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ABSTRACT: Aim
The aim of this study was to evaluate the association between arterial stiffness and albuminuria and glomerular filtration rate (GFR) in patients with type 2 diabetes mellitus.Methods
This multicenter cohort study analyzed 2613 patients with type 2 diabetes. Brachial-ankle pulse wave velocity (baPWV) was used as a noninvasive marker of arterial stiffness. Additionally, the patients were categorized into four groups according to their albumin-to-creatinine ratio (ACR, normoalbuminuria versus albuminuria) and estimated GFR (eGFR, <60?mL/min/1.73?m2 versus ?60?mL/min/1.73?m2).Results
A univariate analysis revealed that maximal baPWV was significantly associated with both the ACR (r = 0.297, P < 0.001) and eGFR (r = -0.220, P < 0.001). A multivariate analysis adjusted for significant clinical variables and eGFR showed that baPWV remained significantly correlated with the ACR (r = 0.150, P < 0.001). Also, baPWV was correlated positively with the ACR in patients with an eGFR???60?mL/min/1.73?m2 (r = 0.146, P < 0.001). However, baPWV was not correlated with eGFR after adjustment for significant clinical variables.Conclusions
The present findings indicate that arterial stiffness is more associated with albuminuria than a decrease in GFR in patients with type 2 diabetes mellitus.
SUBMITTER: Kim JH
PROVIDER: S-EPMC5603750 | biostudies-literature | 2017
REPOSITORIES: biostudies-literature
Kim Jong Ho JH Kim Sang Soo SS Kim In Joo IJ Kim Bo Hyun BH Park Ja Young JY Lee Chang Won CW Suk Ji Hye JH Shin Sun Hae SH Son Sung Pyo SP Kim Min Chul MC Ahn Jun Hyeob JH Lee Kwang Jae KJ Kwon Min Jung MJ Lee Soon Hee SH Park Jeong Hyun JH
Journal of diabetes research 20170816
<h4>Aim</h4>The aim of this study was to evaluate the association between arterial stiffness and albuminuria and glomerular filtration rate (GFR) in patients with type 2 diabetes mellitus.<h4>Methods</h4>This multicenter cohort study analyzed 2613 patients with type 2 diabetes. Brachial-ankle pulse wave velocity (baPWV) was used as a noninvasive marker of arterial stiffness. Additionally, the patients were categorized into four groups according to their albumin-to-creatinine ratio (ACR, normoalb ...[more]