Association of arterial stiffness with kidney function among adults without chronic kidney disease

Seiji Itano, Yuichiro Yano, Hajime Nagasu, Hirofumi Tomiyama, Hiroshi Kanegae, Hirofumi Makino, Yukihito Higashi, Yusuke Kobayashi, Yuji Sogawa, Minoru Satoh, Kenji Suzuki, Raymond R. Townsend, Matthew Budoff, George Bakris, Naoki Kashihara

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


BACKGROUND Our aims were to assess whether arterial stiffness is associated with a higher risk for kidney dysfunction among persons without chronic kidney disease (CKD). METHODS We analyzed data from the national health checkup system in Japan; for our analyses, we selected records of individuals who completed assessments of cardio-ankle vascular index (CAVI) and kidney function from 2005 to 2016. We excluded participants who had CKD at baseline, defined as the presence of proteinuria or estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m2. We compared 2 groups of CAVI measurements—the highest quartile (≧8.1) and the combined lower 3 quartiles (<8.1). We used Cox proportional hazards models to assess associations between these 2 groups and subsequent CKD events, proteinuria, eGFR <60 ml/min/1.73 m2, and rapid eGFR decline (greater than or equal to -3 ml/min/1.73 m2 per year). RESULTS The mean age of the 24,297 included participants was 46.2 years, and 60% were female. Over a mean follow-up of 3.1 years, 1,435 CKD events occurred. In a multivariable analysis, the hazard ratios with 95% confidence intervals (CIs) for the highest vs. combined lower quartiles of CAVI measurements were 1.3 (1.1, 1.5) for CKD events, 1.3 (0.96, 1.62) for proteinuria, 1.4 (1.1, 1.7) for eGFR <60 ml/min/1.73 m2, and the odds ratio with 95% CI was 1.3 (1.1, 1.4) for rapid eGFR decline. CONCLUSIONS Persons with CAVI measurements ≧8.1 had a higher risk for CKD events compared with their counterparts with CAVI measurements <8.1. Greater arterial stiffness among adults without CKD may be associated with kidney dysfunction.

Original languageEnglish
Pages (from-to)1003-1010
Number of pages8
JournalAmerican Journal of Hypertension
Issue number11
Publication statusPublished - Nov 1 2020


  • Arterial stiffness
  • Blood pressure
  • Cardio-ankle vascular index
  • Chronic kidney disease
  • Hypertension

ASJC Scopus subject areas

  • Internal Medicine


Dive into the research topics of 'Association of arterial stiffness with kidney function among adults without chronic kidney disease'. Together they form a unique fingerprint.

Cite this