The relationship between obesity and microalbuminuria among general population in Beijing area
10.3760/cma.j.issn.0578-1426.2011.05.008
- VernacularTitle:北京部分社区人群肥胖与微量白蛋白尿相关性研究
- Author:
Jin ZHENG
;
Ping YE
;
Xin WANG
;
Wenkai XIAO
;
Hongmei WU
- Publication Type:Journal Article
- Keywords:
Obesity;
Microalbuminuria
- From:
Chinese Journal of Internal Medicine
2011;50(5):388-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation between microalbuminuria (MAU) and obesity and its indexes, including BMI, waist circumference(WC), and waist-to-hip ratio(WHR) , among partial community population in Beijing. Methods A total of 2080 subjects who took physical examination in Beijing, including 810 men and 1270 women with a mean age of(50. 9 ± 13. 1 )years, were enrolled. The informed consent has been achieved from each patients. BMI and WHR were calculated based on collected data of height, weight, WC, and hipline. Urine albumin-creatinine ratio(ACR) within the range of 30-300mg/g was classified as MAU. The subjects were divided into normal albuminuria ( NAU ) group and MAU group. The correlations between MAU and different obesity indexes including BMI, WC and WHR, were analyzed. Results Among the 2080 subjects, there was a positive correlation between BMI (r = 0. 1276,P<0.01) and ACR, and WC (r = 0.0840, P <0.01) and ACR. WHR and ACR was irrelevant ( P > 0. 05 ). In univariate analysis, there was significant difference in BMI ≥ 28 kg/m2 ( OR = 2. 02 ) and WC ≥85 cm (male) or≥80 cm (female) (OR = 1.69 ) between NAU group and MAU group (P < 0. 05 ).There was no significant difference in BMI 24-< 28 kg/m2, and WHR ≥0. 90 (male) or ≥0. 85 (female)between NAU group and MAU group( P≥0. 05 ). Multivariate logistic regression analysis revealed that BMI ( OR = 1.06) was an isolated independent risk factor of MAU from age ( OR = 1.01 ), female ( OR = 1.42),systolic blood pressure (OR=1.01), TC (OR=1.93) and HDL-C (OR=0.54). Conclusions Obesity is an independent risk factor of MAU among partial community population in Beijing. The correlation between different obesity indexes and MAU also differs.