Low-grade albuminuria associated with brachial-ankle pulse wave velocity in young adults with type 2 diabetes mellitus in China
Background Cardiovascular disease is prevalent in type 2 diabetics, and microalbuminuria is associated with cardiovascular disease morbidity. We aimed to investigate the potential association between low‐grade albuminuria and arterial stiffness in patients with type 2 diabetes. Methods Between 2009...
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| Veröffentlicht in: | Diabetes/metabolism research and reviews 2015-03, Vol.31 (3), p.262-268 |
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| creator | Huang, Lingning Yang, Liyong Zhang, Songjing Liu, Donghui Yan, Xiaofang Yan, Sunjie |
| description | Background
Cardiovascular disease is prevalent in type 2 diabetics, and microalbuminuria is associated with cardiovascular disease morbidity. We aimed to investigate the potential association between low‐grade albuminuria and arterial stiffness in patients with type 2 diabetes.
Methods
Between 2009 and 2013, a retrospective study was performed in 578 patients with type 2 diabetes (339 male patients and 239 female patients) with normal urinary albumin‐to‐creatinine ratios (ACRs; |
| doi_str_mv | 10.1002/dmrr.2598 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1662433445</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3616018601</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3918-732035ad74df7f5eca5d41103b999fc6dce527854988a8de6aaaa5e4f47a0a403</originalsourceid><addsrcrecordid>eNp10ctu1DAUBuAIgWgpLHgBZIkNLNL6mssSDVCKpiBVXJbWSXzScZvL4EuHrHj1Jsp0FpXwxl5859eR_yR5zegpo5Sfmc65U67K4klyzBSnaa4y-vTwVvwoeeH9DaVUyEw-T464YqLMmDxO_q2HXXrtwCCBtoqd7aOzQMD7obYQ0JCdDRtSOag3FtoU-tsWyTa2HskO7pDcYTvJMBLbk3GI_TUBE9vgl7kwbpFwYixUGNCTDtvWhuhnvdrYHl4mzxqYwl7t75Pk5-dPP1Zf0vX384vVh3Vai5IVaS44FQpMLk2TNwprUEYyRkVVlmVTZ6ZGxfNCybIooDCYwXQUykbmQEFScZK8W3K3bvgT0QfdWV9P20CPQ_SaZRmXQkipJvr2Eb0Zouun7WZFSzl946zeL6p2g_cOG711tgM3akb13IqeW9FzK5N9s0-MVYfmIB9qmMDZAna2xfH_Sfrj5dXVPjJdJqwP-PcwAe5WZ7nIlf797Vxf5pn6Sle_NBf3eQunUg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1660940035</pqid></control><display><type>article</type><title>Low-grade albuminuria associated with brachial-ankle pulse wave velocity in young adults with type 2 diabetes mellitus in China</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Huang, Lingning ; Yang, Liyong ; Zhang, Songjing ; Liu, Donghui ; Yan, Xiaofang ; Yan, Sunjie</creator><creatorcontrib>Huang, Lingning ; Yang, Liyong ; Zhang, Songjing ; Liu, Donghui ; Yan, Xiaofang ; Yan, Sunjie</creatorcontrib><description>Background
Cardiovascular disease is prevalent in type 2 diabetics, and microalbuminuria is associated with cardiovascular disease morbidity. We aimed to investigate the potential association between low‐grade albuminuria and arterial stiffness in patients with type 2 diabetes.
Methods
Between 2009 and 2013, a retrospective study was performed in 578 patients with type 2 diabetes (339 male patients and 239 female patients) with normal urinary albumin‐to‐creatinine ratios (ACRs; <30 mg/g) from Fuzhou, China. Patients were stratified into tertiles based on urinary ACR levels (lowest tertile, urinary ACR < 4.8 mg/g; highest tertile, urinary ACR ≥ 20.1 mg/g). Arterial stiffness was measured via brachial‐ankle pulse wave velocity.
