Objective: Smoking and end-stage renal disease (ESRD) are the leading public health problems in Indonesia. Smoking is a known risk factor for the development and progression of ESRD. Specific genetic polymorphisms may modify the harmful effects of cigarette smoking and may also change the inherited risk. IGF-1 CA repeat polymorphism is thought to be associated with an increased incidence of chronic kidney disease in smokers. We investigated the impact of smoking interactions with IGF-1 CA repeat polymorphism with the rate of chronic kidney disease in Yogyakarta Special Region Indonesia. (YSRI)
Result: Our study found that smoking and IGF-1 genotype 192 bp are risk factors for ESRD in Indonesia. The combination of genotype 192 bp and smoking is associated with increased ESRD events. Respondents with smoking habits and 192 bp homozygous genotype are at high risk of ESRD. Smoking habit and homozygous 192 bp genotype are strongly interaction.. There was a mild interaction between respondents with smoking habits and heterozygous 192 bp and 188 bp. There was no interaction between non-smokers with heterozygous 192 bp and 188 bp of the IGF-1 gene.