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Risk Factors and Multiomics Study of Chronic Kidney Disease Caused by Metabolic Diseases

Recruiting
Conditions
Hypertension
Obesity
Diabetes Mellitus
Hyperuricemia
Chronic Kidney Diseases
Interventions
Diagnostic Test: Biomarkers
Registration Number
NCT05476627
Lead Sponsor
Peking Union Medical College Hospital
Brief Summary

With the development of China's economy, people's living standard have improved, and the dietary structure have changed. Metabolic diseases, such as hypertension, diabetes, hyperuricemia and obesity have gradually become an important health burden in China. The pathophysiological mechanism of renal injury caused by metabolic diseases has always been a hotspot of research. Currently, it is believed that various mechanisms including the activation of Renin-Angiotensin-Aldosterone System, vascular endothelial dysfunction, oxidative stress and inflammatory process may be involved. Although there are differences in renal pathological manifestations caused by different metabolic diseases, the kidney will eventually present ischemic changes and fibrosis with the progression of the disease. So there must be some common pathogenesis. This study is designed to build a disease cohort of patients with chronic kidney disease caused by metabolic diseases, to identify risk factors leading to disease progression and to explore biomarkers for early diagnosis and treatment of kidney damage.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • The diagnosis of metabolic diseases were confirmed;
  • Be able to understand the process of the research;
  • Volunteer for participation and be able to sign the informed consent.
Exclusion Criteria
  • Age <18 yrs or >80yrs;
  • Patients with primary and secondary glomerular diseases
  • Patients with other comorbidities that could affect the volume or the components of the kidney, such as renal cysts, polycystic kidney disease, medullary sponge kidney, hydronephrosis, renal artery stenosis, renal vein thrombosis and/or renal tumors;
  • Contraindications for MRI examination;
  • Pregnant or lactation patients;
  • Patients with unstable vital signs, failure of other organs or dysphoria.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Hypertension GroupBiomarkers-
HyperuricemiaBiomarkers-
Diabetes GroupBiomarkers-
ObesityBiomarkers-
Primary Outcome Measures
NameTimeMethod
Number of Participants with End Stage Renal Disease3 years

End Stage Renal Disease

Number of Participants with Adverse cardiovascular events3 years

Adverse cardiovascular events

Number of Participants with all cause death3 years

All cause death

Secondary Outcome Measures
NameTimeMethod
Number of Participants with eGFR decline3 years

the decline of eGFR during follow-up

Number of Participants with Complications of CKD3 years

The complications of CKD

Life quality assessment with short form-36 (SF-36)3 years

The SF-36 is a patient-reported instrument designed to assess overall health status; it is usually utilized to measure patients' quality of life and used primarily in research. Increasing SF-36 scores are indicative of improving health status.

Advanced Intelligence Assessment with Mini-Mental State Examination (MMSE)3 years

The MMSE is scored on a 30-point scale, with items that assess orientation (temporal and spatial; 10 points), memory (registration and recall; 6 points), attention/concentration (5 points), language (verbal and written; 8 points), and visuospatial function (1 point) . While different cutoff points have been used across studies, scores ≤23 are most commonly regarded as abnormal and indicative of cognitive impairment.

Trial Locations

Locations (1)

Peking Union Medical College Hospital

🇨🇳

Beijing, Beijing, China

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