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AbstractModerately elevated albuminuria (30–300 mg/g) is a marker of renal dysfunction and a risk factor of cardiovascular disease. Additionally, several recent studies have reported a relationship between moderately elevated albuminuria and triglyceride (TG) levels. Therefore, we aimed to evaluate the relationship between the urine albumin-to-creatinine ratio (UACR) and total cholesterol (TC), TG, and high-density lipoprotein C (HDL-C) levels.
摘要中度升高的白蛋白尿(30-300 mg/g)是肾功能不全的标志物,也是心血管疾病的危险因素。此外,最近的几项研究报道了中度升高的白蛋白尿与甘油三酯(TG)水平之间的关系。因此,我们旨在评估尿白蛋白与肌酐比值(UACR)与总胆固醇(TC),TG和高密度脂蛋白C(HDL-C)水平之间的关系。
We analyzed data from 19,340 patients from the 2011–2014 and 2019–2020 from the Korea National Health and Nutrition Examination Surveys. Multivariate linear regression analysis showed that the UACR was positively associated with TC and TG levels and negatively associated with HDL-C levels in both Korean women and men.
我们分析了韩国国家健康与营养检查调查中2011-2014年和2019-2020年19340名患者的数据。多元线性回归分析显示,韩国女性和男性的UACR与TC和TG水平呈正相关,与HDL-C水平呈负相关。
These results were reanalyzed according to the degree of proteinuria (normal, moderately elevated albuminuria, and severely elevated albuminuria (≥ 300 mg/g)). We found a positive relationship between UACR and TC and TG levels, but a negative association with HDL-C levels, except for TC (moderately elevated albuminuria) and HDL-C (moderately elevated albuminuria) in Korean men and TC (severely elevated albuminuria), TG (severely elevated albuminuria), and HDL-C (normal range albuminuria) in Korean women.
根据蛋白尿程度(正常,中度升高的蛋白尿和严重升高的蛋白尿(≥300 mg/g))重新分析这些结果。我们发现UACR与TC和TG水平呈正相关,但与HDL-C水平呈负相关,除了韩国男性的TC(中度升高的蛋白尿)和HDL-C(中度升高的蛋白尿)和TC(严重升高的蛋白尿),TG(严重升高的蛋白尿)和HDL-C(正常范围的蛋白尿)在韩国女性中。
The correlation between albuminuria and lipid profiles became more evident as albuminuria shift from normal to the severely elevated albuminuria. Thus our multivariate linear regression analysis showed that lipid profiles (TG, TC, and HDL-C levels) were associated with the UACR..
。。
IntroductionAn elevated urine albumin creatinine ratio (UACR) is a marker of renal dysfunction and an independent predictor of cardiovascular disease1,2. In addition, several studies have shown that moderately increased albuminuria (UACR < 30 mg/g) within the accepted normal range is associated with higher cardiovascular morbidity and mortality, even in the general population3,4.
引言尿白蛋白-肌酐比值(UACR)升高是肾功能不全的标志物,也是心血管疾病的独立预测因子1,2。此外,一些研究表明,即使在普通人群中,在可接受的正常范围内适度增加的白蛋白尿(UACR<30 mg/g)也与较高的心血管发病率和死亡率相关3,4。
Cardiovascular disease (CVD) is a broad-spectrum disease associated with numerous pathophysiological mechanisms such as inflammation5, fatty acid metabolic processes, and cholesterol metabolic process6.Several recent studies have also shown a correlation between triglycerides (TGs) and UACR7,8,9. A Japanese cohort study showed that increased TG levels were an independent risk factor for the development of proteinuria in both men (relative risk [RR], 1.032) and women (RR 1.007)7.
心血管疾病(CVD)是一种广谱疾病,与许多病理生理机制有关,如炎症5,脂肪酸代谢过程和胆固醇代谢过程6。最近的一些研究也显示甘油三酯(TGs)与UACR7,8,9之间存在相关性。一项日本队列研究表明,TG水平升高是男性(相对危险度(RR),1.032)和女性(RR 1.007)发生蛋白尿的独立危险因素7。
The Korean National Health and Nutrition Examination Survey (KNHANES) study also showed that TG levels are correlated with the albumin-to-creatinine ratio in adults with hypertension9. The Risk Evaluation of cancers in Chinese diabetic Individuals: A longitudinal (REACTION) study also showed that higher TG levels (> 2.3 mmol/L) were associated with the UACR in both men and women8.
韩国国家健康与营养调查(KNHANES)的研究还表明,TG水平与高血压成人的白蛋白与肌酐比值相关9。。
Moreover, treatment of dyslipidemia may be beneficial in reducing albuminuria in patients with chronic kidney disease (CKD)10.Cholesterol and TG levels are influenced by several factors, such as age, sex, diet style, and sleep; therefore, large datasets are required to identify reliable and generalized associations between UACR and lipid profiles.
此外,血脂异常的治疗可能有助于减少慢性肾病(CKD)患者的蛋白尿10。胆固醇和TG水平受多种因素的影响,如年龄,性别,饮食方式和睡眠;因此,需要大量数据集来确定UACR与血脂谱之间可靠且普遍的关联。
Consequently, we performed three assessments using a nationally representative Korean dataset. First, we conducted a univariate analysis, using Pearson’s and Spearman’s correlation analyses, Followed.
因此,我们使用具有全国代表性的韩国数据集进行了三次评估。首先,我们使用Pearson和Spearman的相关分析进行了单变量分析。
Data availability
数据可用性
This study analyzed the data obtained from the KNHANES. The KNHANES database contains publicly available data (https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do).
