Rate of decline in kidney function and known age-of-onset or duration of type 2 diabetes.
Oyunchimeg Buyadaa; Agus Salim; Jedidiah I Morton; Dianna J Magliano; Jonathan E Shaw
Abstract
The association between rate of kidney function decline and age-of-onset or duration of diabetes has not been well investigated. We aimed to examine whether rates of estimated glomerular filtration rate (eGFR) decline differ by age-of-onset or duration in people with type 2 diabetes. Using the Action to Control Cardiovascular Risk in Diabetes study which included those with HbA1c ≥ 7.5% and who were at high risk of cardiovascular events,, rates of eGFR decline were calculated and were compared among groups defined by the known age-of-onset (0-39, 40-49, 50-59, 60-69 and > 70 years) and 5-year diabetes duration intervals. Changes in renal function were evaluated using median of 6 (interquartile range 3-10) eGFR measurements per person. eGFR decline was the slowest in those with known age-at-diagnosis of 50-59 years or those with duration of diabetes < 5 years. The rates of eGFR decline were significantly greater in those with known age-of-onset < 40 years or those with duration of diabetes > 20 years compared to those diagnosed at 50-59 or those with duration of diabetes < 5 years (- 1.98 vs - 1.61 mL/min/year; - 1.82 vs - 1.52 mL/min/year; respectively (p < 0.001). Those with youngest age-of-onset or longer duration of diabetes had more rapid declines in eGFR compared to those diagnosed at middle age or those with shorter duration of diabetes.
| Journal | SCIENTIFIC REPORTS |
| ISSN | 2045-2322 |
| Published | 19 Jul 2021 |
| Volume | 11 |
| Issue | 1 |
| Pages | 14705 |
| DOI | 10.1038/s41598-021-94099-3 |
| Type | Journal Article | Research Support, Non-U.S. Gov't |
| Sponsorship |