PMID- 37770872 OWN - NLM STAT- MEDLINE DCOM- 20231004 LR - 20231121 IS - 1471-2369 (Electronic) IS - 1471-2369 (Linking) VI - 24 IP - 1 DP - 2023 Sep 28 TI - Kidney function decline associated with proton pump inhibitors: results from the ELSA-Brasil cohort. PG - 285 LID - 10.1186/s12882-023-03300-4 [doi] LID - 285 AB - OBJECTIVE: Investigate the longitudinal association of use and time of use of proton pump inhibitors (PPI) with incidence of chronic kidney disease (CKD) and kidney function change. METHODS: Prospective study with 13,909 participants from baseline (2008-2010) and second wave (2012-2014) of the ELSA-Brasil (mean interval between visits = 3.9 years (1.7-6.0)). Participants answered about use and time use of the PPI in the two weeks prior the interview. Renal function was assessed by glomerular filtration rate estimated by the Collaboration Equation for the Epidemiology of Chronic Kidney Disease. Values below 60ml/min/1.73 m(2) in wave 2 were considered incident CKD. Associations between PPI use and time of use at baseline and incident CKD and decline in renal function were estimated, respectively, by logistic regression and linear models with mixed effects, after adjusting for confounders. RESULTS: After adjustments, PPI users for more than six months had an increased risk of CKD compared to non-users. Compared to non-users, users PPIs for up to six months and above six months had greater decline in kidney function over time. CONCLUSION: This cohort of adults and elderly, after a mean interval of 3.9 years, PPI use and initial duration were associated with kidney function change between visits. CI - (c) 2023. BioMed Central Ltd., part of Springer Nature. FAU - Dos Santos, Andreza Soares AU - Dos Santos AS AD - Postgraduate Program in Health Sciences, Universidade Federal de Sao Joao del-Rei, Sebastiao Goncalves Coelho Street, 400 - Chanadour, Divinopolis, 35501-296, MG, Brazil. FAU - de Menezes, Sara Teles AU - de Menezes ST AD - Longitudinal Study of Adult Health - ELSA-Brasil, Medical School & Clinical Hospital/EBSERH, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. FAU - Silva, Isabella Ribeiro AU - Silva IR AD - Postgraduate Program in Health Sciences, Universidade Federal de Sao Joao del-Rei, Sebastiao Goncalves Coelho Street, 400 - Chanadour, Divinopolis, 35501-296, MG, Brazil. FAU - Oliveira, William Neves AU - Oliveira WN AD - Postgraduate Program in Health Sciences, Universidade Federal de Sao Joao del-Rei, Sebastiao Goncalves Coelho Street, 400 - Chanadour, Divinopolis, 35501-296, MG, Brazil. FAU - Pereira, Mariana Linhares AU - Pereira ML AD - Postgraduate Program in Health Sciences, Universidade Federal de Sao Joao del-Rei, Sebastiao Goncalves Coelho Street, 400 - Chanadour, Divinopolis, 35501-296, MG, Brazil. FAU - Mill, Jose Geraldo AU - Mill JG AD - Department of Physiological Sciences & University Hospital, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Barreto, Sandhi Maria AU - Barreto SM AD - Medical School & Clinical Hospital/EBSERH, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. FAU - Figueiredo, Roberta Carvalho AU - Figueiredo RC AD - Postgraduate Program in Health Sciences, Universidade Federal de Sao Joao del-Rei, Sebastiao Goncalves Coelho Street, 400 - Chanadour, Divinopolis, 35501-296, MG, Brazil. robertafigueiredo@ufsj.edu.br. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230928 PL - England TA - BMC Nephrol JT - BMC nephrology JID - 100967793 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Humans MH - Aged MH - *Proton Pump Inhibitors/adverse effects MH - Prospective Studies MH - *Renal Insufficiency, Chronic MH - Glomerular Filtration Rate MH - Kidney MH - Risk Factors PMC - PMC10538238 OTO - NOTNLM OT - Chronic kidney disease OT - Kidney function OT - Pharmacoepidemiology OT - Pharmacovigilance OT - Proton pump inhibitors COIS- The authors declare no competing interests. The authors declare no conflict of interest. EDAT- 2023/09/29 00:42 MHDA- 2023/10/04 06:43 PMCR- 2023/09/28 CRDT- 2023/09/28 23:48 PHST- 2023/03/10 00:00 [received] PHST- 2023/08/16 00:00 [accepted] PHST- 2023/10/04 06:43 [medline] PHST- 2023/09/29 00:42 [pubmed] PHST- 2023/09/28 23:48 [entrez] PHST- 2023/09/28 00:00 [pmc-release] AID - 10.1186/s12882-023-03300-4 [pii] AID - 3300 [pii] AID - 10.1186/s12882-023-03300-4 [doi] PST - epublish SO - BMC Nephrol. 2023 Sep 28;24(1):285. doi: 10.1186/s12882-023-03300-4.