Table 2.
Hazard ratios for incident ESRD associated with systolic blood pressure, diastolic blood pressure, pulse pressure and mean arterial pressure in REGARDS study participants with an estimated glomerular filtration rate <60 ml/min/1.73 m2
ESRD | Hazard ratio (95% CI) for ESRD | ||||
---|---|---|---|---|---|
N (at risk) | Cases (n; %) | Incidence rate | Adjusted model 1a | Adjusted model 2b | |
SBP (mm Hg) | |||||
<120 | 707 | 17 | 6.1 | 1.0 (ref) | 1.0 (ref) |
120–129 | 670 | 22 | 8.3 | 1.27 (0.68–2.40) | 1.19 (0.63–2.26) |
130–139 | 631 | 28 | 10.8 | 1.67 (0.91–3.06) | 1.57 (0.84–2.93) |
≥140 | 764 | 71 | 23.3 | 3.39 (1.99–5.77) | 2.32 (1.33–4.03) |
DBP (mm Hg) | |||||
<70 | 829 | 28 | 8.7 | 1.0 (ref) | 1.0 (ref) |
70–79 | 1018 | 40 | 9.8 | 0.97 (0.60–1.58) | 1.19 (0.73–1.96) |
80–89 | 718 | 44 | 14.9 | 1.26 (0.78–2.04) | 1.90 (1.15–3.14) |
≥90 | 207 | 26 | 33.3 | 2.30 (1.33–3.98) | 2.81 (1.58–4.98) |
PP (mm Hg) | |||||
<45 | 626 | 17 | 6.9 | 1.0 (ref) | 1.0 (ref) |
45–54 | 792 | 30 | 9.1 | 1.43 (0.79–2.60) | 0.99 (0.54–1.81) |
55–64 | 665 | 35 | 13.2 | 2.15 (1.20–3.85) | 1.54 (0.85–2.79) |
≥65 | 689 | 56 | 20.4 | 3.69 (2.12–6.42) | 1.74 (0.99–3.07) |
MAP (mm Hg) | |||||
<86 | 684 | 19 | 7.1 | 1.0 (ref) | 1.0 (ref) |
86–93 | 685 | 21 | 7.8 | 1.01 (0.54–1.88) | 1.18 (0.62–2.22) |
93–100 | 734 | 29 | 9.5 | 1.08 (0.60–1.93) | 1.38 (0.76–2.49) |
≥100 | 669 | 69 | 25.8 | 2.72 (1.63–4.55) | 2.92 (1.71–4.97) |
Incidence rates are per 10,000 person years.
CI, confidence interval; DBP, diastolic blood pressure; ESRD, end-stage renal disease; HDL, high-density lipoprotein; MAP, mean arterial pressure; PP, pulse pressure; REGARDS, REasons for the Geographic and Racial Differences in Stroke; SBP, systolic blood pressure.
Model 1, adjusted for age, race, sex, and geographic region of residence.
Model 2, adjusted for age, race, sex, geographic region of residence, current smoking, physical activity, income, waist circumference, high-sensitivity C-reactive protein, history of cardiovascular disease, diabetes, HDL-cholesterol, antihypertensive medication use, and estimated glomerular filtration rate.