High Temperatures and Kidney Disease Morbidity: A Systematic Review and Meta-analysis
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Objectives: In recent years, serious concerns have been raised regarding the impacts of rising temperatures on health. The present study was conducted to investigate the relationship between elevated temperatures and kidney disease through a systematic review and meta-analysis. Methods: In October 2017, 2 researchers independently searched related studies in PubMed and Embase. A meta-analysis was conducted using a random-effects model, including only studies that presented odds ratios, relative risks, or percentage changes, along with 95% confidence intervals (CIs). The characteristics of each study were summarized, and the Egger test and funnel plots were used to evaluate publication bias. Results: Eleven studies that met the criteria were included in the final analysis. The pooled results suggest an increase of 30% (95% CI, 20 to 40) in kidney disease morbidity with high temperatures. In a disease-specific subgroup analysis, statistically significant results were observed for both renal colic or kidney stones and other renal diseases. In a study design–specific subgroup analysis, statistically significant results were observed in both time-series analyses and studies with other designs. In a temperature measure–specific subgroup analysis, significant results were likewise found for both studies using mean temperature measurements and studies measuring heat waves or heat stress. Conclusions: Our results indicate that morbidity due to kidney disease increases at high temperatures. We also found significant results in subgroup analyses. However, further time-series analyses are needed to obtain more generalizable evidence.
Abstract
Objectives: In recent years, serious concerns have been raised regarding the impacts of rising temperatures on health. The present study was conducted to investigate the relationship between elevated temperatures and kidney disease through a systematic review and meta-analysis. Methods: In October 2017, 2 researchers independently searched related studies in PubMed and Embase. A meta-analysis was conducted using a random-effects model, including only studies that presented odds ratios, relative risks, or percentage changes, along with 95% confidence intervals (CIs). The characteristics of each study were summarized, and the Egger test and funnel plots were used to evaluate publication bias. Results: Eleven studies that met the criteria were included in the final analysis. The pooled results suggest an increase of 30% (95% CI, 20 to 40) in kidney disease morbidity with high temperatures. In a disease-specific subgroup analysis, statistically significant results were observed for both renal colic or kidney stones and other renal diseases. In a study design–specific subgroup analysis, statistically significant results were observed in both time-series analyses and studies with other designs. In a temperature measure–specific subgroup analysis, significant results were likewise found for both studies using mean temperature measurements and studies measuring heat waves or heat stress. Conclusions: Our results indicate that morbidity due to kidney disease increases at high temperatures. We also found significant results in subgroup analyses. However, further time-series analyses are needed to obtain more generalizable evidence.
참고문헌 (40)
- Blashki G, "Preparing health services for climate change in Australia", Asia Pac J Public Health, 23(2 Suppl), pp.133S~143S (2011)
- Barriopedro D, "The hot summer of 2010 : redrawing the temperature record map of Europe", Science, 332(6026), pp.220~224 (2011)
- Turner LR, "Ambient temperature and cardiorespiratory morbidity : a systematic review and meta-analysis", Epidemiology, 23(4), pp.594~606 (2012)
- Ostro B, "Quantifying the health impacts of future changes in temperature in California", Environ Res, 111(8), pp.1258~1264 (2011)
- Knowlton K, "The 2006 California heat wave : impacts on hospitalizations and emergency department visits", Environ Health Perspect, 117(1), pp.61~67 (2009)
- Hajat S, "Health effects of hot weather : from awareness of risk factors to effective health protection", Lancet, 375(9717), pp.856~863 (2010)
- "Climate change 2007: synthesis report"[URL]
- Bassil KL, "Effectiveness of public health interventions in reducing morbidity and mortality during heat episodes : a structured review", Int J Environ Res Public Health, 7(3), pp.991~1001 (2010)
