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Table 2 Association of PENK-A with incident CKD (defined as new eGFR < 60 mL/min/1.73m2 plus at least 40% eGFR decline)a

From: Plasma proenkephalin A and incident chronic kidney disease and albuminuria in the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort

 

Quartiles of PENK-A

Q1

Q2

Q3

Q4

Per SD higher

P value+

(OR, 95% CI)

(OR, 95% CI)

(OR, 95% CI)

(OR, 95% CI)

(OR, 95% CI)

Range of PENK-A

< 48

49–57

58–70

> 71

  

Number of events/Number at Risk (%)

 BioMedioR

78/909 (8.6)

79/908 (8.7)

75/909 (8.2)

77/908 (8.5)

309/3634 (8.5)

 

 Weighted

436/1747 (25.0)

436/1752 (24.9)

425/1744 (24.4)

431/1747 (24.7)

1728/6990 (24.7)

 

 Model 1*

Reference

0.95 (0.69, 1.32)

0.89 (0.63, 1.24)

0.86 (0.60, 1.23)

0.94 (0.82, 1.08)

0.42

 Model 2**

Reference

1.14 (0.81, 1.61)

1.19 (0.84, 1.70)

1.31 (0.90, 1.91)

1.11 (0.96, 1.28)

0.15

 Model 3***

Reference

1.10 (0.77, 1.57)

1.11 (0.76, 1.61)

1.02 (0.67, 1.55)

1.02 (0.86, 1.21)

0.82

  1. P for interaction for sex: 0.14
  2. P for interaction for race: 0.48
  3. a Weighted to parent cohort and excluding participants missing PENK-A and baseline CKD
  4. *Adjusted for age, sex, race
  5. **Adjusted for Model 1 plus body mass index, current smoking, coronary artery disease, systolic blood pressure, use of antihypertensive meds, diabetes mellitus
  6. ***Adjusted for Model 2 plus baseline eGFR and uACR
  7. + P value for SD higher of PENK-A