The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018

Background Renal impairment has been previously linked to peripheral eosinophil count (PEC), prompting an investigation into its potential relationship with chronic kidney disease (CKD). This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES 1999–2...

Full description

Saved in:
Bibliographic Details
Main Authors: Shisheng Han, Meng Jia, Wenli Yuan, Yi Wang, Yan Lu, Yanqiu Xu, Li Shang
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Renal Failure
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2024.2319324
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832591088892772352
author Shisheng Han
Meng Jia
Wenli Yuan
Yi Wang
Yan Lu
Yanqiu Xu
Li Shang
author_facet Shisheng Han
Meng Jia
Wenli Yuan
Yi Wang
Yan Lu
Yanqiu Xu
Li Shang
author_sort Shisheng Han
collection DOAJ
description Background Renal impairment has been previously linked to peripheral eosinophil count (PEC), prompting an investigation into its potential relationship with chronic kidney disease (CKD). This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES 1999–2018) to comprehensively explore the association between PEC and CKD.Methods Survey-weighted generalized multivariate linear regression was employed to evaluate the associations between PEC, urinary albumin-to-creatinine ratio (UACR), and estimated glomerular filtration rate (eGFR), with meticulous adjustment for potential covariates. To assess non-linear correlations, a restricted cubic spline analysis was conducted. Sensitivity analysis was performed to test the stability of results.Results The study included a total of 9224 participants with non-dialysis CKD. In the multivariate linear regression model, after comprehensive adjustment for potential covariates, PEC showed a negative association with eGFR (β per 100 cells/uL increase in PEC, −0.71; 95% CI, −1.04, −0.37), while demonstrating a positive trend with UACR (β per 100 cells/uL increase in PEC, 10.21; 95% CI, 1.37, 19.06). The restrictive cubic spline curve analysis suggested that these associations occurred within the range of 0 to 400 cells/uL for PEC. Sensitivity analysis supported the stability of the observed results.Conclusions Circulating eosinophil levels are negatively correlated with eGFR and demonstrate a positive trend with UACR, when PEC falls within the range of less than 400 cells/uL among adults with CKD. Further research is warranted to validate these findings.
format Article
id doaj-art-3def932cae304ec182641400a353c3e2
institution Kabale University
issn 0886-022X
1525-6049
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Renal Failure
spelling doaj-art-3def932cae304ec182641400a353c3e22025-01-23T04:17:47ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2319324The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018Shisheng Han0Meng Jia1Wenli Yuan2Yi Wang3Yan Lu4Yanqiu Xu5Li Shang6Department of Nephrology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Nephrology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Nephrology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Nephrology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Nephrology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Nephrology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Science, Technology and Humanities, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaBackground Renal impairment has been previously linked to peripheral eosinophil count (PEC), prompting an investigation into its potential relationship with chronic kidney disease (CKD). This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES 1999–2018) to comprehensively explore the association between PEC and CKD.Methods Survey-weighted generalized multivariate linear regression was employed to evaluate the associations between PEC, urinary albumin-to-creatinine ratio (UACR), and estimated glomerular filtration rate (eGFR), with meticulous adjustment for potential covariates. To assess non-linear correlations, a restricted cubic spline analysis was conducted. Sensitivity analysis was performed to test the stability of results.Results The study included a total of 9224 participants with non-dialysis CKD. In the multivariate linear regression model, after comprehensive adjustment for potential covariates, PEC showed a negative association with eGFR (β per 100 cells/uL increase in PEC, −0.71; 95% CI, −1.04, −0.37), while demonstrating a positive trend with UACR (β per 100 cells/uL increase in PEC, 10.21; 95% CI, 1.37, 19.06). The restrictive cubic spline curve analysis suggested that these associations occurred within the range of 0 to 400 cells/uL for PEC. Sensitivity analysis supported the stability of the observed results.Conclusions Circulating eosinophil levels are negatively correlated with eGFR and demonstrate a positive trend with UACR, when PEC falls within the range of less than 400 cells/uL among adults with CKD. Further research is warranted to validate these findings.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2319324Eosinophilschronic kidney diseasealbuminuriaNHANEScross-sectional study
spellingShingle Shisheng Han
Meng Jia
Wenli Yuan
Yi Wang
Yan Lu
Yanqiu Xu
Li Shang
The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018
Renal Failure
Eosinophils
chronic kidney disease
albuminuria
NHANES
cross-sectional study
title The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018
title_full The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018
title_fullStr The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018
title_full_unstemmed The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018
title_short The association between peripheral eosinophil count and chronic kidney disease: evidence from NHANES 1999–2018
title_sort association between peripheral eosinophil count and chronic kidney disease evidence from nhanes 1999 2018
topic Eosinophils
chronic kidney disease
albuminuria
NHANES
cross-sectional study
url https://www.tandfonline.com/doi/10.1080/0886022X.2024.2319324
work_keys_str_mv AT shishenghan theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT mengjia theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT wenliyuan theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT yiwang theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT yanlu theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT yanqiuxu theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT lishang theassociationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT shishenghan associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT mengjia associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT wenliyuan associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT yiwang associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT yanlu associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT yanqiuxu associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018
AT lishang associationbetweenperipheraleosinophilcountandchronickidneydiseaseevidencefromnhanes19992018