Cardiometabolic & kidneyCohort study

Sex-specific cardiovascular risk of lower potassium intake in patients with chronic kidney disease (CKD)

Eur J Prev CardiolPublished

  • Prospective cohort study
  • registry-based
  • sex-specific quartiles

Authors' conclusion

Lower estimated potassium intake is associated with a higher risk of CVD in patients with CKD, with a particularly strong association in women.

Study context

Population
Patients aged ≥18 years with CKD in Japan (Fukuoka Kidney disease Registry)
Participants
4,314 patients
Exposure
Lowest vs highest quartile of estimated potassium intake
Outcome
CVD events
Follow-up
5 years

Main finding

CVD, overall cohort

Hazard ratio

1.41

95% CI 0.97–2.03

Lowest quartile vs Highest quartile
HR 1.41 (95% CI 0.97–2.03)

As reported in the abstract

Patients developing cardiovascular disease (CVD)
431
Men developing CVD
292 (12.1%)
Women developing CVD
139 (7.3%)

Observational data: associations, not effects.

Further findings

CVD, sex-stratified (lower vs higher potassium intake) · 5 years

Men: lower potassium intake, HR
0.98 (0.63-1.53) (95% CI)
Women: lower potassium intake significantly associated with increased CVD risk, HR
2.97 (1.44-6.10) (95% CI)
  • interaction between sex and potassium intake P < 0.001

Original publication

Sex-specific cardiovascular risk of lower potassium intake in patients with CKD. Eur J Prev Cardiol. Published 17 April 2026. doi:10.1093/eurjpc/zwag226

Summarised from the published abstract; every number is checked against it