Table 2.
Longitudinal Association of Body Mass Index with measures of Cardiac Structure among 725 Children with Mild-Moderate Chronic Kidney Disease at a total of 1,483 visits.
| LVMI z-score | LVH* | |||
| Exposure |
Estimate (95% CI) |
P | Odds ratio 95% CI | P |
| Age-Sex specific BMI z-scorea, per 1 SD increase for Males | 0.24 (0.17, 0.31) | p<0.001 | 1.5 (1.1, 2.1) | p=0.01 |
| Age-Sex specific BMI z-scorea, per 1 SD increase for Females | 0.38 (0.29, 0.47) | p<0.001 | 3.1 (1.8, 4.4) | p<0.001 |
| Covariates | ||||
| Years from baseline, per 1 year increase | −0.08 (−0.11, −0.06) | p<0.001 | 0.8 (0.7, 0.9) | p=0.001 |
| Baseline Age, per 1 year increase | −0.002 (−0.02, 0.02) | p=0.8 | 1.0 (0.9, 1.1) | p=0.8 |
| Baseline CKD Duration, per 5 year increase | 0.001 (−0.0004, 0.002) | p=0.2 | 1.002 (0.998, 1.007) | p=0.3 |
| Female (vs. Male) | 0.14 (0.004, 0.28) | p=0.04 | 1.4 (0.7, 2.8) | p=0.3 |
| African American (vs. non-African American) | 0.29 (0.12, 0.45) | p=0.001 | 2.2 (1.2, 4.2) | p=0.01 |
| Glomerular diagnosis (vs. non-Glomerular) | 0.16 (0.001, 0.33) | p=0.05 | 1.8 (0.9, 3.4) | p=0.09 |
| Age-Sex-Height specific SBP z-scorea, per 1 SD increase | 0.18 (0.11, 0.25) | p<0.001 | 2.0 (1.4, 2.8) | p<0.001 |
| Age-Sex-Height specific DBP z-scorea, per 1 SD increase | 0.03 (−0.05, 0.11) | p=0.5 | 1.1 (0.7, 1.5) | p=0.8 |
| log(Calcium* Phosphorous)a, mg2/dL2 | 0.38 (−0.02, 0.79) | p=0.06 | 2.1 (0.3, 13.2) | p=0.4 |
| Estimated glomerular filtration ratea, b, ml/min/1.73m2, per 10 unit decrease | 0.12 (0.08, 0.15) | p<0.001 | 1.5 (1.3, 1.8) | p<0.001 |
LVMI ≥ 95th percentile
Average of current visit and previous visits.
Based on estimating equations from Schwartz GJ et al., Kidney Int 2012; 82:445–453.
BMI – body mass index; CKD – chronic kidney disease; DBP – diastolic blood pressure; SBP – systolic blood pressure; LVH – left ventricular hypertrophy; LVMI – left ventricular mass index; SD – standard deviation