The relation of C--reactive protein to chronic kidney disease in African Americans: the Jackson Heart Study

African Americans have an increased incidence and worse prognosis with chronic kidney disease (CKD--estimated glomerular filtration rate [eGFR] <60 ml/min/1.73 m2) than their counterparts of European-descent. Inflammation has been related to renal disease in non-Hispanic whites, but there are lim...

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Published in:	BMC nephrology Vol. 11; no. 1; p. 1
Main Authors:	Fox, Ervin R, Benjamin, Emelia J, Sarpong, Daniel F, Nagarajarao, Harsha, Taylor, Jason K, Steffes, Michael W, Salahudeen, Abdullah K, Flessner, Michael F, Akylbekova, Ermeg L, Fox, Caroline S, Garrison, Robert J, Taylor, Jr, Herman A
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 15-01-2010 BioMed Central BMC
Subjects:	Adult African Americans African Americans - statistics & numerical data Aged Albuminuria - blood Albuminuria - ethnology Body mass index C-reactive protein C-Reactive Protein - metabolism Cardiovascular disease Care and treatment Chronic kidney failure Demographic aspects Female Glomerular Filtration Rate Humans Incidence Kidney diseases Kidney Function Tests Longitudinal Studies Male Middle Aged Multivariate Analysis Nephrology Physiological aspects Prevalence Prevention Renal Insufficiency, Chronic - blood Renal Insufficiency, Chronic - ethnology Research article Risk Factors United States
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Summary:	African Americans have an increased incidence and worse prognosis with chronic kidney disease (CKD--estimated glomerular filtration rate [eGFR] <60 ml/min/1.73 m2) than their counterparts of European-descent. Inflammation has been related to renal disease in non-Hispanic whites, but there are limited data on the role of inflammation in renal dysfunction in African Americans in the community. We examined the cross-sectional relation of log transformed C-reactive protein (CRP) to renal function (eGFR by Modification of Diet and Renal Disease equation) in African American participants of the community-based Jackson Heart Study's first examination (2000 to 2004). We conducted multivariable linear regression relating CRP to eGFR adjusting for age, sex, body mass index, systolic and diastolic blood pressure, diabetes, total/HDL cholesterol, triglycerides, smoking, antihypertensive therapy, lipid lowering therapy, hormone replacement therapy, and prevalent cardiovascular disease events. In a secondary analysis we assessed the association of CRP with albuminuria (defined as albumin-to-creatinine ratio > 30 mg/g). Participants (n = 4320, 63.2% women) had a mean age +/- SD of 54.0 +/- 12.8 years. The prevalence of CKD was 5.2% (n = 228 cases). In multivariable regression, CRP concentrations were higher in those with CKD compared to those without CKD (mean CRP 3.2 +/- 1.1 mg/L vs. 2.4 +/- 1.0 mg/L, respectively p < 0.0001). CRP was significantly associated with albuminuria in sex and age adjusted model however not in the multivariable adjusted model (p > 0.05). CRP was associated with CKD however not albuminuria in multivariable-adjusted analyses. The study of inflammation in the progression of renal disease in African Americans merits further investigation.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1471-2369 1471-2369
DOI:	10.1186/1471-2369-11-1