Journal of Renal Nutrition
Volume 21, Issue 2 , Pages 140-148 , March 2011

Impact of Poverty on Serum Phosphate Concentrations in the Third National Health and Nutrition Examination Survey

  • Orlando M. Gutiérrez, MD, MMSc

      Affiliations

    • Division of Nephrology and Hypertension, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
    • Corresponding Author InformationAddress reprint requests to Orlando M. Gutiérrez, MD, MMSc, Division of Nephrology and Hypertension, Department of Medicine, University of Miami Miller School of Medicine, 1120 NW 14th Street, CRB C-221, Room 815, Miami, FL 33136.
  • ,
  • Tamara Isakova, MD, MMSc

      Affiliations

    • Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
  • ,
  • Gwen Enfield, RD, CDE

      Affiliations

    • Clinical Research Center, University of Miami Miller School of Medicine, Miami, Florida
  • ,
  • Myles Wolf, MD, MMSc

      Affiliations

    • Division of Nephrology and Hypertension, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida

  • Image Result

    Unadjusted and multivariable-adjusted odds ratios of hyperphosphatemia according to quartiles of PIR (quartile 1 <100% of federal poverty level; quartile 2, 100% to 200%, quartile 3, 201% to 300%; qua

    Unadjusted and multivariable-adjusted odds ratios of hyperphosphatemia according to quartiles of PIR (quartile 1 <100% of federal poverty level; quartile 2, 100% to 200%, quartile 3, 201% to 300%; quartile 4 >300%). Quartile 4 was the reference group in both models. The multivariable model was adjusted for age, gender, black race, Hispanic ethnicity, diabetes, body mass index, estimated glomerular filtration rate, total caloric intake, and dietary phosphorus intake. The vertical bars represent 95% confidence intervals.

 This study was supported by the American Kidney Fund Clinical Scientist in Nephrology Fellowship (to Dr. Isakova) and grants K23DK081673 (to Dr. Gutiérrez), R01DK076116 and R01DK081374 (to Dr. Wolf) from the National Institutes of Health.

 Dr. Gutiérrez reports accepting speaking honoraria from Abbott. Dr. Isakova reports receiving honoraria from Shire. Dr. Wolf reports receiving research support from Shire and honoraria from Abbott, Genzyme, Shire, and Davita.

PII: S1051-2276(10)00072-5

doi: 10.1053/j.jrn.2010.03.001

Journal of Renal Nutrition
Volume 21, Issue 2 , Pages 140-148 , March 2011