Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Fahrleitner-Pammer, A; Herberth, J; Browning, SR; Obermayer-Pietsch, B; Wirnsberger, G; Holzer, H; Dobnig, H; Malluche, HH.
Bone Markers Predict Cardiovascular Events in Chronic Kidney Disease
J BONE MINER RES. 2008; 23(11): 1850-1858.
Doi: 10.1359/jbmr.080610
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- Führende Autor*innen der Med Uni Graz
- Fahrleitner-Pammer Astrid
- Co-Autor*innen der Med Uni Graz
- Dobnig Harald
- Holzer Herwig
- Obermayer-Pietsch Barbara
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- Abstract:
- Recent studies have indicated a link between bone metabolism and cardiovascular events in patients with chronic kidney disease (CKD). CKD is a major health problem worldwide. This study evaluates the role of noninvasive markers of bone metabolism in predicting cardiovascular morbidity (coronary artery disease, peripheral vascular disease, stroke) and mortality in patients with mild to severe forms of CKD. In a prospective cohort study, 627 patients with CKD were screened. To focus on bone metabolism, traditional risk factors for cardiovascular events were excluded, and 135 patients with CKD stages 1-5 were followed for 4 yr. Glomerular filtration rate was calculated by the Modification of Diet in Renal Disease formula. PTH (measured by four different assays), vitamin D 25 and 1,25, bone-specific alkaline phosphatase (BSALP), TRACP-5b, osteocalcin, serum collagen cross-link molecules, RANKL, and osteoprotegerin were determined. Predictors of cardiovascular events were evaluated by multivariable logistic regression, Kaplan-Meier survival, and Cox regression analysis. There were a total of 45 cardiovascular events (33%). Event rates were 5.6%, 29.1%, 45.2%, and 45.0% in CKD stages 1-2, 3, 4, and 5, respectively. In logistic regression, cardiovascular events were predicted only by (1) CKD stage (independent of age or sex; p < 0.001); (2) BSALP (p = 0.03); and (3) TRACP-5b (p = 0.04). Markers of bone formation (BSALP) and resorption (TRACP-5b) can serve as predictors of cardiovascular morbidity and mortality in CKD.
- Find related publications in this database (using NLM MeSH Indexing)
- Acid Phosphatase - metabolism
- Adult -
- Aged -
- Aged, 80 and over -
- Alkaline Phosphatase - metabolism
- Biological Markers - metabolism
- Bone and Bones - metabolism
- Cardiovascular Diseases - blood
- Demography -
- Female -
- Humans -
- Isoenzymes - metabolism
- Kidney Failure, Chronic - blood
- Male -
- Middle Aged -
- Organ Specificity -
- Prognosis -
- Proportional Hazards Models -
- Regression Analysis -
- Survival Analysis -
- Find related publications in this database (Keywords)
- PTH
- bone-specific alkaline phosphatase
- TRACP
- cardiovascular mortality
- chronic kidney disease