Results
Brachial‐ankle pulse wave velocity, age, duration of diabetes, systolic blood pressure and pulse wave velocity progressively increased across all urinary albumin‐to‐creatinine ratio tertiles (p < 0.05). Patients in the second and the highest tertiles had significantly elevated pulse wave velocity [114.6 mm/s (95% CI = 36.8–192.4) and 209.4 mm/s (95% CI = 131.8–286.9)], p = 0.004 and 0.000] compared with those in the lowest ACR tertile. The association between ACR and elevated pulse wave velocity still persisted in patients younger than 65 years of age and those with diabetes <10 years, conferring 45 or 51% greater risk of elevated pulse wave velocity (OR = 1.451; 95% CI = 1.119–1.881; p = 0.005 or OR = 1.515; 95% CI = 1.167–1.966; p = 0.0018) with each ACR tertile increment. Each ACR tertile increment conferred 31.7% higher risk of increased pulse wave velocity (OR = 1.317; 95% CI = 1.004–1.729; p = 0.0468).
Conclusions
Patients with type 2 diabetes with urinary albumin excretion in the upper normal range were still at risk for target organ damage. Low‐grade albuminuria might be an early marker for the detection of arterial stiffness in patients with type 2 diabetes, especially in younger patients with type 2 diabetes with shorter durations of disease. Copyright © 2014 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1520-7552</identifier><identifier>EISSN: 1520-7560</identifier><identifier>DOI: 10.1002/dmrr.2598</identifier><identifier>PMID: 25139614</identifier><identifier>CODEN: DMRRFM</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Albuminuria - etiology ; Albuminuria - pathology ; Ankle ; Ankle - blood supply ; Ankle Brachial Index ; arterial stiffness ; Blood Pressure ; Brachial Artery - physiology ; brachial-ankle pulse wave velocity ; Cardiovascular disease ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - pathology ; China ; Creatinine - analysis ; Diabetes ; Diabetes Mellitus, Type 2 - complications ; Female ; Follow-Up Studies ; Humans ; low-grade albuminuria ; Male ; Middle Aged ; Prognosis ; Pulse Wave Analysis ; Retrospective Studies ; Risk Factors ; type 2 diabetes mellitus ; Vascular Stiffness ; Young Adult</subject><ispartof>Diabetes/metabolism research and reviews, 2015-03, Vol.31 (3), p.262-268</ispartof><rights>Copyright © 2014 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3918-732035ad74df7f5eca5d41103b999fc6dce527854988a8de6aaaa5e4f47a0a403</citedby><cites>FETCH-LOGICAL-c3918-732035ad74df7f5eca5d41103b999fc6dce527854988a8de6aaaa5e4f47a0a403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fdmrr.2598$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fdmrr.2598$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27926,27927,45576,45577</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25139614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Lingning</creatorcontrib><creatorcontrib>Yang, Liyong</creatorcontrib><creatorcontrib>Zhang, Songjing</creatorcontrib><creatorcontrib>Liu, Donghui</creatorcontrib><creatorcontrib>Yan, Xiaofang</creatorcontrib><creatorcontrib>Yan, Sunjie</creatorcontrib><title>Low-grade albuminuria associated with brachial-ankle pulse wave velocity in young adults with type 2 diabetes mellitus in China</title><title>Diabetes/metabolism research and reviews</title><addtitle>Diabetes Metab Res Rev</addtitle><description>Background
Cardiovascular disease is prevalent in type 2 diabetics, and microalbuminuria is associated with cardiovascular disease morbidity. We aimed to investigate the potential association between low‐grade albuminuria and arterial stiffness in patients with type 2 diabetes.
Methods
Between 2009 and 2013, a retrospective study was performed in 578 patients with type 2 diabetes (339 male patients and 239 female patients) with normal urinary albumin‐to‐creatinine ratios (ACRs; <30 mg/g) from Fuzhou, China. Patients were stratified into tertiles based on urinary ACR levels (lowest tertile, urinary ACR < 4.8 mg/g; highest tertile, urinary ACR ≥ 20.1 mg/g). Arterial stiffness was measured via brachial‐ankle pulse wave velocity.
