The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Use of the Albumin/Creatinine Ratio to Detect Microalbuminuria: Implications of Sex and Race
Abstract
The recommended albumin (microg)/creatinine (mg) ratio (ACR) (30 microg/mg) to detect microalbuminuria does not account for sex or racial differences in creatinine excretion. In a nationally representative sample of subjects, the distribution of urine albumin and creatinine concentrations was examined by using one ACR value (> or =30 microg/mg) and sex-specific cutpoints (> or =17 microg/mg in men and > or =25 microg/mg in women) measured in spot urine specimens. Mean urine albumin concentrations were not significantly different between men and women, but urine creatinine concentrations were significantly higher (P < 0.0001). Compared with non-Hispanic whites, urine creatinine concentrations were significantly higher in non-Hispanic blacks (NHB) and Mexican Americans, whereas urine albumin concentrations were significantly higher in NHB (P < 0.0001) but not Mexican Americans. When a single ACR is used, the prevalence of microalbuminuria was significantly lower among the men compared with women (6.0 versus 9.2%; P < 0.0001) and among non-Hispanic whites compared with NHB (7.2 versus 10.2%; P < 0.0001). No significant difference in the prevalence of microalbuminuria between men and women was noted when sex-specific ACR cutpoints were used. In the multivariate adjusted model, female sex (odds ratio, 1.62; 95% confidence interval, 1.29 to 2.05) and NHB race/ethnicity (odds ratio, 1.34; 95% confidence interval, 1.12 to 1.61) were independently associated with microalbuminuria when a single ACR threshold was used. When a sex-specific ACR was used, NHB race/ethnicity remained significantly associated with microalbuminuria but sex did not. The use of one ACR value to define microalbuminuria may underestimate microalbuminuria in subjects with higher muscle mass (men) and possibly members of certain racial/ethnic groups.
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Cites
Hillege, H. L., Janssen, W. M. T., Bak, A. A. A., Diercks, G. F. H., Grobbee, D. E., Crijns, H. J. G. M., Van Gilst, W. H., De Zeeuw, D., De Jong, P. E., & FOR THE PREVEND STUDY GROUP (2001) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2001.00833.x · Cited by 629
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Festa, A., D'agostino, R., Howard, G., Mykkänen, L., Tracy, R. P., & Haffner, S. M. (2000) · Kidney International · doi:10.1046/j.1523-1755.2000.00331.x · Cited by 369
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Prevalence and Clinical Correlates of Microalbuminuria in Essential Hypertension: The MAGIC Study
Pontremoli, R., Sofia, A., Ravera, M., Nicolella, C., Viazzi, F., Tirotta, A., Ruello, N., Tomolillo, C., Castello, C., Grillo, G., et al. (1997) · Hypertension · doi:10.1161/01.hyp.30.5.1135 · Cited by 215
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Microalbuminuria Precedes the Development of NIDDM
Mykkänen, L., Haffner, S. M., Kuusisto, J., Pyorälä, K., & Laakso, M. (1994) · Diabetes · doi:10.2337/diab.43.4.552 · Cited by 189
Skeletal muscle characteristics in sedentary black and Caucasian males
Ama, P. F., Simoneau, J. A., Boulay, M. R., Serresse, O., Theriault, G., & Bouchard, C. (1986) · Journal of Applied Physiology · doi:10.1152/jappl.1986.61.5.1758 · Cited by 179
Cited by
Coresh, J., Astor, B. C., Greene, T., Eknoyan, G., & Levey, A. S. (2003) · American Journal of Kidney Diseases · doi:10.1053/ajkd.2003.50007 · Cited by 2,768
Kramer, H. J. (2003) · JAMA · doi:10.1001/jama.289.24.3273 · Cited by 618
Prevalence of chronic kidney disease in US adults with undiagnosed diabetes or prediabetes
Plantinga, L. C., Crews, D. C., Coresh, J., Miller, E. R., Saran, R., Yee, J., Hedgeman, E., Pavkov, M., Eberhardt, M. S., Williams, D. E., et al. (2010) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.07891109 · Cited by 408
Patient Awareness of Chronic Kidney Disease: Trends and Predictors
Plantinga, L. C., Boulware, L. E., Coresh, J., Stevens, L. A., Miller, E. R., Saran, R., Messer, K. L., Levey, A. S., & Powe, N. R. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.20.2268 · Cited by 317
High dietary phosphorus intake is associated with all-cause mortality: results from NHANES III
Chang, A. R., Lazo, M., Appel, L. J., Gutiérrez, O. M., & Grams, M. E. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.113.073148 · Cited by 262
Metadata
- Authors
- Mattix, H. J., Hsu, C.-Y., Shaykevich, S., & Curhan, G.
- Venue
- Journal of the American Society of Nephrology
- Published
- 2002-04
- Volume
- 13
- Issue
- 4
- Pages
- 1034-1039
- ISSN
- 1046-6673 (ISSN-L)
- OpenAlex
- W2167551217
- Cited by
- 355
- References
- 17
- FWCI
- 9.15
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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