- Trogdon JG, "The economic burden of chronic cardiovascular disease for major insurers", Health Promot Pract, 8(3), pp.234~242 (2007)
- Lin YK, "Temperature effects on hospital admissions for kidney morbidity in Taiwan", Sci Total Environ, 443, pp.812~820 (2013)
- Semenza JC, "Excess hospital admissions during the July 1995 heat wave in Chicago", Am J Prev Med, 16(4), pp.269~277 (1999)
- Hansen AL, "The effect of heat waves on hospital admissions for renal disease in a temperate city of Australia", Int J Epidemiol, 37(6), pp.1359~1365 (2008)
- Kovats RS, "Heat stress and public health : a critical review", Annu Rev Public Health, 29, pp.41~55 (2008)
- Flynn A, "Why do older patients die in a heatwave", QJM, 98(3), pp.227~229 (2005)
- Semenza JC, "Acute renal failure during heat waves", Am J Prev Med, 17(1), pp.97~ (1999)
- Tan W, "Rhabdomyolysis and myoglobinuric acute renal failure associated with classic heat stroke", South Med J, 88(10), pp.1065~1068 (1995)
- Varghese GM, "Predictors of multi-organ dysfunction in heatstroke", Emerg Med J, 22(3), pp.185~187 (2005)
- Jung SJ, "Association between body size, weight change and depression : systematic review and meta-analysis", Br J Psychiatry, 211(1), pp.14~21 (2017)
- Egger M, "Bias in meta-analysis detected by a simple, graphical test", BMJ, 315(7109), pp.629~634 (1997)
- 임형렬, "Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis", 예방의학회지, 49(4), pp.205~219 (2016), 대한예방의학회
- "The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses"[URL]
- Tasian GE, "Daily mean temperature and clinical kidney stone presentation in five U.S. metropolitan areas: a time-series analysis", Environ Health Perspect, 122(10), pp.1081~1087 (2014)
- Ordon M, "Ambient temperature and the risk of renal colic : a population-based study of the impact of demographics and comorbidity", J Endourol, 30(10), pp.1138~1143 (2016)
- Yang C, "Daily ambient temperature and renal colic incidence in Guangzhou, China : a time-series analysis", Int J Biometeorol, 60(8), pp.1135~1142 (2016)
- Lim YH, "Ambient temperature and hospital admissions for acute kidney injury: a time-series analysis", Sci Total Environ, 616-617, pp.1134~1138 (2018)
- Pincus S, "The effects of temperature, age and sex on presentations of renal colic in Melbourne, Australia", Eur J Emerg Med, 17(6), pp.328~331 (2010)
- Tawatsupa B, "Association between occupational heat stress and kidney disease among 37, 816 workers in the Thai Cohort Study(TCS)", J Epidemiol, 22(3), pp.251~260 (2012)
- Bobb JF, "Cause-specific risk of hospital admission related to extreme heat in older adults", JAMA, 312(24), pp.2659~2667 (2014)
- Moyce S, "Heat strain, volume depletion and kidney function in California agricultural workers", Occup Environ Med, 74(6), pp.402~409 (2017)
- Ogbomo AS, "Vulnerability to extreme-heat-associated hospitalization in three counties in Michigan, USA, 2000-2009", Int J Biometeorol, 61(5), pp.833~843 (2017)
- Gasparrini A, "Distributed lag linear and non-linear models in R : the package dlnm", J Stat Softw, 43(8), pp.1~20 (2011)
- Anderson BG, "Weather-related mortality : how heat, cold, and heat waves affect mortality in the United States", Epidemiology, 20(2), pp.205~213 (2009)
- Bunker A, "Effects of air temperature on climate-sensitive mortality and morbidity outcomes in the elderly; a systematic review and meta-analysis of epidemiological evidence", EBioMedicine, 6, pp.258~268 (2016)
- Bouchama A, "Prognostic factors in heat wave related deaths : a meta-analysis", Arch Intern Med, 167(20), pp.2170~2176 (2007)
- Wang Q, "Environmental ambient temperature and blood pressure in adults : a systematic review and meta-analysis", Sci Total Environ, 575, pp.276~286 (2017)
- Carlton EJ, "A systematic review and meta-analysis of ambient temperature and diarrhoeal diseases", Int J Epidemiol, 45(1), pp.117~130 (2016)
- Fan J, "A systematic review and meta-analysis of dengue risk with temperature change", Int J Environ Res Public Health, 12(1), pp.1~15 (2014)
- Ostro B, "The effects of temperature and use of air conditioning on hospitalizations", Am J Epidemiol, 172(9), pp.1053~1061 (2010)
- Lim YH, "Diurnal temperature range and short-term mortality in large US communities", Int J Biometeorol, 59(9), pp.1311~1319 (2015)
- Lim YH, "Effects of diurnal temperature range on cardiovascular and respiratory hospital admissions in Korea", Sci Total Environ, 417-418, pp.55~60 (2012)