본문 바로가기
KERD
논문KCI 등재

Relationship between the Estimated Glomerular Filtration Rate and the Urine Microalbumin/Creatinine Ratio and Ferritin in Korean Adults

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류기타자연과학

초록

This study examined the relationship between the estimated glomerular filtration rate (eGFR) and urine microalbumin/creatinine ratio (uACR) with ferritin in Korean adults. This study included 4,948 adults aged ≥20 years from the 2012 Korea National Health and Nutrition Examination Survey (KNHANES) data. A covariance test adjusted for covariates was performed for the ferritin levels in relation to the decreased eGFR (eGFR<60 ml/min/1.73 m2) and elevated uACR (uACR≥30 mg/g). Several key findings were made in the present study. First, after adjusting for the related variables, the ferritin level was higher in the decreased eGFR group [103.04±6.59 mL/min/1.73 m2; 95% confidence interval (CI), 90.12∼115.96] than in the normal eGFR group (84.87±1.16 mL/min/1.73 m2; 95% CI, 82.59∼87.14; P=0.007). Second, after adjusting for the related variables, the ferritin level (M±SE) was similar in the normal uACR group (85.70±1.20 mg/g; 95% CI, 83.35∼88.05) and elevated uACR group (82.72±4.09 mg/g; 95% CI, 74.71∼90.73) (P=0.487). Chronic kidney disease was positively associated with the ferritin level in Korean adults but albuminuria was not.

Abstract

This study examined the relationship between the estimated glomerular filtration rate (eGFR) and urine microalbumin/creatinine ratio (uACR) with ferritin in Korean adults. This study included 4,948 adults aged ≥20 years from the 2012 Korea National Health and Nutrition Examination Survey (KNHANES) data. A covariance test adjusted for covariates was performed for the ferritin levels in relation to the decreased eGFR (eGFR<60 ml/min/1.73 m2) and elevated uACR (uACR≥30 mg/g). Several key findings were made in the present study. First, after adjusting for the related variables, the ferritin level was higher in the decreased eGFR group [103.04±6.59 mL/min/1.73 m2; 95% confidence interval (CI), 90.12∼115.96] than in the normal eGFR group (84.87±1.16 mL/min/1.73 m2; 95% CI, 82.59∼87.14; P=0.007). Second, after adjusting for the related variables, the ferritin level (M±SE) was similar in the normal uACR group (85.70±1.20 mg/g; 95% CI, 83.35∼88.05) and elevated uACR group (82.72±4.09 mg/g; 95% CI, 74.71∼90.73) (P=0.487). Chronic kidney disease was positively associated with the ferritin level in Korean adults but albuminuria was not.

참고문헌 (39)

