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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:
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
  • Age Factors
  • Aged
  • Albuminuria - epidemiology
  • Antihypertensive Agents - therapeutic use
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood Pressure
  • 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
  • Male
  • Medical sciences
  • Middle Aged
  • 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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subjectAbridged Index Medicus ; Age Factors ; Aged ; Albuminuria - epidemiology ; Antihypertensive Agents - therapeutic use ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; 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 ; Male ; Medical sciences ; Middle Aged ; 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
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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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1Age Factors
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3Albuminuria - epidemiology
4Antihypertensive Agents - therapeutic use
5Biological and medical sciences
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7Blood Pressure
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15Glomerular Filtration Rate
16Health Surveys
17Humans
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21Middle Aged
22Nephrology. Urinary tract diseases
23Peripheral Vascular Diseases - epidemiology
24Prevalence
25Stroke - epidemiology
26Systole
27United States - epidemiology
28Urinary system involvement in other diseases. Miscellaneous
29Urinary 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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8Cardiology. Vascular system
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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
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pmid19892066
doi10.1016/j.amjcard.2009.06.068