SOCIAL RISK PROFILES AND DIABETIC KIDNEY DISEASE: PREVALENCE AND MORTALITY IN US ADULTS

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SOCIAL RISK PROFILES AND DIABETIC KIDNEY DISEASE: PREVALENCE AND MORTALITY IN US ADULTS

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Co-author 1

Zishan Lin linzishan1993@fjmu.edu.cn the First Affiliated Hospital, Fujian Medical University Nephrology Fuzhou China *

Co-author 2

Wenfeng Wang greyxk@foxmail.com the First Affiliated Hospital, Fujian Medical University Nephrology Fuzhou China -

Co-author 3

Shidong Xie 2537305050@qq.com the First Affiliated Hospital, Fujian Medical University Nephrology Fuzhou China -

Co-author 4

Bingjing Jiang jiangkk99@foxmail.com the First Affiliated Hospital, Fujian Medical University Nephrology Fuzhou China -

Co-author 5

Xiaohong Zhang zxhong@fjmu.edu.cn the First Affiliated Hospital, Fujian Medical University Nephrology Fuzhou China -

Co-author 6

Yanfang Xu xuyanfang99@hotmail.com the First Affiliated Hospital, Fujian Medical University Nephrology Fuzhou China -

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Introduction

Diabetic kidney disease (DKD) is a severe and prevalent complication of diabetes. Social contexts have been increasingly recognized as critical factors in the escalation and ongoing management of chronic diseases, including DKD. This study aimed to evaluate the connection between social risk profile (SRP) and DKD in United States.

Methods

Data were sourced from the National Health and Nutrition Examination Survey (1999-2018). DKD was defined as the coexistence of diabetes and chronic kidney disease (CKD). SRP scores, based on the number of positive measures, were categorized into four quartiles: low (0-2), lower-middle (3-4), upper-middle (5-6), and high (7-8). The associations of SRP with the prevalence and mortality of DKD were assessed.

Results

A total of 6,464 participants were included in the study, among them, 2,668 had DKD, and 1,153 died during a mean follow-up of 143 months. SRP scores were associated with the prevalence and mortality of DKD. Compared with high SRP scores, low SRP levels were related with a higher risk of DKD (OR, 1.86; 95% CI, 1.54 to 2.26, P < 0.0001). Higher SRP scores were associated with lower risks of mortality, including all-cause (HR, 0.84; 95% CI, 0.81-0.88; P < 0.0001), cardiovascular disease (HR, 0.85; 95% CI, 0.80-0.91; P < 0.0001), and diabetes-related mortality (HR, 0.86; 95% CI, 0.76-0.96; P = 0.009).

Conclusion

Lower SRP scores showed a connection to higher DKD prevalence and worse outcomes, highlighting the potential importance of social risk screening and targeted interventions.

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