Journal of Capital Medical University ›› 2021, Vol. 42 ›› Issue (4): 609-614.doi: 10.3969/j.issn.1006-7795.2021.04.016

• Clinical Research • Previous Articles     Next Articles

Effect of metabolic syndrome on survival outcome of chronic kidney disease

Lai Xuan1, Zhang Aihua2*   

  1. 1. Department of Geriatrics, Peking University Third Hospital, Beijing 100191, China;
    2. Department of Nephrology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2020-09-08 Online:2021-08-21 Published:2021-07-29
  • Contact: * E-mail:zhangaihua0982@sina.com
  • Supported by:
    National Natural Science Foundation of China(81170706,81341022).

Abstract: Objective To investigate the the effect of metabolic syndrome (MS) on survival outcomes in patients with chronic kidney disease (CKD) stage 1-5. Methods The patients with CKD from January 2006 to September 2008 in the Department of Nephrology of Peking University Third Hospital were enrolled as the subjects of study. General data and laboratory results of all subjects were collected. The follow-up ended on December 31, 2016, with the all-cause death as the end point event. Kaplan-Meier method and Cox regression analysis were used to screen out independent risk factors for CKD survival outcome. Results A total of 881 survival patients with CKD stage 1-5 were enrolled and completed the follow-up, including 307 with MS and 574 without MS. Totally 82 patients died at the end point of follow-up. Survival analysis showed that age ≥65 years old, serum albumin<42 g/L, MS and cardiovascular and cerebrovascular diseases were independent risk factors for survival prognosis of CKD patients(P<0.05). Conclusions Metabolic syndrome is an independent risk factor for survival outcomes of CKD 1-5 patients, and the risk of death of CKD stage 1-5 patients with MS is increased.

Key words: metabolic syndrome, chronic kidney disease, survival prognosis, risk factors

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