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Association of serum high-density lipoprotein cholesterol with microalbuminuria in type 2 diabetes patients.


ABSTRACT:

Background

The association of serum high-density lipoprotein cholesterol (HDL-C) with microalbuminuria in type 2 diabetes mellitus (T2DM) remains controversial. Therefore, a cross-sectional study was conducted on patients with T2DM to investigate the relationship of HDL-C with microalbuminuria.

Methods

A total of 524 participants with T2DM were recruited in this cross-sectional study. The patients were divided into four groups according to serum HDL-C quartile. A nonparametric test was employed to assess the relationships across quartiles with clinical parameters and demographics. Multivariate logistic regression analysis was further performed.

Results

Of the 524 patients, 138 (26.3%) were found to have microalbuminuria by urinary albumin excretion rate determination. Serum HDL-C levels in microalbuminuria group were significantly lower than those in non-microalbuminuria group (1.04 (0.90-1.21) vs. 1.10 (0.94-1.31) mmol/L, P = 0.002). The nonparametric test for trend showed that the prevalence of microalbuminuria was significantly reduced for subjects of the fourth quartile of HDL-C compared to the first to third quartile (13.5% vs. 33.1%, 28.6%, 29.4%, P = 0.001). Multivariate logistic regression showed that subjects within the highest quartile of HDL-C had lower odds of microalbuminuria than those within the lowest quartile of HDL-C (OR = 0.17, 95% CI 0.15-0.52, P = 0.004).

Conclusions

Higher levels of serum HDL-C were associated with decreased rates of microalbuminuria in T2DM patients.

SUBMITTER: Sun X 

PROVIDER: S-EPMC6173850 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Association of serum high-density lipoprotein cholesterol with microalbuminuria in type 2 diabetes patients.

Sun Xun X   Xiao Ye Y   Li Pei-Mei PM   Ma Xiu-Yun XY   Sun Xiao-Jie XJ   Lv Wen-Shan WS   Wu Yi-Li YL   Liu Peng P   Wang Yan-Gang YG  

Lipids in health and disease 20181005 1


<h4>Background</h4>The association of serum high-density lipoprotein cholesterol (HDL-C) with microalbuminuria in type 2 diabetes mellitus (T2DM) remains controversial. Therefore, a cross-sectional study was conducted on patients with T2DM to investigate the relationship of HDL-C with microalbuminuria.<h4>Methods</h4>A total of 524 participants with T2DM were recruited in this cross-sectional study. The patients were divided into four groups according to serum HDL-C quartile. A nonparametric tes  ...[more]

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