Early Diagnosis of Kidney Damage Associated with Tobacco Use: Preventive Application (original) (raw)
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Clinical Journal of the American Society of Nephrology, 2008
Although it is beyond any doubt that smoking is the number one preventable cause of death in most countries, smoking as an independent progression factor in renal disease has been questioned against the background of evidence-based criteria. This is because information from large, randomized, prospective studies that investigate the effects of smoking on renal function in healthy individuals as well as in patients with primary or secondary renal disease are lacking. Since 2003, a substantial number of clinical and experimental data concerning the adverse renal effects of smoking have been published, including large, prospective, population-based, observational studies. These more recent data together with evidence from experimental studies clearly indicate that smoking is a relevant risk factor, conferring a substantial increase in risk for renal function deterioration. This review summarizes the present knowledge about the renal risks of smoking as well as the increased cardiovascular risk caused by smoking in patients with chronic kidney disease. The conclusion is that smoking is an important renal risk factor, and nephrologists have to invest more efforts to motivate patients to stop smoking.
Renal Parameters in Mild, Moderate, and Chronic Cigarette Smokers
International Journal of Integrated Health Sciences
Objective: To explore the link between cigarette smoking and kidney function through renal parameter assessment. Methods: The present study was performed at the Department of Biochemistry Santosh Medical College, Ghaziabad, India, from September 2019 to April 2021. In this study, 140 subjects were included, out of which 35 were non-smokers, 35 smoked <5 cigarette per day, 35 smoked 5-10 cigarette per day, and the remaining 35 smoked more than 10 cigarettes per day. Results: Blood urea, serum creatinine, urinary albumin, and uACR levels were found to increase significantly (p<0.001) in smokers as compared to non-smokers. These increases were higher among chronic cigarette smokers (p<0.001) as opposed to mild and moderate smokers. In contrast, serum uric acid, e-GFR, and urinary creatinine levels decreased significantly (p<0.001) in smokers when compared to non-smokers, with a higher decrease observed in chronic cigarette smokers (p<0.001) as opposed to the mild and mod...
Nephrology, 2000
ABSTRACT There is substantial evidence for the adverse impact of smoking on deterioration of renal function in diabetic nephropathy but very little information is available concerning effects of smoking on the evolution of other renal diseases. In a prospective study in parallel group design with matched groups, 45 cigarette smoking patients (≥ 1 pack/day) with glomerular or tubulointerstitial lesions were compared with 45 non-smoking patients matched for age, gender, cause and severity of renal disease as well as presence of hypertension. The monthly decline of creatinine clearance was significantly faster in smoking patients than in non-smoking patients (follow-up period 2 years) (1.25 mL/min vs 0.67 mL/min, P < 0.001). Smoking promoted progression of both glomerular and tubulointerstitial nephropathy. This effect occurred independently of changes in blood pressure, proteinuria or lipid concentration. The results of this investigation indicate that cigarette smoking is an independent risk factor not only for diabetic but also for non-diabetic nephropathies.
Association between smoking and chronic kidney disease: a case control study
BMC Public Health, 2010
Background: The progression of chronic kidney disease (CKD) remains one of the main challenges in clinical nephrology. Therefore, identifying the pathophysiological mechanisms and the independent preventable risk factors helps in decreasing the number of patients suffering end stage renal disease and slowing its progression. Methods: Smoking data was analyzed in patients with CKD throughout 2005-2009. One hundred and ninety-eight patients who had recently been diagnosed with stage three CKD or higher according to the National Kidney Foundation (NKF) 2002 Classification were studied. The control group was randomly selected and then matched with the case subjects using a computerized randomization technique. The relative risk was estimated by computing odds ratio (OR) by using multinomial logistic regression in SPSS ® for Windows between the two groups. Results: Smoking significantly increases the risk of CKD (OR = 1.6, p = 0.009, 95% CI = 1.12-2.29). When compared to nonsmokers, current smokers have an increased risk of having CKD (OR = 1.63 p = 0.02, 95% CI = 1.08-2.45), while former smokers did not have a statistically significant difference. The risk increased with high cumulative quantity (OR among smokers with > 30 pack-years was 2.6, p = 0.00, 95% CI = 1.53-4.41). Smoking increased the risk of CKD the most for those classified as hypertensive nephropathy (OR = 2.85, p = 0.01, 95% CI = 1.27-6.39) and diabetic nephropathy (2.24, p = 0.005, 95% CI = 1.27-3.96). No statistically significant difference in risk was found for glomerulonephritis patients or any other causes. Conclusion: This study suggests that heavy cigarette smoking increases the risk of CKD overall and particularly for CKD classified as hypertensive nephropathy and diabetic nephropathy.
