Healthcare

Kidney disease linked to changes in thinking, mood and function

Newly detected kidney disease was associated with a downward shift of 0.019 standardised units per year in how thinking scores changed, compared with remaining disease-free.

Figure 1. Observed three-domain trajectories by cohort and CKD group.
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Figure 1. Observed three-domain trajectories by cohort and CKD group.Observed three-domain trajectories by cohort and CKD group.Shen et al.
Cohort study of 75,044 peoplePopulations
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In an observational study, researchers analysed data from 75,044 adults aged 50 or older in China, the United States, Europe and Israel. They used repeated surveys and biological measurements from three cohorts. The comparison included 2,480 people with newly detected chronic kidney disease and 72,564 who remained free of it.

The researchers assessed thinking, depressive symptoms and functional limitations separately. After adjustment for baseline health conditions, body mass index, smoking and alcohol use, disease detection was associated with changes in their annual rates of change. These were minus 0.019 for thinking, 0.018 for depressive symptoms and 0.075 for functional limitations, in standardised units per year. These units put scores on a common statistical scale. The estimates described changes in rates over time, not sudden effects of disease.

Why it matters

Following thinking, mood and everyday functioning together addresses how different aspects of health in later life change around the first detection of chronic kidney disease.

Caveats

This observational study found adjusted associations, not evidence that kidney disease caused the changes. Its population was adults aged 50 or older, so the findings do not necessarily apply to younger people.