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KMID : 1039620180080010080
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Korean Journal of Family Practice
2018 Volume.8 No. 1 p.80 ~ p.86
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Relationship between Body Mass Index and Microalbuminuria in Healthy Adults
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Seo Min-Hee
Jee Young-Min
Yoo Byung-Wook
Hong Sung-Ho
Cho Choo-Yon
Cho Yong-Jin
Oh Jung-Eun
Shin Kyung-Suk
Joe Hyun
Shin Hwang-Sik
Son Doo-Yong
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Abstract
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Background: The worldwide incidence rates of obesity and overweight has rapidly increased among both men and women over the past few decades. These can be associated with increased risks for many health problems such as heart disease, stroke, high blood pressure, and aggravation of diabetes mellitus. Thus, preliminary identification plays a critical role in preventing and reducing serious illnesses and diseases related to obesity. We aimed to evaluate the prevalence of microalbuminuria according to body mass index and its relationship with obesity and chronic renal disease.
Methods: We analyzed data from the 2011?2013 Korea National Health and Nutrition Examination Survey. Our study included 3,564 men and 3,967 women without hypertension, diabetes mellitus, chronic liver disease, chronic kidney disease, or cancer. Body mass indexes (BMIs) were categorized as follows: ＜23.0 kg/m2, 23.0?24.9 kg/m2, and ≥25.0 kg/m2. Microalbuminuria was defined as a urinary albumin-to-creatinine ratio ＜30 mg/g.
Results: On the basis of the results of binary logistic regression analysis, we found that the odds ratios (ORs) for microalbuminuria in the obesity group were relatively higher: 1.672 for men (95% confidence interval [CI], 1.087?2.570) and 2.057 for women (95% CI, 1.417?2.987), after adjustment for age, alcohol consumption, smoking, and physical activity.
Conclusion: The prevalence of microalbuminuria in the obese population was increased. The ORs clearly imply that the BMI values are strongly associated with the risk for renal function decrement. Therefore, regular screening is recommended for obese individuals.
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KEYWORD
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Body Mass Index, Obesity, Microalbuminuria, Renal Function
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