101. Association of Body Weight Variability with Adverse Cardiovascular Outcomes in Patients with Pre-Dialysis Chronic Kidney Disease.
- Author
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Suh SH, Oh TR, Choi HS, Kim CS, Bae EH, Park SK, Kim YS, Kim YH, Choi KH, Oh KH, Ma SK, Kim SW, and On Behalf Of The KoreaN Cohort Study For Outcomes In Patients With Chronic Kidney Disease Know-Ckd Investigators
- Subjects
- Female, Follow-Up Studies, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Proportional Hazards Models, Body Weight, Cardiovascular Diseases complications, Renal Dialysis, Renal Insufficiency, Chronic complications
- Abstract
To investigate the association of body weight variability (BWV) with adverse cardiovascular (CV) outcomes in patient with pre-dialysis chronic kidney disease (CKD), a total of 1867 participants with pre-dialysis CKD from Korean Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD) were analyzed. BWV was defined as the average absolute difference between successive values. The primary outcome was a composite of non-fatal CV events and all-cause mortality. Secondary outcomes were fatal and non-fatal CV events and all-cause mortality. High BWV was associated with increased risk of the composite outcome (adjusted hazard ratio (HR) 1.745, 95% confidence interval (CI) 1.065 to 2.847) as well as fatal and non-fatal CV events (adjusted HR 1.845, 95% CI 1.136 to 2.996) and all-cause mortality (adjusted HR 1.861, 95% CI 1.101 to 3.145). High BWV was associated with increased risk of fatal and non-fatal CV events, even in subjects without significant body weight gain or loss during follow-up periods (adjusted HR 2.755, 95% CI 1.114 to 6.813). In conclusion, high BWV is associated with adverse CV outcomes in patients with pre-dialysis CKD.
- Published
- 2021
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