  1. Coresh J, "Prevalence of chronic kidney disease and decreased kidney function in the adult US population : Third National Health and Nutrition Examination Survey", Am J Kidney Dis, 41, pp.1~12 (2003)[DOI]
  2. "2019 chronic kidney disease" (2019)[URL]
  3. Thomas R, "Chronic kidney disease and its complications", Prim Care, 35, pp.329~344 (2008)[DOI]
  4. Kazancioğlu R, "Risk factors for chronic kidney disease : an update", Kidney Int Suppl, 3, pp.368~371 (2013)[DOI]
  5. Narres M, "The incidence of end-stage renal disease in the diabetic(compared to the non-Diabetic)population : A systematic review", PLoS One, 11, pp.e0147329~ (2016)[DOI]
  6. Inker LA, "KDOQI US commentary on the 2012 KDIGO clinical practice guideline for the evaluation and management of CKD", Am J Kidney Dis, 63, pp.713~735 (2014)[DOI]
  7. Bacchetta J, "Suppression of iron-regulatory hepcidin by vitamin D", J Am Soc Nephrol, 25, pp.564~572 (2014)[DOI]
  8. Cook JD, "The quantitative assessment of body iron", Blood, 101, pp.3359~3364 (2003)[DOI]
  9. Lee JA, "Low vitamin D levels are associated with both iron deficiency and anemia in children and adolescents", Pediatr Hematol Oncol, 32, pp.99~108 (2015)[DOI]
  10. Douglas B. Kell, "Serum ferritin is an important inflammatory disease marker, as it is mainly a leakage product from damaged cells", Metallomics, 6(4), pp.748~773 (2014), Royal Society of Chemistry (RSC)[DOI]
  11. Orino K, "Ferritin and the response to oxidative stress", Biochem J, 357, pp.241~247 (2001)[DOI]
  12. Momeni A, "Serum ferritin has correlation with HbA1c in type 2 diabetic patients", Adv Biomed Res, 25, pp.e74~ (2015)[DOI]
  13. 윤현, "The Association of Serum Ferritin and Metabolic Syndrome and Metabolic Syndrome Score in Korean Adults", 대한임상검사과학회지, 48(4), pp.287~295 (2016), 대한임상검사과학회
  14. Alper BS, "Using ferritin levels to determine iron-deficiency anemia in pregnancy", J Fam Pract, 49, pp.829~832 (2000)
  15. A Selvam, "Hyperferritinemia and markers of inflammation and oxidative stress in the cord blood of HIV-exposed, uninfected (HEU) infants", HIV Medicine, 16(6), pp.375~380 (2015), Wiley[DOI]
  16. Williams MJ, "Relationship of serum ferritin with cardiovascular risk factors and inflammation in young men and women", Atherosclerosis, 165, pp.179~184 (2002)[DOI]
  17. Andrew S. Levey, "A New Equation to Estimate Glomerular Filtration Rate", Annals of Internal Medicine, 150(9), pp.604~612 (2009), American College of Physicians[DOI]
  18. Petrov ME, "Association of sleep duration with kidney function and albuminuria : NHANES 2009-2012", Sleep Health, 5, pp.75~81 (2016)[DOI]
  19. Obi Y, "Impact of age and overt proteinuria on outcomes of stage 3 to 5 chronic kidney disease in a referred cohort", Clin J Am Soc Nephrol, 5, pp.1558~1565 (2010)[DOI]
  20. Zhang L, "Prevalence of chronic kidney disease in China : a cross-sectional survey", The Lancet, 379, pp.815~822 (2012)[DOI]
  21. Tomonaga Y, "The prevalence of chronic kidney disease in a primary care setting : a Swiss cross-sectional study", PLoS One, 8, pp.e67848~ (2013)[DOI]
  22. Branten AJ, "Serum ferritin levels are increased in patients with glomerular diseases and proteinuria", Nephrol Dial Transplant, 19, pp.2754~2760 (2004)[DOI]
  23. Cases-Amenós A, "Prevalence of anaemia and its clinical management in patients with stages 3-5 chronic kidney disease not on dialysis in Catalonia : MICENAS I study", Nefrologia, 34, pp.189~198 (2014)[DOI]
  24. Kang HT, "Ferritin level Is positively associated with chronic kidney disease in Korean men, based on the 2010-2012 Korean National Health and Nutrition Examination Survey", Int J Environ Res Public Health, 13, pp.e1058~ (2016)[DOI]
  25. Ma H, "Serum ferritin levels are associated with carotid atherosclerosis in Chinese postmenopausal women : the Shanghai Changfeng Study", Br J Nutr, 114, pp.1064~1071 (2015)[DOI]
  26. Chang FC, "Angiopoietin-2 is associated with albuminuria and microinflammation in chronic kidney disease", PLoS One, 8, pp.e54668~ (2013)[DOI]
  27. Kim BJ, "The association between serum ferritin level, microalbuminuria and non-alcoholic fatty liver disease in non-diabetic, non-hypertensive men", Clin Exp Hypertens, 36, pp.380~385 (2014)[DOI]
  28. Hsu YH, "Association between serum ferritin and microalbuminuria in Type 2 diabetes in Taiwan", Diabet Med, 30, pp.1367~1373 (2013)[DOI]
  29. Dekker LH, "Sex differences in the association between serum ferritin and fasting glucose in type 2 diabetes among South Asian Surinamese, African Surinamese, and ethnic Dutch : the population-based SUNSET study", Diabetes Care, 36, pp.965~971 (2013)[DOI]
  30. Oh IH, "Association of serum ferritin and kidney function with age-related macular degeneration in the general population", PLoS One, 11, pp.E0153624~ (2016)[DOI]
  31. Kamyar Kalantar-Zadeh, "The Fascinating but Deceptive Ferritin: To Measure It or Not to Measure It in Chronic Kidney Disease?", Clinical Journal of the American Society of Nephrology, 1(Supplement 1), pp.S9~S18 (2006), American Society of Nephrology (ASN)[DOI]
  32. Zandman-Goddard G, "Ferritin in autoimmune diseases", Autoimmun Rev, 6, pp.457~463 (2007)[DOI]
  33. Wang W, "Serum ferritin : Past, present and future", Biochim Biophys Acta, 1800, pp.760~769 (2010)[DOI]
  34. Kobayashi S, "Insulin resistance in patients with chronic kidney disease", Am J Kidney Dis, 45, pp.275~280 (2005)[DOI]
  35. Oberg BP, "Increased prevalence of oxidant stress and inflammation in patients with moderate to severe chronic kidney disease", Kidney Int, 65, pp.1009~1016 (2004)[DOI]
  36. Mikhael M, "Ferritin does not donate its iron for haem synthesis in macrophages", Biochem J, 429, pp.463~471 (2010)[DOI]
  37. Jay B. Wish, "Assessing Iron Status: Beyond Serum Ferritin and Transferrin Saturation", Clinical Journal of the American Society of Nephrology, 1(Supplement 1), pp.S4~S8 (2006), American Society of Nephrology (ASN)[DOI]
  38. Inker LA, "Estimating glomerular filtration rate from serum creatinine and cystatin C", N Engl J Med, 367, pp.20~29 (2012)[DOI]
  39. Levey AS, "GFR as the"Gold Standard" : estimated, measured, and true", Am J Kidney Dis, 67, pp.9~12 (2016)[DOI]

