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Combined Role of Reduced Estimated Glomerular Filtration Rate and Microalbuminuria on the Prevalence of Peripheral Arterial Disease

Chronic kidney disease (CKD), defined by either microalbuminuria (MA) or a reduced estimated glomerular filtration rate (eGFR), is associated with an increased risk of peripheral arterial disease (PAD). The presence of both abnormalities might identify a subgroup of adults at particularly high risk... Full description

Journal Title: The American journal of cardiology 2009, Vol.104 (10), p.1446-1451
Main Author: Baber, Usman, MD
Other Authors: Mann, Devin, MD, MS , Shimbo, Daichi, MD , Woodward, Mark, PhD , Olin, Jeffrey W., DO , Muntner, Paul, PhD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Abridged Index Medicus
Adults
Age Factors
Aged
Albuminuria - epidemiology
Antihypertensive Agents - therapeutic use
Arteriosclerosis
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology
Cardiology. Vascular system
Cardiovascular
Cholesterol, HDL - blood
Coronary Artery Disease - epidemiology
Diabetes Mellitus - epidemiology
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Glomerular Filtration Rate
Health Surveys
Humans
Hypolipidemic Agents - therapeutic use
Kidney diseases
Male
Medical research
Medical sciences
Middle Aged
Nephrology
Nephrology. Urinary tract diseases
Peripheral Vascular Diseases - epidemiology
Prevalence
Stroke - epidemiology
Systole
United States - epidemiology
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Publisher: New York, NY: Elsevier Inc
ID: ISSN: 0002-9149
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recordid: cdi_proquest_miscellaneous_733591790
title: Combined Role of Reduced Estimated Glomerular Filtration Rate and Microalbuminuria on the Prevalence of Peripheral Arterial Disease
format: Article
creator:
  • Baber, Usman, MD
  • Mann, Devin, MD, MS
  • Shimbo, Daichi, MD
  • Woodward, Mark, PhD
  • Olin, Jeffrey W., DO
  • Muntner, Paul, PhD
subjects:
  • Abridged Index Medicus
  • Adults
  • Age Factors
  • Aged
  • Albuminuria - epidemiology
  • Antihypertensive Agents - therapeutic use
  • Arteriosclerosis
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood Pressure
  • Cardiology
  • Cardiology. Vascular system
  • Cardiovascular
  • Cholesterol, HDL - blood
  • Coronary Artery Disease - epidemiology
  • Diabetes Mellitus - epidemiology
  • Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
  • Female
  • Glomerular Filtration Rate
  • Health Surveys
  • Humans
  • Hypolipidemic Agents - therapeutic use
  • Kidney diseases
  • Male
  • Medical research
  • Medical sciences
  • Middle Aged
  • Nephrology
  • Nephrology. Urinary tract diseases
  • Peripheral Vascular Diseases - epidemiology
  • Prevalence
  • Stroke - epidemiology
  • Systole
  • United States - epidemiology
  • Urinary system involvement in other diseases. Miscellaneous
  • Urinary tract. Prostate gland
ispartof: The American journal of cardiology, 2009, Vol.104 (10), p.1446-1451
description: Chronic kidney disease (CKD), defined by either microalbuminuria (MA) or a reduced estimated glomerular filtration rate (eGFR), is associated with an increased risk of peripheral arterial disease (PAD). The presence of both abnormalities might identify a subgroup of adults at particularly high risk of PAD. Accordingly, we sought to evaluate the combined effect of a reduced eGFR and MA on the prevalence of PAD among United States adults. United States adults ≥40 years old (n = 6,951) participating in the 1999 to 2004 National Health and Nutrition Examination Survey were cross-classified into 4 groups according to the presence or absence of MA (urinary albumin/creatinine ratio ≥30 mg/g) and reduced eGFR (
language: eng
source:
identifier: ISSN: 0002-9149
fulltext: no_fulltext
issn:
  • 0002-9149
  • 1879-1913
url: Link


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titleCombined Role of Reduced Estimated Glomerular Filtration Rate and Microalbuminuria on the Prevalence of Peripheral Arterial Disease
creatorBaber, Usman, MD ; Mann, Devin, MD, MS ; Shimbo, Daichi, MD ; Woodward, Mark, PhD ; Olin, Jeffrey W., DO ; Muntner, Paul, PhD
creatorcontribBaber, Usman, MD ; Mann, Devin, MD, MS ; Shimbo, Daichi, MD ; Woodward, Mark, PhD ; Olin, Jeffrey W., DO ; Muntner, Paul, PhD