Journal of Analytical & Pharmaceutical Research, 2018
Smokeless tobacco may able to induce microalbuminuria. The present study investigates the relation between nicotine and cotinine with renal function in gutkha and khaini users. Methods: The levels of nicotine and cotinine were estimated by HPLC methods and other urine variables were detected by spectrophotometric methods. Current smokeless tobacco users have shown that significantly elevated levels of nicotine, cotinine, and epinephrine excretion in the urine than non-tobacco users. Renal function was assessed by glomerular filtration rate (GFR), levels of urea, and creatinine. Among the kidney function measures that we examined, microalbuminuria, decreased glomerular filtration rate, and creatinine clearance were found associated with gutkha and khaini users. Significantly decreased proteinuria, urea and increased levels of uric acid and creatinine excretion with the concomitant increase in plasma total proteins, urea, and decreased uric acid levels were observed in the group I and group II users compared to group III users. The products of smokeless tobacco are regarded as good predictors of assessing the free radical levels in the cells. The active markers of nitroxidative stress have been elevated progressively with the uptake of nicotine and exposure. The nicotine and cotinine were significantly positive correlated with renal markers (creatinine, urea, and GFR), nitric oxide, malondialdehyde, and epinephrine. Increased excretion of nicotine and epinephrine indicated that the renal related complications may occur. The smokeless tobacco products were significantly and directly proportional to the levels of kidney dysfunction.
Kidney International, 2000
Effects of current smoking and smoking discontinuation on Increasing evidence suggests that chronic smoking is renal function and proteinuria in the general population. a risk factor for the progression of nephropathies [1]. Background. Smoking may adversely affect the progression Smoking was implicated in all aspects of the progression of renal diseases. However, it is unknown whether smoking of renal disease in type 1 diabetics, as it increases the affects renal function in subjects without nephropathy. Methods. In 1998, 28,409 volunteers from the general popu-risk of microalbuminuria and accelerates the rate of prolation were examined at the Institut Ré gional pour la Santé gression from microalbuminuria to proteinuria and sub-(IRSA). Renal function was estimated with creatinine clearsequent renal failure [1, 2]. Further evidence suggests ance using the Cockcroft formula. Dipstick proteinuria was that smoking has a similar influence on the progression assessed on an overnight urine sample by a trained technician. Results.
The Professional Medical Journal
Objectives: To compare the effect of active and secondhand smoke to unexposed smoke and to renal functions in young healthy Medical Students. Study Design: Cross sectional study comparative. Setting: Mohi-ud-din Islamic-Medical-College Mirpur AJ&K. Period: Fanuary-2018 to February-2019. Material & Methods: 350 healthy medical students aged 17-19 years were divided into active, secondhand and unexposed to smoke on basis of serum cotinine levels. The estimated GFR was measured by Modification of Diet in Renal Disease equation, albuminuria by albumin to urinary creatinine ratio, BMI by body weight (kg) to height (m2) and blood pressure by mercury manometer. The chronic kidney disease was classified into low, moderate and high risk according to Kidney Disease: Improving-Global Outcomes-2012-guidelines. Results: Out of 350 participants, 49 were active and 126 were of secondhand smoke. Most were male, overweight or obese, have high systolic and diastolic pressure and decreased eGFR. The C...
Smoking as a Risk Factor for Renal Injury in Essential Hypertension
Nephron Clinical Practice, 2006
Background: Smoking is an important player in the pathogenesis of hypertensive nephropathy. To shed more light on this issue, we performed a case-control cross-sectional study and stratification analyses to evaluate the influence of smoking on surrogate markers of kidney injury and oxidative stress in patients supposed to have hypertensive nephropathy. The dependence of kidney lesions on the ‘extent’ of smoking was determined as well. Methods: 82 patients with essential hypertension and micro- or macro-albuminuria were recruited. The control group consisted of 41 sex- and age-matched healthy individuals. Urine albumin creatinine ratio and plasma von Willebrand factor activity were analysed as markers of endothelial injury. N-acetyl-β-D-glucosaminidase, transforming growth factor-β1 and 15-isoprostane F2t urine excretions were regarded as markers of tubular dysfunction, renal fibrosis and oxidative stress, respectively. Patients’ smoking habits were recorded and categorized on the ba...
Analysis of Smoking in Chronic Kidney Dialytic Patients and Cardiovascular Events
irispublishers, 2019
This work is licensed under Creative Commons Attribution 4.0 License OJCRR.MS.ID.000544. Introduction Chronic kidney disease (CKD) is currently considered an important public health issue [1]. It is estimated that its prevalence worldwide is around 8 to 16% and that the numbers tend to increase, as has been happening over the last years [2]. It is responsible for high morbidity and mortality rates due to numerous associated complications-cardiovascular, bone and mineral disorders, anemia, among others-and is a costly disease for the system, mainly due to the fact that several of the risk factors responsible for