Sarah J. Schrauben|Jesse Y. Hsu|Julie Wright Nunes|Michael J. Fischer|Anand Srivastava|Jing Chen|Jeanne Charleston|Susan Steigerwalt|Thida C. Tan|Jeffrey C. Fink|Ana C. Ricardo|James P. Lash|Myles Wolf|Harold I. Feldman|Amanda H. Anderson|Lawrence J. Appel|Harold I. Feldman|Alan S. Go|Jianmei He|John W. Kusek|James P. Lash|Panduranga S. Rao|Mahboob Rahman|Raymond R. Townsend
Health Behaviors in Younger and Older Adults With CKD: Results From the CRIC Study
University of Pennsylvania|University of Pennsylvania|University of Michigan–Ann Arbor|Jesse Brown VA Medical Center|University of Illinois at Chicago|Northwestern University|Tulane University|Johns Hopkins University|University of Michigan–Ann Arbor|Kaiser Permanente|University of Maryland, Baltimore|Jesse Brown VA Medical Center|University of Illinois at Chicago|Jesse Brown VA Medical Center|University of Illinois at Chicago|Duke University|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|Tulane University|Jesse Brown VA Medical Center|University of Illinois at Chicago
cornerstone kidney disease management participation guidelinerecommended health behaviors however relationship health behaviors outcomes identification barriers health behavior engagement described among younger older adults chronic kidney diseasedata cohort study 5499 individuals chronic kidney disease used identify health behavior patterns latent class analysis stratified age 65 65 years cox models stratified diabetes assessed association health behavior patterns chronic kidney disease ckd progression atherosclerotic events death logistic regression used assess barriers health behavior engagementthree health behavior patterns identified 1 healthy pattern 2 less healthy patterns comprising 1 pattern obesity sedentary activity 1 smoking less obesity less healthy patterns associated increased hazard poor outcomes among participants 65 years age less healthy patterns vs healthy pattern associated increased hazard death diabetic individuals hazard ratio hr 217 95 confidence interval ci 109429 hr 250 95 ci 139450 cardiovascular events among nondiabetic individuals hr 149 95 ci 104243 hr 297 95 ci 149590 individuals obesesedentary pattern increased risk ckd progression diabetic hr 134 95 ci 113159 among older adults less healthy patterns associated increased risk death hr 297 95 ci 143619 hr 347 95 ci 148811 nondiabetic potential barriers recommended health behaviors include lower health literacy selfefficacyidentifying health behavior patterns barriers may help target highrisk groups strategies increase participation health behaviors