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However, the effect of body mass index (BMI) or waist circumference (WC) prior to percutaneous coronary intervention (PCI) on the development of ESRD is not clear.Methods: Using nationally representative data from the Korean National Health Insurance System, we enrolled 140,164 subjects without ESRD at enrolment who underwent PCI between 2010 and 2015, and were followed-up until 2017. Patients were stratified into five levels based on their baseline BMI and six levels based on their WC with 5-cm increments. BMI and WC were measured at least 2 years prior to PCI. The primary outcome was the development of ESRD.Results: During a median follow-up of 5.4 years, 2,082 (1.49%) participants developed ESRD. The underweight group (hazard ratio [HR], 1.331; 95% confidence interval [CI], 0.955 to 1.856) and low WC (&lt; 80\/&lt; 75) (HR, 1.589; 95% CI, 1.379 to 1.831) showed the highest ESRD risk and the BMI 25 to 30 group showed the lowest ESRD risk (HR, 0.604; 95% CI, 0542 to 0.673) in all participants after adjusting for all covariates. In the subgroup analysis for diabetes mellitus (DM) duration, WC &lt; 85\/80 cm (men\/women) increased ESRD risk in only the DM group (DM &lt; 5 years and DM \u2265 5 years) compared to the reference group (85\u201390\/80\u201385 of WC), but not the normal or impaired fasting glucose group.Conclusions: Low WC prior to PCI showed an increased ESRD risk in patients with DM undergoing PCI as compared to those without DM.<\/jats:p>","DOI":"10.3904\/kjim.2021.313","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:48:36Z","timestamp":1644540516000},"page":"639-652","update-policy":"https:\/\/doi.org\/10.3904\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Low waist circumference prior to percutaneous coronary intervention predict the risk for end-stage renal disease: a nationwide Korean population based-cohort study"],"prefix":"10.3904","volume":"37","author":[{"given":"Eun 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