ASSOCIATION BETWEEN MULTIMORBIDITY AND KIDNEY FUNCTION DECLINE IN OLD AGE: A SWEDISH POPULATION-BASED COHORT STUDY
2024

Multimorbidity and Kidney Function Decline in Older Adults

Sample size: 3094 publication Evidence: high

Author Information

Author(s): Beridze Giorgi, Dai Lu, Carrero Juan-Jesús, Marengoni Alessandra, Vetrano Davide Liborio, Calderón-Larrañaga Amaia

Primary Institution: Karolinska Institutet

Hypothesis

There is an association between multimorbidity and the risk of kidney function decline in older adults.

Conclusion

Multimorbidity is strongly associated with accelerated kidney function decline in older age, particularly in individuals with cardiometabolic conditions.

Supporting Evidence

  • There was a dose-response relationship between the number of chronic conditions and declines in kidney function.
  • The Unspecific, high burden and Cardiometabolic patterns showed accelerated declines in kidney function.
  • The Cognitive and Sensory pattern also showed accelerated relative decline.

Takeaway

Having multiple health problems can make your kidneys work worse as you get older, especially if you have heart and metabolic issues.

Methodology

The study followed 3094 individuals from the Swedish National Study on Aging and Care in Kungsholmen between 2001 and 2016, using joint models and Cox regression to analyze the data.

Participant Demographics

Mean age of the sample was 73.9 years, with 87% having multimorbidity.

Statistical Information

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2396

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