International Journal of Clinical Medicine

Volume 2, Issue 4 (September 2011)

ISSN Print: 2158-284X   ISSN Online: 2158-2882

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Metabolic Syndrome and Insulin Resistance Are Associated with Chronic Kidney Disease in Nondiabetic Adults with Abdominal Obesity

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DOI: 10.4236/ijcm.2011.24063    5,287 Downloads   8,784 Views  Citations

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ABSTRACT

Aims: we investigate whether insulin resistance is associated with an increased prevalence for chronic kidney disease irrespective of the concurrent presence of metabolic syndrome. Methods: 1638 patients with abdominal obesity were selected. Metabolic syndrome and abdominal obesity were defined according to the International Diabetes Federation criteria. Insulin resistance was defined by Homeostasis Model Assessment Index >P75. Chronic kidney disease was defined by the presence of a low estimated glomerular filtration rate (<60 ml/min/1.73 m²) or microalbuminuria (30 mg/g - 300 mg/g. albumin/creatinine ratio). Results: metabolic syndrome was present in 1030 (62.9%) patients and insulin resistance in 787 (48%). Conversely 61% of those with metabolic syndrome were insulin resistant and 79% of those with insulin resistance had metabolic syndrome. Chronic kidney disease was present in 18%. In multivariate analysis, chronic kidney disease was increased in subjects with insulin resistance (odds ratio [OR] = 1.350; CI 95%: 1.021 - 1.785; p = 0.035) and in those with metabolic syndrome (OR = 1.417; CI 95%: 1.045 - 1.922; p = 0.025). Conclusions: Metabolic syndrome and insulin resistance were significant and independently associated with chronic kidney disease in nondiabetic adults with abdominal obesity.

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L. Vigil, A. Goday, R. Gabriel, J. Ascaso, J. Franch and R. Ortega, "Metabolic Syndrome and Insulin Resistance Are Associated with Chronic Kidney Disease in Nondiabetic Adults with Abdominal Obesity," International Journal of Clinical Medicine, Vol. 2 No. 4, 2011, pp. 367-377. doi: 10.4236/ijcm.2011.24063.

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