Our study focuses on the prevalence and identification of kidney disease among participants of the WTC Health Program and we are planning to assess kidney disease in a multi-factorial manner.
The first aim of our study is to correlate kidney dysfunction with 9/11 exposure, and we predict that exposure to 9/11 is an independent risk factor in kidney disease among the WTC Health Program participants. Secondly, we propose that a well-established WTC-related condition, obstructive sleep apnea (OSA), is independently associated with kidney disease. In addition, we believe there is a temporal causative relationship between evidence of kidney disease and the severity of OSA. Finally, our last aim is to further identify and explore potential mechanisms and phenotypes of kidney disease in participants of the WTC Health Programs. Successful completion of the proposed research would address a critical knowledge gap regarding the risk of kidney damage among this group of patients, and would inform future mechanistic studies with the potential to impact prevention.

Public Health Relevance

Our study focuses on the prevalence and trajectory of kidney disease among participants of the WTC Health Program and evaluates kidney disease in a multi-factorial manner. Successful completion of the proposed research will address a critical knowledge gap regarding the risk of kidney damage among this group of patients and the results will have the potential to impact prevention by informing screening guidelines. In addition, if sleep apnea is found to cause or worsen kidney disease, future intervention studies are warranted.

Agency
National Institute of Health (NIH)
Institute
National Institute for Occupational Safety and Health (NIOSH)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01OH011326-03
Application #
9710449
Study Section
Special Emphasis Panel (ZOH1)
Project Start
2017-07-01
Project End
2020-06-30
Budget Start
2019-07-01
Budget End
2020-06-30
Support Year
3
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Icahn School of Medicine at Mount Sinai
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
078861598
City
New York
State
NY
Country
United States
Zip Code
10029