Influence of Urine Creatinine on the Relationship between the Albumin-to-Creatinine Ratio and Cardiovascular Events

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Abstract

Background and objectives In the albumin-to-creatinine ratio (spot-ACR), urine creatinine corrects for tonicity but also reflects muscle mass. Low muscle mass is associated with cardiovascular disease (CVD). We hypothesized that the spot-ACR would be higher in women, lower-weight persons, and older individuals, independent of timed urine albumin excretion (24hr-UAE), and accordingly, that spot-ACR would be more strongly associated with CVD events than 24hr-UAE in these subgroups.

Design, setting, participants, & methods 2627 PREVEND (Prevention of Renal and Vascular End-stage Disease) participants with 24hr-UAE

Results Female sex (26%), lower weight (2% per 5 kg), and older age (4% per 5 years) were associated with higher spot-ACR independent of 24hr-UAE (P= 10 mg/g versus less (FIR, 2.33) and 24hr-UAE >= 10 mg/d versus less (HR, 2.09) with CVD events were similar, and there were no significant differences across subgroups (P for interactions >0.06).

Conclusions In community-living individuals with 24hr-UAE

Original languageEnglish
Pages (from-to)595-603
Number of pages9
JournalClinical Journal of the American Society of Nephrology
Volume7
Issue number4
DOIs
Publication statusPublished - Apr-2012

Keywords

  • GLOMERULAR-FILTRATION-RATE
  • ABNORMAL DIURNAL RHYTHM
  • MUSCLE MASS
  • BLOOD-PRESSURE
  • ALBUMIN/CREATININE RATIO
  • NONDIABETIC INDIVIDUALS
  • EXCRETION
  • RISK
  • MICROALBUMINURIA
  • DISEASE

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