Results
Brachial‐ankle pulse wave velocity, age, duration of diabetes, systolic blood pressure and pulse wave velocity progressively increased across all urinary albumin‐to‐creatinine ratio tertiles (p < 0.05). Patients in the second and the highest tertiles had significantly elevated pulse wave velocity [114.6 mm/s (95% CI = 36.8–192.4) and 209.4 mm/s (95% CI = 131.8–286.9)], p = 0.004 and 0.000] compared with those in the lowest ACR tertile. The association between ACR and elevated pulse wave velocity still persisted in patients younger than 65 years of age and those with diabetes <10 years, conferring 45 or 51% greater risk of elevated pulse wave velocity (OR = 1.451; 95% CI = 1.119–1.881; p = 0.005 or OR = 1.515; 95% CI = 1.167–1.966; p = 0.0018) with each ACR tertile increment. Each ACR tertile increment conferred 31.7% higher risk of increased pulse wave velocity (OR = 1.317; 95% CI = 1.004–1.729; p = 0.0468).
Conclusions
Patients with type 2 diabetes with urinary albumin excretion in the upper normal range were still at risk for target organ damage. Low‐grade albuminuria might be an early marker for the detection of arterial stiffness in patients with type 2 diabetes, especially in younger patients with type 2 diabetes with shorter durations of disease. Copyright © 2014 John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Albuminuria - etiology</subject><subject>Albuminuria - pathology</subject><subject>Ankle</subject><subject>Ankle - blood supply</subject><subject>Ankle Brachial Index</subject><subject>arterial stiffness</subject><subject>Blood Pressure</subject><subject>Brachial Artery - physiology</subject><subject>brachial-ankle pulse wave velocity</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - pathology</subject><subject>China</subject><subject>Creatinine - analysis</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>low-grade albuminuria</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Pulse Wave Analysis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>type 2 diabetes mellitus</subject><subject>Vascular Stiffness</subject><subject>Young Adult</subject><issn>1520-7552</issn><issn>1520-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10ctu1DAUBuAIgWgpLHgBZIkNLNL6mssSDVCKpiBVXJbWSXzScZvL4EuHrHj1Jsp0FpXwxl5859eR_yR5zegpo5Sfmc65U67K4klyzBSnaa4y-vTwVvwoeeH9DaVUyEw-T464YqLMmDxO_q2HXXrtwCCBtoqd7aOzQMD7obYQ0JCdDRtSOag3FtoU-tsWyTa2HskO7pDcYTvJMBLbk3GI_TUBE9vgl7kwbpFwYixUGNCTDtvWhuhnvdrYHl4mzxqYwl7t75Pk5-dPP1Zf0vX384vVh3Vai5IVaS44FQpMLk2TNwprUEYyRkVVlmVTZ6ZGxfNCybIooDCYwXQUykbmQEFScZK8W3K3bvgT0QfdWV9P20CPQ_SaZRmXQkipJvr2Eb0Zouun7WZFSzl946zeL6p2g_cOG711tgM3akb13IqeW9FzK5N9s0-MVYfmIB9qmMDZAna2xfH_Sfrj5dXVPjJdJqwP-PcwAe5WZ7nIlf797Vxf5pn6Sle_NBf3eQunUg</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Huang, Lingning</creator><creator>Yang, Liyong</creator><creator>Zhang, Songjing</creator><creator>Liu, Donghui</creator><creator>Yan, Xiaofang</creator><creator>Yan, Sunjie</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Low-grade albuminuria associated with brachial-ankle pulse wave velocity in young adults with type 2 diabetes mellitus in China</title><author>Huang, Lingning ; Yang, Liyong ; Zhang, Songjing ; Liu, Donghui ; Yan, Xiaofang ; Yan, Sunjie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3918-732035ad74df7f5eca5d41103b999fc6dce527854988a8de6aaaa5e4f47a0a403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Albuminuria - etiology</topic><topic>Albuminuria - pathology</topic><topic>Ankle</topic><topic>Ankle - blood supply</topic><topic>Ankle Brachial Index</topic><topic>arterial stiffness</topic><topic>Blood Pressure</topic><topic>Brachial Artery - physiology</topic><topic>brachial-ankle pulse wave velocity</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - pathology</topic><topic>China</topic><topic>Creatinine - analysis</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>low-grade albuminuria</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Pulse Wave Analysis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>type 