관련 논문AI추천

Associations between Anemia and Glomerular Filtration Rate and Albuminuria in Korean Adults by Metabolic Syndrome Status: Analysis of KNHNES V-3 DataHyun YOON대한임상검사과학회 · 대한임상검사과학회지2024 · 제56권 제2호Relationship between Hypertension and the Declining Renal Function in Korean Adults이준호대한임상검사과학회 · 대한임상검사과학회지2021 · 제53권 제1호Prevalence of chronic kidney disease defined by using CKD-EPI equation and albumin-to-creatinine ratio in the Korean adult populationEunhee Ji, Yon Su Kim대한내과학회 · The Korean Journal of Internal Medicine2016 · 제31권 제6호The Association of Serum Ferritin and Metabolic Syndrome and Metabolic Syndrome Score in Korean Adults윤현, 고재성, 김광욱, 이건우대한임상검사과학회 · 대한임상검사과학회지2016 · 제48권 제4호Association between Body Mass Index, Waist Circumference and Prevalence of Microalbuminuria in Korean Adults of Age 30 Years and Older without Diabetes, Hypertension, Renal Failure, or Overt Proteinuria: The 2013 Korean National Health and Nutrition Examination Survey강희철, Gong-Myung Lee, Ji Hye Hwang, Mi-Na Lee, Woo-Jeong Seo대한가정의학회 · Korean Journal of Family Medicine2016 · 제37권 제1호Association between Metabolic Syndrome and Microalbuminuria in Korean Adults송윤미, 이현욱, Hyun-Ju Bak, Jin-Young Shin대한가정의학회 · Korean Journal of Family Medicine2015 · 제36권 제2호

이 간행물의 다른 논문 (18건)