European Heart Journal Open

Chronic kidney disease linked to higher stroke risk

Hazard ratios, measures of relative risk, were 1.61 for stroke and 1.89 for early-onset stroke with chronic kidney disease versus without it.

Paper by Yao Wei Lu, Jinyue Li, Guohua Wang, Xunming Ji · Capital Medical University
A damaged kidney sits beside a brain with dark lesions, above a smooth kidney and a lesion-free brain with more branching vessels.

Our read

Biomarkers
Studied:
Cohort study of 381,886 people with kidney function, albuminuria, and follow-up data
What changed:
Stroke risk was higher with chronic kidney disease than without it (hazard ratio 1.61)
The catch:
People missing kidney function, albuminuria, or follow-up data were left out
In the record:
The 3rd paper on WFDC2 with results in people; 21 on record in all.

Editor of record: Boris Djordjevic · AgingResearch.News

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The 381,886 participants in a population-based cohort study had kidney function, urine protein and follow-up data available. Chronic kidney disease was associated with higher risks of stroke and early-onset stroke. More severe kidney disease was linked to higher risk.

Brain imaging also linked kidney disease present at the start of the study to a greater burden of white matter lesions—abnormal areas in tissue that connects brain regions. Kidney disease was also associated with smaller brain volumes and lower brain blood flow before a clinically apparent stroke. Blood protein analyses identified five candidate proteins associated with stroke among participants with chronic kidney disease. One, a circulating protein called WFDC2, may help refine stroke risk estimates, the authors concluded.

Why it matters

Stroke and changes in brain structure bear on health as people age. Identifying vulnerability before a stroke could help focus efforts to assess risk.

Caveats

The cohort compared people with and without chronic kidney disease, so other health differences between these groups may have contributed to the stroke and brain-imaging links.

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