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Mueller-Peltzer, K.* ; von Krüchten, R.* ; Lorbeer, R.* ; Rospleszcz, S. ; Schulz, H. ; Peters, A. ; Bamberg, F.* ; Schlett, C.L.* ; Mujaj, B.*

Adipose tissue is associated with kidney function parameters.

Sci. Rep. 13:9151 (2023)
Publ. Version/Full Text DOI PMC
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Obesity is characterized by the accumulation of adipose tissue in different body compartments. Whether adipose tissue directly affects kidney function is still unknown. We aimed to investigate the role of the adipose tissue and circulating creatinine, cystatin C and kidney function in subjects free of cardio-renal diseases. In the KORA-MRI population-based study, 377 subjects (mean age 56.2 ± 9.2 years; 41.6% female) underwent whole-body 3T-MRI examination. Adipose tissue defined as visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were quantified from T1-DIXON sequence using a semi-automatic algorithm. Serum creatinine and cystatin C were measured using standard laboratory and estimated glomerular filtration rate (e-GFR) was performed based on creatinine (e-GFRcrea), cystatin C (e-GFRcys) and creatinine-cystatin C (e-GFRcc). Linear regression analysis, adjusted for risk factors, was used to investigate the relationship between adipose tissue and circulating creatinine, cystatin C, and kidney function. In multivariate analyses VAT was inversely associated with eGFRcys (ß = - 4.88, p =  < 0.001), and positively associated with serum cystatin C (ß = 0.05, p =  < 0.001), respectively. No association was found between other adipose parameters such as total adipose tissue (TAT) and subcutaneous adipose tissue (SAT) and serum creatinine, urine microalbumin and eGFRcrea. Stratified analyses according to BMI revealed confirmatory results for category of BMI > 30. VAT is positively associated with serum cystatin C and inversely with eGFR based on cystatin C, suggesting a direct involvement of visceral adipose tissue in increased metabolism of cystatin C and consequently decreased kidney function.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Glomerular-filtration-rate; Serum Cystatin C; Metabolic Risk; Hypertension; Creatinine; Obesity; Population; Uromodulin; Equations; Ckd
Language english
Publication Year 2023
HGF-reported in Year 2023
ISSN (print) / ISBN 2045-2322
e-ISSN 2045-2322
Journal Scientific Reports
Quellenangaben Volume: 13, Issue: 1, Pages: , Article Number: 9151 Supplement: ,
Publisher Nature Publishing Group
Publishing Place London
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology (EPI)
POF-Topic(s) 30202 - Environmental Health
Research field(s) Genetics and Epidemiology
PSP Element(s) G-504090-001
G-504000-010
G-504000-009
Grants German Centre for Cardiovascular Disease Research (DZHK, Berlin, Germany)
German Centre for Diabetes Research (DZD, Neuherberg Germany)
German Research Foundation (DFG, Bonn, Germany)
State of Bavaria
German Federal Ministry of Education and Research (BMBF)
Helmholtz Zentrum Muenchen-German Research Center for Environmental Health
Projekt DEAL
DOI 10.1038/s41598-023-36390-z
WOS ID 001007425500030
Scopus ID 85161118497
PubMed ID 37280396
Erfassungsdatum 2023-10-06
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