Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population

Abstract Chronic kidney disease has been linked to cognitive impairment and morphological brain change. However, less is known about the impact of kidney functions on cerebral cortical thickness. This study investigated the relationship between kidney functions and global or lobar cerebral cortical...

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Autores principales: Chih-Hao Chen, Ya-Fang Chen, Ming-Jang Chiu, Ta-Fu Chen, Ping-Huan Tsai, Jen-Hau Chen, Chung-Jen Yen, Sung-Chun Tang, Shin-Joe Yeh, Yen-Ching Chen
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/fd91c308b8734aff92e7ec65bb00dc72
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spelling oai:doaj.org-article:fd91c308b8734aff92e7ec65bb00dc722021-12-02T11:52:58ZEffect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population10.1038/s41598-017-02537-y2045-2322https://doaj.org/article/fd91c308b8734aff92e7ec65bb00dc722017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02537-yhttps://doaj.org/toc/2045-2322Abstract Chronic kidney disease has been linked to cognitive impairment and morphological brain change. However, less is known about the impact of kidney functions on cerebral cortical thickness. This study investigated the relationship between kidney functions and global or lobar cerebral cortical thickness (CTh) in 259 non-demented elderly persons. Forty-three participants (16.7%) had kidney dysfunction, which was defined as either a glomerular filtration rate (GFR) of <60 ml/min/1.73 m2 or presence of proteinuria. Kidney dysfunction was associated with lower global (β = −0.05, 95% CI = −0.08 to −0.01) as well as frontal, parietal, temporal, occipital, and insular lobar CTh. In the stratified analysis, the associations were more pronounced in women, APOEε4 non-carriers, and participants with a lower cognitive score. Besides, kidney dysfunction significantly increased the risk of cortical thinning, defined as being the lowest CTh tertile, in the insular lobe (adjusted odds ratio = 2.74, 95% CI = 1.31−5.74). Our results suggested that kidney dysfunction should be closely monitored and managed in elderly population to prevent neurodegeneration.Chih-Hao ChenYa-Fang ChenMing-Jang ChiuTa-Fu ChenPing-Huan TsaiJen-Hau ChenChung-Jen YenSung-Chun TangShin-Joe YehYen-Ching ChenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Chih-Hao Chen
Ya-Fang Chen
Ming-Jang Chiu
Ta-Fu Chen
Ping-Huan Tsai
Jen-Hau Chen
Chung-Jen Yen
Sung-Chun Tang
Shin-Joe Yeh
Yen-Ching Chen
Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population
description Abstract Chronic kidney disease has been linked to cognitive impairment and morphological brain change. However, less is known about the impact of kidney functions on cerebral cortical thickness. This study investigated the relationship between kidney functions and global or lobar cerebral cortical thickness (CTh) in 259 non-demented elderly persons. Forty-three participants (16.7%) had kidney dysfunction, which was defined as either a glomerular filtration rate (GFR) of <60 ml/min/1.73 m2 or presence of proteinuria. Kidney dysfunction was associated with lower global (β = −0.05, 95% CI = −0.08 to −0.01) as well as frontal, parietal, temporal, occipital, and insular lobar CTh. In the stratified analysis, the associations were more pronounced in women, APOEε4 non-carriers, and participants with a lower cognitive score. Besides, kidney dysfunction significantly increased the risk of cortical thinning, defined as being the lowest CTh tertile, in the insular lobe (adjusted odds ratio = 2.74, 95% CI = 1.31−5.74). Our results suggested that kidney dysfunction should be closely monitored and managed in elderly population to prevent neurodegeneration.
format article
author Chih-Hao Chen
Ya-Fang Chen
Ming-Jang Chiu
Ta-Fu Chen
Ping-Huan Tsai
Jen-Hau Chen
Chung-Jen Yen
Sung-Chun Tang
Shin-Joe Yeh
Yen-Ching Chen
author_facet Chih-Hao Chen
Ya-Fang Chen
Ming-Jang Chiu
Ta-Fu Chen
Ping-Huan Tsai
Jen-Hau Chen
Chung-Jen Yen
Sung-Chun Tang
Shin-Joe Yeh
Yen-Ching Chen
author_sort Chih-Hao Chen
title Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population
title_short Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population
title_full Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population
title_fullStr Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population
title_full_unstemmed Effect of Kidney Dysfunction on Cerebral Cortical Thinning in Elderly Population
title_sort effect of kidney dysfunction on cerebral cortical thinning in elderly population
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/fd91c308b8734aff92e7ec65bb00dc72
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