Association between uric acid level and incidence of albuminuria in patients with type 2 diabetes mellitus A 4.5-year cohort study

doi:10.1097/MD.0000000000027496

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23914

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题名:	Association between uric acid level and incidence of albuminuria in patients with type 2 diabetes mellitus A 4.5-year cohort study
作者:	Lai, YJ;Chen, YY;Ku, PW;Chen, LJ;Yen, YF
关键词:	albuminuria;cohort study;risk factors;type 2 diabetes mellitus;uric acid
日期:	2021
上传时间:	2022-08-05T09:44:53Z (UTC)
出版者:	LIPPINCOTT WILLIAMS & WILKINS
ISSN:	0025-7974
摘要:	Using animal models and molecular biology researches, hyperuricemia has been shown to instruct renal arteriolopathy, arterial hypertension, and microvascular injury involving the renin-angiotensin system and resulting in renal function impairment. Nevertheless, the association between uric acid levels and the development of albuminuria has been under-investigated in patients with type 2 diabetes mellitus. Patients with type 2 diabetes and regular outpatient visits were recruited from the Puli Branch of the Taichung Veterans General Hospital in Taiwan since January 2014. Demographics, lifestyle features, and medical history were gathered by well-trained interviewers. All participants underwent comprehensive physical examinations, including a biochemical assay of venous blood specimens and urine samples after an 8-hour overnight fast. Participants were followed until June 2018. The primary outcome was the albuminuria incidence. Univariable and multivariable Cox regression analysis were employed to explore the relation between uric acid and incident albuminuria. Uric acid cutoffs for incident albuminuria were determined with the receiver operator characteristic curve. We included 247 qualified subjects (mean age: 64.78 years old [standard deviation = 11.29 years]; 138 [55.87%] men). During a 4.5-year follow-up duration, 20 subjects with incident albuminuria were recognized. Serum uric acid was significantly associated with an increased risk of incident albuminuria (adjusted hazard ratio = 2.39; 95% confidence interval: 1.53-3.75; P < .001) with potential confounders adjustment. The uric acid cutoff point was 6.9 mg/dL (area under the curve 0.708, sensitivity 60.0%, specificity 84.58%) for incident albuminuria. Serum uric acid was associated with incident albuminuria among patients with type 2 diabetes.
URI:	http://dx.doi.org/10.1097/MD.0000000000027496 https://www.webofscience.com/wos/woscc/full-record/WOS:000731129600006 https://ir.csmu.edu.tw:8080/handle/310902500/23914
關聯:	MEDICINE ,2021,v100,issue 41
显示于类别:	[中山醫學大學研究成果] 期刊論文

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