Table 3.
Association between Black Race as Reported by the Participants or Percentage of African Ancestry and Measured GFR after Controlling for Non-GFR Determinants of Serum Creatinine.*
Model | No. of Participants |
Coefficient for Black Race vs. Non-Black Race (95% CI) |
Coefficient for Percentage of African Ancestry, per 10% Increase (95% CI) |
---|---|---|---|
% higher iGFR | |||
Base model | |||
ln (iGFR) = [race or African ancestry] + ln (serum creatinine) + age + sex | 1248 | 12.8 (9.7 to 15.9)† | 1.6 (1.2 to 1.9)† |
Base model with potential explanatory variables considered individually | |||
ln (iGFR) = [race or African ancestry] + ln (serum creatinine) + age + sex + any of the following: | |||
Body-mass index | 1248 | 13.8 (10.7 to 17.0) | 1.7 (1.3 to 2.0) |
Body-surface area | 1248 | 13.1 (9.9 to 16.3) | 1.6 (1.2 to 2.0) |
Height | 1248 | 12.0 (9.0 to 15.1) | 1.5 (1.1 to 1.8) |
Weight | 1248 | 13.4 (10.3 to 16.6) | 1.6 (1.3 to 2.0) |
ln (bioelectrical impedance analysis phase angle) | 1231 | 10.5 (7.5 to 13.6) | 1.3 (0.9 to 1.6) |
Bioelectrical impedance analysis–quantified fat-free mass | 1226 | 12.4 (9.2 to 15.6) | 1.5 (1.2 to 1.9) |
24-Hr urinary excretion of creatinine | 1248 | 10.7 (7.7 to 13.7) | 1.3 (1.0 to 1.7) |
Base model with several potential explanatory variables considered simultaneously | |||
ln (iGFR) = [race or African ancestry] + ln (serum creatinine) + age + sex + height + fat-free mass + ln (bioelectrical impedance analysis phase angle) + 24-hr urinary excretion of creatinine | 1226 | 8.7 (5.8 to 11.7) | 1.1 (0.8 to 1.5) |
The association between Black race or African ancestry and measured GFR persists even after consideration of non-GFR determinants of serum creatinine as potential explanatory variables.
The percent difference was obtained by exponentiating the coefficient for Black race or percentage of African ancestry in models with serum creatinine level, age, and sex in the full study sample (1248 participants).