这项研究分析了从KNHANES获得的数据。KNHANES数据库包含公开可用的数据(https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do)。
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Download referencesAuthor informationAuthors and AffiliationsDepartment of Precision Medicine, Yonsei University Wonju College of Medicine, Wonju, South KoreaSang Won HwangDepartment of Family Medicine, Yonsei University Wonju College of Medicine, Wonju, South KoreaTaesic LeeDivision of Health Informatics, Institute of Global Health Care and Development, Wonju, South KoreaTaesic LeeDepartment of Laboratory Medicine, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju, 26426, Republic of KoreaYoung UhDepartment of Nephrology, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju, 26426, Republic of KoreaJun Young LeeTransplantation Center, Yonsei University Wonju College of Medicine, Wonju, South KoreaJun Young LeeCenter of Evidence Based Medicine, Institute of Convergence Science, Yonsei University, Seoul, South KoreaJun Young LeeAuthorsSang Won HwangView author publicationsYou can also search for this author in.
下载参考文献作者信息作者和所属机构延世大学元州医学院精准医学系,南韩元州,延世大学元州医学院家庭医学系,南韩元州,延世大学元州医学院,南韩元州,全球卫生保健与发展研究所卫生信息学系,南韩元州,延世大学元州医学院实验医学系,20 Ilsan ro,Wonju,26426,大韩民国肾脏病学系,延世大学元州医学院,20 Ilsan ro,Wonju,26426,大韩民国杨利移植中心韩国延世大学元州医学院南韩延世大学融合科学研究所循证医学中心南韩延世大学元州医学院南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩延世大学南韩医学院南韩延世大学南韩延世大学南韩医学院南韩延世大学南韩延世大学南韩延世大学南韩医学院南韩延世大学南韩延世大学南韩延世大学南韩大学南韩大学南韩延世大学南韩大学南韩延世大学南韩大学南韩医学院南韩延世大学南韩大学南韩延世大学南韩大学南韩延世大学南韩大学南韩大学南韩大学南韩大学南韩大学南。
PubMed Google ScholarTaesic LeeView author publicationsYou can also search for this author in
PubMed Google ScholarYoung UhView author publicationsYou can also search for this author in
PubMed Google ScholarYoung UhView作者出版物您也可以在
PubMed Google ScholarJun Young LeeView author publicationsYou can also search for this author in
PubMed Google ScholarJun Young LeeView作者出版物您也可以在
PubMed Google ScholarContributionsConceptualization, S.W.H. and J.Y.L.; methodology, S.W.H., T.L., Y.U. and J.Y.L.; software, S.W.H., T.L., Y.U. and J.Y.L.; validation, S.W.H., T.L., Y.U. and J.Y.L.; formal analysis, S.W.H., T.L., Y.U. and J.Y.L.; investigation, Y.U. and J.Y.L.; resources, Y.U.
PubMed谷歌学术贡献概念化,S.W.H.和J.Y.L。;方法论,S.W.H.,T.L.,Y.U.和J.Y.L。;软件,S.W.H.,T.L.,Y.U.和J.Y.L。;验证,S.W.H.,T.L.,Y.U.和J.Y.L。;形式分析,S.W.H.,T.L.,Y.U.和J.Y.L。;调查,Y.U.和J.Y.L。;资源,Y.U。
and J.Y.L.; data curation, S.W.H., T.L., Y.U. and J.Y.L.; writing—original draft preparation, S.W.H., T.L., Y.U. and J.Y.L.; writing—review and editing, S.W.H., T.L., Y.U. and J.Y.L.; visualization, S.W.H., T.L., Y.U. and J.Y.L.; supervision, Y.U. and J.Y.L.; project administration, J.Y.L.; funding acquisition, J.Y.L.
和J.Y.L。;数据管理,S.W.H.,T.L.,Y.U.和J.Y.L。;撰写原始草案准备,S.W.H.,T.L.,Y.U.和J.Y.L。;写作评论和编辑,S.W.H.,T.L.,Y.U.和J.Y.L。;。;监督,Y.U.和J.Y.L。;项目管理,J.Y.L。;资金收购,J.Y.L。
All authors have read and agreed to the published version of the manuscript.Corresponding authorsCorrespondence to.
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Young Uh or Jun Young Lee.Ethics declarations
Young Uh或Jun Young Lee。道德宣言
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Reprints and permissionsAbout this articleCite this articleHwang, S.W., Lee, T., Uh, Y. et al. Urinary albumin creatinine ratio is associated with lipid profile.
转载和许可本文引用本文Hwang,S.W.,Lee,T.,Uh,Y。等人。尿白蛋白-肌酐比率与血脂有关。
Sci Rep 14, 14870 (2024). https://doi.org/10.1038/s41598-024-65037-wDownload citationReceived: 19 October 2023Accepted: 17 June 2024Published: 27 June 2024DOI: https://doi.org/10.1038/s41598-024-65037-wShare this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.
Sci Rep 1414870(2024)。https://doi.org/10.1038/s41598-024-65037-wDownload引文收到日期:2023年10月19日接受日期:2024年6月17日发布日期:2024年6月27日OI:https://doi.org/10.1038/s41598-024-65037-wShare本文与您共享以下链接的任何人都可以阅读此内容:获取可共享链接对不起,本文目前没有可共享的链接。复制到剪贴板。
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