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Body Mass Index (BMI) Is Associated with Microalbuminuria in Chinese Hypertensive Patients

Author

Listed:
  • Xinyu Liu

    (Institute of Nephrology and Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
    These authors contributed equally to this work.)

  • Yu Liu

    (Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou 510623, China
    Department of Statistics, School of Mathematics and Computational Science, Sun Yat-Sen University, Guangzhou 510275, China
    These authors contributed equally to this work.)

  • Youming Chen

    (Clinical Laboratory Centre, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)

  • Yongqiang Li

    (Institute of Nephrology and Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)

  • Xiaofei Shao

    (Institute of Nephrology and Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)

  • Yan Liang

    (Institute of Nephrology and Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)

  • Bin Li

    (Institute of Nephrology and Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)

  • Harry Holthöfer

    (Centre for Bio Analytical Sciences (CBAS), Dublin City University, Dublin 9, Ireland)

  • Guanjing Zhang

    (Techco Information Technologies Co., Ltd., Shenzhen 518057, China)

  • Hequn Zou

    (Institute of Nephrology and Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China)

Abstract

There is no general consensus on possible factors associated with microalbuminuria in hypertensive patients nor any reported study about this issue in Chinese patients. To examine this issues, 944 hypertensive patients were enrolled in a study based on a cross-sectional survey conducted in Southern China. Multivariate regression analyses were performed to identify the factors related with the presence of microalbuminuria and urinary excretion of albumin. The prevalence of microalbuminuria in hypertensive and non-diabetic hypertensive patients were 17.16% and 15.25%, respectively. Body mass index (BMI), but not waist circumference (WC), were independently associated with microalbuminuria and the values of urinary albumin to creatinine ratio (ACR) based on multiple regression analyses, even after excluding diabetic patients and patients taking inhibitors of the renin-angiotensin system from the analyses. Furthermore, patients with obesity (BMI ≥28) had higher levels of ACR, compared with those with normal weight (BMI <24 kg/m 2 ) and overweight (24 kg/m 2 ≤ BMI < 28). In conclusion, BMI, as a modifiable factor, is closely associated with microalbuminuria among Chinese hypertensive patients, which may provide a basis for future development of intervention approaches for these patients.

Suggested Citation

  • Xinyu Liu & Yu Liu & Youming Chen & Yongqiang Li & Xiaofei Shao & Yan Liang & Bin Li & Harry Holthöfer & Guanjing Zhang & Hequn Zou, 2015. "Body Mass Index (BMI) Is Associated with Microalbuminuria in Chinese Hypertensive Patients," IJERPH, MDPI, vol. 12(2), pages 1-11, February.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:2:p:1998-2008:d:45701
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    Cited by:

    1. Eun Sook Bae & Jung Yi Hur & Hyung Soon Jang & Jeong Suk Kim & Hye Seung Kang, 2023. "Risk Factors of Microalbuminuria among Patients with Type 2 Diabetes Mellitus in Korea: A Cross-Sectional Study Based on 2019–2020 Korea National Health and Nutrition Examination Survey Data," IJERPH, MDPI, vol. 20(5), pages 1-11, February.

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