Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
National Clinical Research Center for Kidney Disease, Guangzhou, China.
Int J Public Health. 2023 Feb 16;68:1605358. doi: 10.3389/ijph.2023.1605358. eCollection 2023.
To examine the associations of mobile phone use and its use characteristics with new-onset CKD. 408,743 participants without prior CKD in the UK Biobank were included. The primary outcome was new-onset CKD. During a median follow-up of 12.1 years, 10,797 (2.6%) participants occurred CKD. Compared with mobile phone non-users, a significantly higher risk of new-onset CKD was found in mobile phone users (HR = 1.07; 95% CI: 1.02-1.13). Moreover, among mobile phone users, compared with participants with weekly usage time of mobile phone making or receiving calls <30 min, a significantly higher risk of new-onset CKD was observed in those with usage time ≥30 min (HR = 1.12; 95% CI: 1.07-1.18). Moreover, participants with both high genetic risks of CKD and longer weekly usage time of mobile phones had the highest risk of CKD. Similar results were found using the propensity score matching methods. However, there were no significant associations of length of mobile phone use, and hands-free device/speakerphone use with new-onset CKD among mobile phone users. Mobile phone use was significantly associated with a higher risk of new-onset CKD, especially in those with longer weekly usage time of mobile phones making or receiving calls. Our findings and the underlying mechanisms should be further investigated.
为了研究手机使用及其使用特点与新发慢性肾脏病(CKD)的关联。纳入了英国生物库中无既往 CKD 的 408743 名参与者。主要结局是新发 CKD。在中位随访 12.1 年后,有 10797 名(2.6%)参与者发生 CKD。与非手机使用者相比,手机使用者新发 CKD 的风险显著增加(HR=1.07;95%CI:1.02-1.13)。此外,在手机使用者中,与每周使用手机拨打电话或接听电话<30 分钟的参与者相比,每周使用手机拨打电话或接听电话≥30 分钟的参与者新发 CKD 的风险显著增加(HR=1.12;95%CI:1.07-1.18)。此外,具有较高 CKD 遗传风险和较长每周手机使用时间的参与者患 CKD 的风险最高。使用倾向评分匹配方法也得到了类似的结果。然而,在手机使用者中,手机使用时间长短与使用免提设备/扬声器与新发 CKD 之间无显著关联。手机使用与新发 CKD 的风险增加显著相关,尤其是在每周使用手机拨打电话或接听电话时间较长的人群中。我们的研究结果和潜在机制应进一步研究。
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