descriptionChronic kidney disease (CKD), defined by either microalbuminuria (MA) or a reduced estimated glomerular filtration rate (eGFR), is associated with an increased risk of peripheral arterial disease (PAD). The presence of both abnormalities might identify a subgroup of adults at particularly high risk of PAD. Accordingly, we sought to evaluate the combined effect of a reduced eGFR and MA on the prevalence of PAD among United States adults. United States adults ≥40 years old (n = 6,951) participating in the 1999 to 2004 National Health and Nutrition Examination Survey were cross-classified into 4 groups according to the presence or absence of MA (urinary albumin/creatinine ratio ≥30 mg/g) and reduced eGFR (<60 mL/min/1.73 m2 ). PAD was defined as an ankle-brachial index of <0.9. The prevalence of PAD among adults without MA or a reduced eGFR was 3.6% compared to 9.7%, 14.8%, and 25.4% among adults with MA alone, reduced eGFR alone, and both reduced eGFR and MA, respectively. After multivariate adjustment, the odds ratio for prevalent PAD associated with MA alone, reduced eGFR alone, and both reduced eGFR and MA compared to those without MA or reduced eGFR was 1.72 (95% confidence interval 1.16 to 2.55), 1.58 (95% confidence interval 1.09 to 2.29), and 2.26 (95% confidence interval 1.30 to 3.94), respectively. In conclusion, the coexistence of MA and reduced eGFR was associated with a high prevalence of PAD and might be useful in identifying patients with vascular disease.
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1EISSN: 1879-1913
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languageeng
publisherNew York, NY: Elsevier Inc
subjectAbridged Index Medicus ; Adults ; Age Factors ; Aged ; Albuminuria - epidemiology ; Antihypertensive Agents - therapeutic use ; Arteriosclerosis ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Cardiology ; Cardiology. Vascular system ; Cardiovascular ; Cholesterol, HDL - blood ; Coronary Artery Disease - epidemiology ; Diabetes Mellitus - epidemiology ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Glomerular Filtration Rate ; Health Surveys ; Humans ; Hypolipidemic Agents - therapeutic use ; Kidney diseases ; Male ; Medical research ; Medical sciences ; Middle Aged ; Nephrology ; Nephrology. Urinary tract diseases ; Peripheral Vascular Diseases - epidemiology ; Prevalence ; Stroke - epidemiology ; Systole ; United States - epidemiology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland
ispartofThe American journal of cardiology, 2009, Vol.104 (10), p.1446-1451
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4Olin, Jeffrey W., DO
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title
0Combined Role of Reduced Estimated Glomerular Filtration Rate and Microalbuminuria on the Prevalence of Peripheral Arterial Disease
1The American journal of cardiology
addtitleAm J Cardiol
descriptionChronic kidney disease (CKD), defined by either microalbuminuria (MA) or a reduced estimated glomerular filtration rate (eGFR), is associated with an increased risk of peripheral arterial disease (PAD). The presence of both abnormalities might identify a subgroup of adults at particularly high risk of PAD. Accordingly, we sought to evaluate the combined effect of a reduced eGFR and MA on the prevalence of PAD among United States adults. United States adults ≥40 years old (n = 6,951) participating in the 1999 to 2004 National Health and Nutrition Examination Survey were cross-classified into 4 groups according to the presence or absence of MA (urinary albumin/creatinine ratio ≥30 mg/g) and reduced eGFR (<60 mL/min/1.73 m2 ). PAD was defined as an ankle-brachial index of <0.9. The prevalence of PAD among adults without MA or a reduced eGFR was 3.6% compared to 9.7%, 14.8%, and 25.4% among adults with MA alone, reduced eGFR alone, and both reduced eGFR and MA, respectively. After multivariate adjustment, the odds ratio for prevalent PAD associated with MA alone, reduced eGFR alone, and both reduced eGFR and MA compared to those without MA or reduced eGFR was 1.72 (95% confidence interval 1.16 to 2.55), 1.58 (95% confidence interval 1.09 to 2.29), and 2.26 (95% confidence interval 1.30 to 3.94), respectively. In conclusion, the coexistence of MA and reduced eGFR was associated with a high prevalence of PAD and might be useful in identifying patients with vascular disease.
