ReducedestimatedGFRwasthestrongestpredictorofend-stage renal disease infully adjusted analysis, and estimated GFRmodified the relationshipbetweenFGF-23andrisk of end-stage renal disease.
The difference in GFR between these patients and those who lived further away from traffic pollution was comparable to a reduction in GFR associated with being four years older, the researchers say.
The study authors, Dr Murray Mittleman and colleagues at the Beth Israel Deaconess Medical Center in Boston, measured kidney function using a recognised test called the glomerular filtration rate (GFR).