期刊文献+

代谢综合征及其组分对微量白蛋白尿的影响分析 被引量:3

下载PDF
导出
摘要 目的研究代谢综合征及其组分与微量白蛋白尿的关系。方法选取975例于山西某社区体检的人员,测量和测定其代谢相关指标,以尿微量白蛋白30 mg/L为界,分为非微量白蛋白尿组(非MAU组)和微量白蛋白尿组(MAU组),代谢综合征采用IDF2005标准。结果微量白蛋白尿组较非微量白蛋白尿组空腹血糖、三酰甘油、血压、胰岛素抵抗指数、体重指数和腰围均高;微量白蛋白尿的发生风险与各代谢异常组分聚集的增加而增加;收缩压(OR=1.037,P<0.001)、胰岛素抵抗(OR=1.110,P=0.02)、空腹血糖(OR=1.298,P<0.001)是微量白蛋白尿的独立危险因素。结论微量白蛋白尿患病率与收缩压、胰岛素抵抗、空腹血糖独立相关,代谢异常组分集聚的个体发生微量白蛋白尿的风险显著增加。
出处 《中西医结合心脑血管病杂志》 2011年第8期1004-1006,共3页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
  • 相关文献

参考文献8

  • 1Derhaschnig U, Kittler H, Woisetschlager C, et al. Microalbumin measurement alone or calculation of the albumin/creatinine ratio for the screening of hypertension patients[J]. Nephrol Dial Trans- plant, 2002,17(1) :81 - 85.
  • 2陈青云,杨艳,覃伟武,彭育欢,罗秋萍,黎水莲,廖蕴华,赖璐华,陈莹.代谢综合征组分与尿微量白蛋白发生率的关系[J].中华高血压杂志,2007,15(4):289-293. 被引量:20
  • 3李青,贾伟平,陆俊茜,陈蕾,吴元民,姜素英,项坤三.上海市两社区人群微量白蛋白尿患病率与代谢综合征各组分的关系[J].中华流行病学杂志,2004,25(1):65-68. 被引量:22
  • 4Palaniappan L, Carnethon M, Fortmann SP. Association between microalbuminuria and the metabolic syndrome : NHANES Ⅲ[J]. Am J Hypertens,2003,16:952 - 958.
  • 5Lin CC,Liu CS, Li TC, et al. Microalbuminuria and the metabolic syndrome and its components in the Chinese population[J]. Eur J Clin Invest,2007,37(10) :783 - 790.
  • 6Choi HS,Sung KC,Lee KB. The prevalence and risk factors of mi- croalbuminuria in normoglycemic, normotensive adults [J]. Clin Nephrol,2006 65(4) :256 - 261.
  • 7Hao Z, Konta T, Takasaki S, et al. The association between mi- croalbuminuria and metabolic syndrome in the general population in Japan: The takahata study [ J]. Intern Med, 2007, 46 ( 7 ): 341 - 346.
  • 8Anvari MS, Boroumand MA, Pourgholi L, et al. Potential link of microalbuminuria with metabolic syndrome in patients undergoing coronary angiography[J]. Arch Med Res,2009 ,40(5) :399 -405.

二级参考文献33

  • 1[1]Philipou G,Philips PJ.Variability of urinary albumin excretion in patients with microalbuminuria[J].Diabetes Care,1994,17:425-427.
  • 2[2]International Diabetes Federation:The IDF consensus worldwide definition of the metabolic syndrome.Available at:www.idf.org/ webdata/docs/ Metabolic-syndrome-definition.pdf.Accessed April 18,2005.
  • 3[4]American Diabetes Association.Consensus development conference on the diagnosis and management of nephropathy in patients with diabetes mellitus (Consensus Statement)[J].Diabetes Care,1994,17:1357.
  • 4[5]Kim YI,Kim CH,Choi CS,et al.Microalbuminuria is associated with the insulin resistance syndrome independent of hypertension and type 2 diabetes in the Korean population[J].Diabetes Research and Clinical Practice,2001,52:145-152.
  • 5[6]Ulla Derhaschnig,Harald K,Christian W,et al.Microalbumin measurement alone or calculation of the albumin/creatinine ratio for the screening of hypertension patients[J].Nephrol Dial Transplant,2002,17:81-85.
  • 6[8]Eric L,Knight and Gary C,Curhan.Albuminuria:moving beyond traditional microalbuminuria cut-points[J].Current Opinion in Nephrology and Hypertension,2003,12:283-284.
  • 7[10]Ribstein J,Du Cailar G,Mimran A.Combined renal effects of overweight and hypertension[J].Hypertension,1995,26:610-615.
  • 8[11]Meigs JB,Jacques PF,Selhub J,et al.Fasting plasma homocysteine levels in the insulin resistance syndrome:the Fragmingham offspring study[J].Diabetes Care,2001,24:1403-1410.
  • 9Mykkanen L, Zaccaro D J, Wagenknecht LE, et al.Microalbuminuria is associated with insulin resistance in nondiabetic subjects: The Insulin Resistance Atherosclerosis Study. Diabetes,1998, 47 : 793-800.
  • 10Hoy WE, Mathews JD, McCredie DA, et al. The multidimensional nature of renal disease: rates and a.ssiociations of albuminuria in an Australian Aboriginal community. Kidney Ira, 1998, 54 : 1296-1304.

共引文献39

同被引文献19

引证文献3

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部