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大学・研究所にある論文を検索できる 「Proteinuria and Reduced Estimated Glomerular Filtration Rate Are Independently Associated With Lower Cognitive Abilities in Apparently Healthy Community-Dwelling Elderly Men in Japan: A Cross-sectional Study.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Proteinuria and Reduced Estimated Glomerular Filtration Rate Are Independently Associated With Lower Cognitive Abilities in Apparently Healthy Community-Dwelling Elderly Men in Japan: A Cross-sectional Study.

FUJIYOSHI Akira 10567077 0000-0002-5790-7119 MIURA Katsuyuki 90257452 0000-0002-2646-9582 OHKUBO Takayoshi 60344652 0000-0002-3283-8196 MIYAGAWA Naoko 20388169 0000-0002-9148-1078 SAITO Yoshino 80553784 MIYAZAWA Itsuko 20649305 0000-0001-6310-7225 SHIINO Akihiko 50215935 0000-0001-6203-9339 KADOTA Aya 60546068 0000-0001-7378-0544 KADOWAKI Sayaka HISAMATSU Takashi TORII Sayuki 30773973 TAKASHIMA Naoyuki 80435883 0000-0002-9593-6797 TOOYAMA Ikuo 20207533 0000-0001-8054-9666 UESHIMA Hirotsugu 70144483 0000-0002-7742-4253 滋賀医科大学

2020.06.05

概要

Background:
The association of proteinuria and reduced estimated glomerular filtration rate (eGFR) with cognition needs more clarification. We cross-sectionally examined whether proteinuria and reduced eGFR, even in moderate stages, were independently associated with lower cognition in a community-based sample of elderly men.
Methods:
Our cohort initially comprised 1,094 men aged 40-79 years from a random sample from Shiga, Japan in 2006-2008. Of 853 men who returned for the follow-up examination (2009-2014), we analyzed 561 who were ≥65 years, free of stroke, and completed the Cognitive Abilities Screening Instrument (CASI) at follow-up (higher CASI scores [range 0 to 100] indicate better cognition). Proteinuria was assessed via dipstick. eGFR was calculated according to the Chronic Kidney Disease Epidemiology Collaboration Equation. Participants were divided into three groups either by eGFR (≥60, 59-40, and <40 mL/min/1.73 m2) or by proteinuria (no, trace, and positive), considered normal, moderate, and advanced, respectively. Using linear regression, we computed mean CASI score, with simultaneous adjustment for proteinuria and eGFR in addition to other potential confounders.
Results:
Significant trends of lower cognition were observed across the groups of worse proteinuria and lower eGFR independently: multivariable-adjusted mean CASI scores were 90.1, 89.3, and 88.4 for proteinuria (Ptrend = 0.029), and 90.0, 88.5, and 88.5 for eGFR (Ptrend = 0.015) in mutual-adjustment model.
Conclusions:
Proteinuria and reduced eGFR, even in their moderate stages, were independently associated with lower cognition in a community-based sample of elderly men. The results suggest the importance of proteinuria and low eGFR for early detection and prevention of cognitive decline.

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