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Herold, Janina M. ; Wiegrebe, Simon ; Nano, Jana ; Jung, Bettina ; Gorski, Mathias ; Thorand, Barbara ; Koenig, Wolfgang ; Zeller, Tanja ; Zimmermann, Martina E. ; Burkhardt, Ralph ; Banas, Bernhard ; Küchenhoff, Helmut ; Stark, Klaus J. ; Peters, Annette ; Böger, Carsten A. ; Heid, Iris M.

Population-based reference values for kidney function and kidney function decline in 25- to 95-year-old Germans without and with diabetes

Herold, Janina M., Wiegrebe, Simon, Nano, Jana, Jung, Bettina, Gorski, Mathias , Thorand, Barbara , Koenig, Wolfgang, Zeller, Tanja, Zimmermann, Martina E. , Burkhardt, Ralph , Banas, Bernhard , Küchenhoff, Helmut, Stark, Klaus J., Peters, Annette , Böger, Carsten A. and Heid, Iris M. (2024) Population-based reference values for kidney function and kidney function decline in 25- to 95-year-old Germans without and with diabetes. Kidney International 106 (4), pp. 699-711.

Date of publication of this fulltext: 30 May 2025 14:37
Article
DOI to cite this document: 10.5283/epub.76791


Abstract

Understanding normal aging of kidney function is pivotal to help distinguish individuals at particular risk for chronic kidney disease. Glomerular filtration rate (GFR) is typically estimated via serum creatinine (eGFRcrea) or cystatin C (eGFRcys). Since population-based age-group-specific reference values for eGFR and eGFR-decline are scarce, we aimed to provide such reference values from ...

Understanding normal aging of kidney function is pivotal to help distinguish individuals at particular risk for chronic kidney disease. Glomerular filtration rate (GFR) is typically estimated via serum creatinine (eGFRcrea) or cystatin C (eGFRcys). Since population-based age-group-specific reference values for eGFR and eGFR-decline are scarce, we aimed to provide such reference values from population-based data of a wide age range. In four German population-based cohorts (KORA-3, KORA-4, AugUR, DIACORE), participants underwent medical exams, interview, and blood draw up to five times within up to 25 years. We analyzed eGFRcrea and eGFRcys cross-sectionally and longitudinally (12,000 individuals, age 25-95 years). Cross-sectionally, we found age-group-specific eGFRcrea to decrease approximately linearly across the full age range, for eGFRcys up to the age of 60 years. Within age-groups, there was little difference by sex or diabetes status. Longitudinally, linear mixed models estimated an annual eGFRcrea decline of -0.80 [95% confidence interval -0.82, -0.77], -0.79 [-0.83, -0.76], and -1.20 mL/min/1.73m2 [-1.33, -1.08] for the general population, “healthy” individuals, or individuals with diabetes, respectively. Reference values for eGFR using cross-sectional data were shown as percentile curves for “healthy” individuals and for individuals with diabetes. Reference values for eGFR-decline using longitudinal data were presented as 95% prediction intervals for “healthy” individuals and for individuals with diabetes, obesity, and/or albuminuria. Thus, our results can help clinicians to judge eGFR values in individuals seen in clinical practice according to their age and to understand the expected range of annual eGFR-decline based on their risk profile.



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Details

Item typeArticle
Journal or Publication TitleKidney International
Publisher:Elsevier
Volume:106
Number of Issue or Book Chapter:4
Page Range:pp. 699-711
Date29 July 2024
InstitutionsMedicine > Lehrstuhl für Urologie
Projects
Funded by: Deutsche Forschungsgemeinschaft (DFG) (387509280)
Funded by: Deutsche Forschungsgemeinschaft (DFG) (509149993)
Identification Number
ValueType
10.1016/j.kint.2024.06.024DOI
Keywordschronic kidney disease diabetes general population kidney function kidney function decline reference values
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-767917
Item ID76791

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