2 diabetes mellitus</topic><topic>Vascular Stiffness</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Lingning</creatorcontrib><creatorcontrib>Yang, Liyong</creatorcontrib><creatorcontrib>Zhang, Songjing</creatorcontrib><creatorcontrib>Liu, Donghui</creatorcontrib><creatorcontrib>Yan, Xiaofang</creatorcontrib><creatorcontrib>Yan, Sunjie</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes/metabolism research and reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Lingning</au><au>Yang, Liyong</au><au>Zhang, Songjing</au><au>Liu, Donghui</au><au>Yan, Xiaofang</au><au>Yan, Sunjie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low-grade albuminuria associated with brachial-ankle pulse wave velocity in young adults with type 2 diabetes mellitus in China</atitle><jtitle>Diabetes/metabolism research and reviews</jtitle><addtitle>Diabetes Metab Res Rev</addtitle><date>2015-03</date><risdate>2015</risdate><volume>31</volume><issue>3</issue><spage>262</spage><epage>268</epage><pages>262-268</pages><issn>1520-7552</issn><eissn>1520-7560</eissn><coden>DMRRFM</coden><abstract>Background
Cardiovascular disease is prevalent in type 2 diabetics, and microalbuminuria is associated with cardiovascular disease morbidity. We aimed to investigate the potential association between low‐grade albuminuria and arterial stiffness in patients with type 2 diabetes.
Methods
Between 2009 and 2013, a retrospective study was performed in 578 patients with type 2 diabetes (339 male patients and 239 female patients) with normal urinary albumin‐to‐creatinine ratios (ACRs; <30 mg/g) from Fuzhou, China. Patients were stratified into tertiles based on urinary ACR levels (lowest tertile, urinary ACR < 4.8 mg/g; highest tertile, urinary ACR ≥ 20.1 mg/g). Arterial stiffness was measured via brachial‐ankle pulse wave velocity.
Results
Brachial‐ankle pulse wave velocity, age, duration of diabetes, systolic blood pressure and pulse wave velocity progressively increased across all urinary albumin‐to‐creatinine ratio tertiles (p < 0.05). Patients in the second and the highest tertiles had significantly elevated pulse wave velocity [114.6 mm/s (95% CI = 36.8–192.4) and 209.4 mm/s (95% CI = 131.8–286.9)], p = 0.004 and 0.000] compared with those in the lowest ACR tertile. The association between ACR and elevated pulse wave velocity still persisted in patients younger than 65 years of age and those with diabetes <10 years, conferring 45 or 51% greater risk of elevated pulse wave velocity (OR = 1.451; 95% CI = 1.119–1.881; p = 0.005 or OR = 1.515; 95% CI = 1.167–1.966; p = 0.0018) with each ACR tertile increment. Each ACR tertile increment conferred 31.7% higher risk of increased pulse wave velocity (OR = 1.317; 95% CI = 1.004–1.729; p = 0.0468).
Conclusions
Patients with type 2 diabetes with urinary albumin excretion in the upper normal range were still at risk for target organ damage. Low‐grade albuminuria might be an early marker for the detection of arterial stiffness in patients with type 2 diabetes, especially in younger patients with type 2 diabetes with shorter durations of disease. Copyright © 2014 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25139614</pmid><doi>10.1002/dmrr.2598</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Albuminuria - etiology Albuminuria - pathology Ankle Ankle - blood supply Ankle Brachial Index arterial stiffness Blood Pressure Brachial Artery - physiology brachial-ankle pulse wave velocity Cardiovascular disease Cardiovascular Diseases - etiology Cardiovascular Diseases - pathology China Creatinine - analysis Diabetes Diabetes Mellitus, Type 2 - complications Female Follow-Up Studies Humans low-grade albuminuria Male Middle Aged Prognosis Pulse Wave Analysis Retrospective Studies Risk Factors type 2 diabetes mellitus Vascular Stiffness Young Adult |
| title | Low-grade albuminuria associated with brachial-ankle pulse wave velocity in young adults with type 2 diabetes mellitus in China |
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