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Clinical and Experimental Nephrology

, Volume 22, Issue 1, pp 15–27 | Cite as

Impact of low-density lipoprotein cholesterol on decline in estimated glomerular filtration rate in apparently healthy young to middle-aged working men

  • Akihiro KumaEmail author
  • Bungo Uchino
  • Yoko Ochiai
  • Masatoshi Kawashima
  • Kazuhiko Enta
  • Masahito Tamura
  • Yutaka Otsuji
  • Akihiko Kato
Original article

Abstract

Background

It remains to be fully clarified whether there is a relationship between uncontrolled dyslipidemia and decline in estimated glomerular filtration rate (eGFR) in the general population. Therefore, this study’s aim was to test the association of dyslipidemia with changes in eGFR in apparently healthy working men.

Methods

We retrospectively examined the annual medical check-up list of 14,510 male workers aged 20–60 years with eGFR ≥ 60 mL/min/1.73 m2 at baseline, and then evaluated the association of the changes in the check-up parameters with a decline in eGFR during the 5-year observation period.

Results

Mean age and eGFR were 38.5 years and 82.3 mL/min/1.73 m2 at baseline, respectively. Evaluated low-density lipoprotein cholesterol (LDL-C) (≥140 mg/dL) was a strong indicator of CKD development in participants (basal eGFR 60–90 mL/min/1.73 m2) without hypertension [odds ratio (95% confidence interval): 1.46 (1.12–1.90)] or diabetes mellitus (DM) [1.49 (1.23–1.82)]. When LDL-C normalized under 140 mg/dL during follow-up, the decline in eGFR was smaller in non-hypertensive participants [−5.9 (−14.4 to −0.9) vs −13.4 (−18.4 to −4.5) mL/min/1.73 m2, p < 0.05]. There was an inverse correlation between change of LDL-C and decline in eGFR (p for trend <0.001).

Conclusion

Increased LDL-C levels are associated with the development of incident CKD and eGFR decline in young to middle-aged working men without hypertension and/or DM.

Keywords

Metabolic syndrome Dyslipidemia Chronic kidney disease Health check-up Occupational health 

Notes

Acknowledgements

We thank all staffs at the Health Care Center in Central Japan Railway Company and at the Health Promotion Center in Yamaha Motor Co., Ltd., for supplying annual health check-up data.

Compliance with ethical standards

Conflict of interest

The authors have declared that no conflict of interest exists.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional committee (Hamamatsu University School of Medicine, approval number E15-289) at which the studies were conducted and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

We provided all individual participants a means to opt out in this study.

Supplementary material

10157_2017_1407_MOESM1_ESM.pdf (2.6 mb)
Supplementary material 1 (PDF 2712 KB)

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Copyright information

© Japanese Society of Nephrology 2017

Authors and Affiliations

  • Akihiro Kuma
    • 1
    • 2
    • 3
    Email author
  • Bungo Uchino
    • 4
  • Yoko Ochiai
    • 4
  • Masatoshi Kawashima
    • 3
  • Kazuhiko Enta
    • 3
  • Masahito Tamura
    • 5
  • Yutaka Otsuji
    • 1
  • Akihiko Kato
    • 2
  1. 1.Second Department of Internal Medicine, School of MedicineUniversity of Occupational and Environmental HealthKitakyushuJapan
  2. 2.Blood Purification UnitHamamatsu University HospitalHamamatsuJapan
  3. 3.Health Care CenterCentral Japan Railway CompanyShizuokaJapan
  4. 4.Health Promotion CenterYamaha Motor Co., Ltd.IwataJapan
  5. 5.Kidney CenterUniversity Hospital of Occupational and Environmental HealthKitakyushuJapan

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