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RATIONALE & OBJECTIVE:Clinical practice guidelines recommend a target blood pressure (BP)

ObjectiveTo examine the association between income level and incident chronic kidney disease (CKD) in adults with normal baseline kidney function.Patient and methodsWe studied the association between income level categorized into deciles and incident CKD in a national cohort comprised of 7,405,715 adults who underwent National Health Insurance Service health examinations during January 1, 2009, to December 31, 2015, with baseline estimated glomerular filtration rates (eGFRs) ≥60 mL/min/1.73 m2. Incident CKD was defined as de novo development of eGFR

Background: The 2021 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline for the management of blood pressure (BP) in chronic kidney disease (CKD) recommends a target systolic BP of <120 mmHg as this target can provide cardiovascular benefits. However, it remains unclear whether implementing the new BP target could improve kidney outcomes. Methods: The association between the 2021 KDIGO BP target and CKD progression was examined and compared with the 2012 KDIGO BP target among 1724 participants included in the KoreaN Cohort Study for Outcomes in Patients With CKD. The main exposure was the BP status categorized according to the 2012 or 2021 KDIGO guideline: (1) controlled within the 2021 target, (2) controlled within the 2012 target only, and (3) above both targets. The primary outcome was a composite kidney outcome of ≥50% decline in the estimated glomerular filtration rate from baseline or the initiation of kidney replacement therapy during the follow‐up period. Results: Composite kidney outcomes occurred in 650 (37.7%) participants during the 8078 person‐years of follow‐up (median, 4.9 years). The incidence rates of this outcome were 55, 66.5, and 116.4 per 1000 person‐years in BP controlled within the 2021 and 2012 KDIGO targets, and BP above both targets, respectively. In the multivariable cause‐specific hazard model, hazard ratios for the composite outcome were 0.76 (95% confidence interval (CI), 0.60–0.95) for BP controlled within the 2021 target and 1.36 (95% CI, 1.13–1.64) for BP above both targets, compared with BP controlled within 2012 target only. Conclusion: The newly lowered BP target by the 2021 KDIGO guideline was associated with improved kidney outcome compared with BP target by the 2012 KDIGO guideline. [ABSTRACT FROM AUTHOR]

Background: Elevated blood pressure and intrarenal renin-angiotensin system activity are closely related to chronic kidney disease (CKD) progression. However, interrelationship between blood pressure and intrarenal renin-angiotensin system activity on the risk of CKD progression is unknown. Methods: We analyzed 2076 participants from the Korean Cohort Study for Outcomes in Patients With CKD. The main exposure was systolic blood pressure (SBP). The urinary angiotensinogen-to-creatinine ratio was stratified according to the median value (3.65 μg/gCr). The primary outcome was a composite kidney outcome of a ≥50% decline in estimated glomerular filtration rate from baseline measurement or initiation of kidney replacement therapy. Results: During 10 550 person-years of follow-up (median, 5.2 years), the composite outcome occurred in 800 (38.5%) participants. In the multivariable cause-specific hazard model, higher SBP was associated with an increased risk of CKD progression. There was a significant interaction between SBP and urinary angiotensinogen-to-creatinine ratio on the risk of the primary outcome (P value for interaction=0.019). In patients with urinary angiotensinogen-to-creatinine <3.65 μg/gCr, the hazard ratios (95% CIs) for SBP 120 to 129, 130 to 139, and ≥140 mmHg were 1.46 (1.07–1.99), 1.71 (1.25–2.35), and 2.40 (1.73–3.32), respectively, compared with SBP <120 mmHg. However, these associations were not observed in patients with urinary angiotensinogen-to-creatinine ≥3.65 μg/gCr. Conclusions: In this prospective CKD cohort, higher SBP was associated with CKD progression when urinary angiotensinogen levels were low, while this association was not seen when urinary angiotensinogen levels were high. This finding suggests that intrarenal renin-angiotensin system activity may modify the relationship between SBP and adverse kidney outcome. [ABSTRACT FROM AUTHOR]

Thermal sensitivity of anthocyanin and low‐water solubility of rutin limit their stability in processed foods and biological activity, respectively. Therefore, we aimed to develop a value‐added food composite (VAFC) by mixing of anthocyanin‐enriched potato (P) and rutin‐enriched buckwheat (B) flour using soy lecithin (LCT) and vitamin E (Vita E) by hot‐melt extrusion (HME). The VAFC was formulated using P 50% + B 50% (F1), P 45%+B 45%+LCT 10% (F2), and P 45%+B 45%+LCT 8%+Vita E 2% (F3). Results revealed that the solubility of the VAFC was significantly increased in F3 formulation. Likewise, total phenolic content, including single phenolic acids, total flavonoid including rutin and quercetin, total anthocyanin including single anthocyanins, and antioxidant capacity of the VAFC were significantly increased in F3 formulation. This study successfully demonstrated the approach of developing biopolymer‐mediated functional VAFC from potato and buckwheat by HME. Practical applications: People are becoming more conscious about daily consumed foods and their nutritional facts. Human health requires a well‐balanced nutritional composition to keep well‐functioning of the body. In this study, an approach was taken to develop anthocyanins, and rutin‐enriched functional food by the mixes of potato and buckwheat by hot‐melt extrusion. Food biopolymers and plasticizer were added to the food formulation to enhance the activity of the extrudate composites' functional attributes. Our developed formulation successfully improved the food composite's functional quality, which required industrialization for bulk production. [ABSTRACT FROM AUTHOR]

Perilla frutescens (L.) Britton var. frutescens is extensively cultivated on a large scale throughout the Korea, whereas var. crispa is not. The weedy types of both var. frutescens and var. crispa are often found along roadsides, waste lands, and around farmers' fields. Although Perilla is one of the important leafy vegetable and oil crops in Korea, systematic analyses on its genetic structure have been limited and are needed for future breeding progress. The objective of this study was to determine genetic diversity and relatedness in Korean accessions of Perilla. Field surveys and amplified fragment length polymorphism (AFLP) analyses were conducted to determine genetic diversity. Analyses of 30 Perilla accessions by seven AFLP primer combinations identified a total of 121 fragments, of which 72 (60%) were polymorphic at the species level. Shanon's index of diversity Hs of the AFLP variations for cultivated type of var. frutescens, weedy type of var. frutescens, and weedy type of var. crispa were 0.63, 2.00, and 1.75, respectively. The weedy type of var. frutescens exhibited the highest variation. Most of the AFLP variation (78%) resided within populations. In the phylogenetic tree, two major clusters were recognized: (i) cultivated type of var. frutescens and weedy type of var. frutescens and (ii) weedy type of var. crispa. Although the wild species of P. frutescens has not been identified, the weedy Perilla is the key taxon for our understanding of the origin of cultivated var. frutescens., PERILLA FRUTESCENS (Labiatae) is a self-fertilizing annual species which is widely cultivated in East Asia. The species includes two types that are characterized on the basis of their morphology and [...]