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0Abridged Index Medicus
1Adults
2Age Factors
3Aged
4Albuminuria - epidemiology
5Antihypertensive Agents - therapeutic use
6Arteriosclerosis
7Biological and medical sciences
8Blood and lymphatic vessels
9Blood Pressure
10Cardiology
11Cardiology. Vascular system
12Cardiovascular
13Cholesterol, HDL - blood
14Coronary Artery Disease - epidemiology
15Diabetes Mellitus - epidemiology
16Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
17Female
18Glomerular Filtration Rate
19Health Surveys
20Humans
21Hypolipidemic Agents - therapeutic use
22Kidney diseases
23Male
24Medical research
25Medical sciences
26Middle Aged
27Nephrology
28Nephrology. Urinary tract diseases
29Peripheral Vascular Diseases - epidemiology
30Prevalence
31Stroke - epidemiology
32Systole
33United States - epidemiology
34Urinary system involvement in other diseases. Miscellaneous
35Urinary tract. Prostate gland
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titleCombined Role of Reduced Estimated Glomerular Filtration Rate and Microalbuminuria on the Prevalence of Peripheral Arterial Disease
authorBaber, Usman, MD ; Mann, Devin, MD, MS ; Shimbo, Daichi, MD ; Woodward, Mark, PhD ; Olin, Jeffrey W., DO ; Muntner, Paul, PhD
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1Adults
2Age Factors
3Aged
4Albuminuria - epidemiology
5Antihypertensive Agents - therapeutic use
6Arteriosclerosis
7Biological and medical sciences
8Blood and lymphatic vessels
9Blood Pressure
10Cardiology
11Cardiology. Vascular system
12Cardiovascular
13Cholesterol, HDL - blood
14Coronary Artery Disease - epidemiology
15Diabetes Mellitus - epidemiology
16Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
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18Glomerular Filtration Rate
19Health Surveys
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21Hypolipidemic Agents - therapeutic use
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28Nephrology. Urinary tract diseases
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30Prevalence
31Stroke - epidemiology
32Systole
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34Urinary system involvement in other diseases. Miscellaneous
35Urinary tract. Prostate gland
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abstractChronic kidney disease (CKD), defined by either microalbuminuria (MA) or a reduced estimated glomerular filtration rate (eGFR), is associated with an increased risk of peripheral arterial disease (PAD). The presence of both abnormalities might identify a subgroup of adults at particularly high risk of PAD. Accordingly, we sought to evaluate the combined effect of a reduced eGFR and MA on the prevalence of PAD among United States adults. United States adults ≥40 years old (n = 6,951) participating in the 1999 to 2004 National Health and Nutrition Examination Survey were cross-classified into 4 groups according to the presence or absence of MA (urinary albumin/creatinine ratio ≥30 mg/g) and reduced eGFR (<60 mL/min/1.73 m2 ). PAD was defined as an ankle-brachial index of <0.9. The prevalence of PAD among adults without MA or a reduced eGFR was 3.6% compared to 9.7%, 14.8%, and 25.4% among adults with MA alone, reduced eGFR alone, and both reduced eGFR and MA, respectively. After multivariate adjustment, the odds ratio for prevalent PAD associated with MA alone, reduced eGFR alone, and both reduced eGFR and MA compared to those without MA or reduced eGFR was 1.72 (95% confidence interval 1.16 to 2.55), 1.58 (95% confidence interval 1.09 to 2.29), and 2.26 (95% confidence interval 1.30 to 3.94), respectively. In conclusion, the coexistence of MA and reduced eGFR was associated with a high prevalence of PAD and might be useful in identifying patients with vascular disease.
copNew York, NY
pubElsevier Inc
pmid19892066
doi10.1016/j.amjcard.2009.06.068