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在中国,蛋白尿被建议作为老年人以及患有高血压或糖尿病的普通人群的一种潜在健康筛查生物标志物。

Albuminuria is Suggested as a Potential Health Screening Biomarker for Senior Citizens and General Population with Hypertension or Diabetes in China.

作者信息

Gu Dongmei, Xu Pengcheng, Yuan Yuhua, Fu Hongwei

出版信息

Clin Lab. 2016 Nov 1;62(11):2267-2269. doi: 10.7754/Clin.Lab.2016.160212.

Abstract

BACKGROUND

To evaluate the possibility of albuminuria as a screening biomarker for seniors or general population with hypertension and diabetes.

METHODS

478 health check-up individuals were enrolled. Albumin to creatinine ratio (ACR) was calculated by testing urinary albumin and creatinine of spot urine sample. Each urine sample was also analyzed by the routine urine test in parallel with ACR. Potential risk factors associated with the presence of albuminuria were analyzed using independent t-test or chi-square test.

RESULTS

The total prevalence of albuminuria was 11.9%, and women had a higher positive rate (14.0%) than men (10.6%). Ageing, fasting plasma glucose, and systolic blood pressure were significantly associated with the presence of albuminuria. Individuals are highly probable to have albuminuria when their routine urine test shows positive of urea glucose, red blood cells or urea protein.

CONCLUSIONS

Albuminuria should be suggested as a potential health screening biomarker in senior citizens and general population with hypertension and diabetes.

摘要

背景

评估蛋白尿作为高血压和糖尿病老年人或普通人群筛查生物标志物的可能性。

方法

纳入478名健康体检个体。通过检测随机尿样中的尿白蛋白和肌酐来计算白蛋白与肌酐比值(ACR)。每个尿样同时进行常规尿检并与ACR分析。使用独立t检验或卡方检验分析与蛋白尿存在相关的潜在危险因素。

结果

蛋白尿的总患病率为11.9%,女性阳性率(14.0%)高于男性(10.6%)。年龄、空腹血糖和收缩压与蛋白尿的存在显著相关。当常规尿检显示尿葡萄糖、红细胞或尿蛋白呈阳性时,个体极有可能患有蛋白尿。

结论

应建议将蛋白尿作为高血压和糖尿病老年人及普通人群潜在的健康筛查生物标志物。

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