Premium
Mild chronic kidney disease is associated with cognitive function in patients presenting at a memory clinic
Author(s) -
Romijn Marloes D.M.,
Marum Rob J.,
EmmelotVonk Mariëlle H.,
Verhaar Harald J.J.,
Koek Huiberdina L.
Publication year - 2015
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.4226
Subject(s) - medicine , kidney disease , dementia , memory clinic , renal function , confounding , cohort , dialysis , logistic regression , population , disease , environmental health
Objective In dialysis‐dependent and severe chronic kidney disease (CKD) patients, cognitive impairment is found in 16–29%. In community‐dwelling population without dementia mixed results have been observed. We investigated the relationship between renal function and cognition in patients from a memory clinic. Methods We performed a cross‐sectional study of consecutive patients from a memory clinic between 2005 and 2009. Renal function was estimated with the Modification of Diet in Renal Diseases (MDRD) and Cockcroft‐Gault (CG) formulas, and categorized into ordinal groups: reference ≥60 ml/min/1.73 m 2 , mild CKD 45–59 ml/min/1.73 m 2 and moderate CKD <45 ml/min/1.73 m 2 . Cognitive function was dichotomized (Mini‐Mental State Examination (MMSE) ≥24 vs. <24). We performed multiple logistic regression analyses with adjustment for potential confounders. Results The cohort comprised 581 patients (mean age 77 ± 10 years). With the MDRD, there were 74 (12%) cases with moderate CKD and 108 (18%) with mild CKD. With the CG, these prevalences were 144 (30%) and 130 (27%). In mild CKD patients, a significant relationship was found between cognitive function and CKD according to the MDRD‐formula [adjusted OR 2.10; 95%CI 1.09–4.05]. In moderate CKD patients, no significant adjusted associations were found. In patients without dementia, significant adjusted associations were found between CKD and MMSE (MDRD: mild CKD [OR 5.09; 95%CI 1.17–22.14] and moderate CKD [OR 5.03; 95%CI 1.10–22.98]; CG: mild CKD [OR 6.16; 95%CI 1.17–32.50] and moderate CKD [OR 5.60; 95%CI 1.01–30.91]). Conclusion This study showed a significant association between mild CKD and impaired cognitive function in patients from a memory clinic, especially in patients without dementia. Copyright © 2014 John Wiley & Sons, Ltd.