The association of metabolic syndrome components and chronic kidney disease in patients with hypertension.

BACKGROUND: Hypertension is a highly prevalent disease and the leading cause of chronic kidney disease (CKD). Metabolic syndrome could also be the risk factor for CKD. We sought to study the association between metabolic syndrome components and the prevalence of CKD in patients with hypertension. METHODS: We carried out a multi-center cross-sectional study from Apr. 2017- Apr. 2018 in 15 cities in China. RESULTS: A total of 2484 patients with hypertension were enrolled. Among them, 56% were male and the average age was 65.12 ± 12.71 years. The systolic BP/diastolic BP was 142 ± 18/83 ± 12 mmHg. Metabolic syndrome components turned out to be highly prevalent in patients with hypertension, ranging from 40 to 58%. The prevalence of chronic kidney disease reached 22.0%. Multi-variate logistic analysis revealed that elevated triglyceride (TG) (OR = 1.81, 95% CI 1.28-2.57, p < 0.01), elevated fasting blood glucose (FBG) (OR = 1.43, 95% CI 1.00-2.07, p = 0.05) and hypertension grades (OR = 1.20, 95% CI 1.00-1.44, p = 0.05) were associated with the prevalence of CKD. In sub-group analysis, elevated TG remained strongly associated with CKD in both diabetes (OR = 2.10, 95%CI 1.22-3.61, p < 0.01) and non-diabetes (OR = 1.53, 95% CI 1.09-2.16, p = 0.01). In sub-group analysis of hypertension grades, there was also a graded trend between elevated TG and CKD from controlled blood pressure (BP) to hypertension grade 2 (OR = 1.81, 95%CI 1.06-3.11, p = 0.03; OR = 1.85, 95%CI 1.00-3.43, p = 0.05; OR = 2.81, 95% CI 1.09-7.28, p = 0.03, respectively). CONCLUSION: Elevated TG, elevated FBG and hypertension grades were significantly associated with the prevalence of CKD in patients with hypertension. Particularly, elevated TG was strongly associated with CKD, independent of diabetes and hypertension grades.

Ecological risk assessment and sources identification of heavy metals in surface sediments of a river-reservoir system.

Heavy metal contamination of river water and sediments is a global issue affecting ecological health. To reveal heavy metals' ecological risks and biological toxicity in the middle and lower Han River (MLHR), sediment samples collected in this area were analyzed based on a modified ecological risk assessment method (NIRI) and a biological toxicity assessment method. Also, Spearman correlation analysis and Positive Matrix Factorization (PMF) methods were applied to identify the potential sources of heavy metals. The results indicated that the heavy metal content significantly exceeded the background concentrations in Hubei Province. The average potential risk of heavy metals at sampling sites was: Cd > Hg > As > Pb > Cu > Zn. Consequently, high biological toxicity occurred along the MLHR due to the heavy metal enrichment. River damming and water diversion significantly enhanced the hydrologic regime variations and ecological risk in the MLHR. Moreover, two possible pollution sources of the MLHR were identified: one is a combined source of traffic pollution, agricultural pollution, and partial industrial pollution consisting of five heavy metals, Pb, Hg, Zn, Cu, and As, the other is an industrial pollution source dominated by Cd and As. This study provides insights into sediment heavy metal pollution management and ecological risk control in the MLHR and similar rivers worldwide.