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Cognitive Performance Correlated with Hemoglobin Level in Patients with Chronic Kidney Disease: A Data Analysis from the National Health and Nutrition Examination Survey 2011-2014

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, Beijing, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Gen Surg, Beijing, Peoples R China [3]Natl Nat Sci Fdn China, Beijing, Peoples R China
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关键词: Hemoglobin Chronic kidney disease Cognitive function Renal anemia

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Introduction: Given the increased incidence of renal anemia and cognitive dysfunction in patients with chronic kidney disease (CKD), the association between hemoglobin levels and cognitive function in these patients remains elucidated. An optimal level of hemoglobin for the best cognitive performance in CKD has yet to be determined. Methods: A retrospective cross-sectional study was conducted using data from 2011-2014 of the National Health and Nutrition Examination Survey (NHANES). Enrolled subjects for analysis were divided into the CKD and the non-CKD groups. The Animal Fluency Test (AF), Digit Symbol Substitution Test (DSST), Consortium to Establish a Registry for Alzheimer's Disease Word Learning Test (CERAD-WL), and Word List Recall Test (CERAD-DR) were used to evaluate cognitive performances. We quantified the association between hemoglobin levels and cognitive function in patients with CKD and non-CKD subjects by using the logistic regression analysis. Plotted curves and inflection points were calculated by a recursive algorithm. Results: The ratio of cognitive impairment was higher in the CKD group than in the non-CKD group. Hemoglobin levels were correlated with CERAD-DR and DSST in patients with CKD. For non-CKD subjects, the hemoglobin level was not correlated with any test results. The potential range of the hemoglobin level was 11.0-12.7 mg/dL for keeping better cognitive performance of patients with CKD. Conclusion: Hemoglobin levels are associated with cognitive performance in patients with CKD. The treatment of renal anemia would be meaningful to reduce cognitive impairment in CKD.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 生理学 4 区 外周血管病 4 区 泌尿学与肾脏学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 生理学 4 区 外周血管病 4 区 泌尿学与肾脏学
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出版当年[2023]版:
Q2 PERIPHERAL VASCULAR DISEASE Q2 UROLOGY & NEPHROLOGY Q3 PHYSIOLOGY
最新[2024]版:
Q2 UROLOGY & NEPHROLOGY Q3 PERIPHERAL VASCULAR DISEASE Q3 PHYSIOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版] 出版后一年[2024版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, Beijing, Peoples R China
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