI), total cholesterol to high-density lipoprotein cholesterol (HDL) ratio and diabetes