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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Yoon, H. E. Kim, E. S. Mo, E. Y. Shin, S. J. Moon, S. D. Han, J. H. |
| Description | Author Affiliation: Yoon HE ( Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Republic of Korea); Kim ES ( Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Republic of Korea); Mo EY ( Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Republic of Korea); Shin SJ ( Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Republic of Korea); Moon SD ( Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Republic of Korea); Han JH ( Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Republic of Korea) |
| Abstract | BACKGROUND AND AIMS: Current evidence suggests that high normal albuminuria is significantly associated with increased cardiovascular risk. This study investigated the association between urine albumin-to-creatinine ratio (ACR) within the normal range and subclinical atherosclerosis in Korean patients with type 2 diabetes. METHODS AND RESULTS: This cross-sectional study involved 521 type 2 diabetic patients with normoalbuminuria. Brachial-ankle pulse wave velocity (baPWV) measurement and ultrasound assessment of carotid atherosclerosis was done. Subclinical atherosclerosis was assessed by the presence of high baPWV (>1682 cm/s), carotid atherosclerosis (intima-media thickness >0.8 mm or the presence of plaques), and carotid stenosis (≥50% of luminal narrowing). Across the tertiles of ACR, there was a trend for an increasing prevalence of high baPWV (16.8%, 20.0%, and 38.2%, P < 0.001), carotid atherosclerosis (46.9%, 55.4%, and 64.7%, P < 0.001), and carotid stenosis (12.7%, 16.0%, and 30.1%, P < 0.001). In multivariate analysis, patients in the highest ACR tertile had an odds ratio of 2.05 (95% confidence interval [CI], 1.13-3.72, P = 0.019) for high baPWV, 1.78 (95% CI, 1.08-2.93, P = 0.024) for carotid atherosclerosis, and 2.72 (95% CI, 1.44-5.11, P = 0.002) for carotid stenosis compared to those in the lowest tertile. The relation of ACR with carotid atherosclerosis and stenosis remained significant even in patients without diabetic retinopathy. CONCLUSION: High normal albuminuria was significantly associated with atherosclerotic vascular changes, independent of retinopathy and other cardiovascular risk factors. High normal albuminuria may be an early marker for subclinical atherosclerosis in type 2 diabetes. |
| File Format | HTM / HTML |
| ISSN | 09394753 |
| Issue Number | 8 |
| Volume Number | 25 |
| e-ISSN | 15903729 |
| Journal | Nutrition, Metabolism and Cardiovascular Diseases |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-08-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Metabolism Discipline Cardiology Discipline Vascular Diseases Discipline Nutritional Sciences Albuminuria Urine Carotid Arteries Carotid Artery Diseases Creatinine Diabetes Mellitus, Type 2 Vascular Stiffness Adult Aged Ankle Brachial Index Statistics & Numerical Data Biological Markers Pathology Carotid Intima-media Thickness Carotid Stenosis Cross-sectional Studies Physiopathology Female Humans Male Middle Aged Risk Factors Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Cardiology and Cardiovascular Medicine |
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