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학술저널
저자정보
안희정 (조선대학교) 문도식 (조선대학교) 강다영 (조선대학교) Jung In Lee (Chosun University) 김다영 (조선대학교) 김진화 (조선대학교) 김상용 (조선대학교) 배학연 (조선대학교)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.31 No.4
발행연도
2016.1
수록면
537 - 546 (10page)

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Background: The objective of the current study was to determine whether there was an association between urinary albumin excretionand cardiovascular disease (CVD) risk by estimating the Framingham Risk Score (FRS) in postmenopausal women without diabetes. Methods: This study was based on data from the Korea National Health and Nutrition Examination Survey, which was conductedby the Korean Ministry of Health and Welfare in 2011 to 2013. Data on 2,316 postmenopausal women from a total of 24,594 participantswas included in the analysis. Results: The mean FRS was significantly different in each of the urinary albumin to creatinine ratio (UACR) subgroups, and it increasedwith UACR. The FRS was 12.69±0.12 in the optimal group, 14.30±0.19 in the intermediate normal group, 14.62±0.26 inthe high normal group, and 15.86±0.36 in the microalbuminuria group. After fully adjusting for potential confounding factors, highnormal levels and microalbuminuria were significantly associated with the highest tertile of FRS ([odds ratio (OR), 1.642; 95% confidenceinterval (CI), 1.124 to 2.400] and [OR, 3.385; 95% CI, 2.088 to 5.488], respectively) compared with the optimal subgroup. High normal levels and microalbuminuria were also significantly associated with a ≥10% 10-year risk of CVD ([OR, 1.853; 95%CI, 1.122 to 3.060] and [OR, 2.831; 95% CI, 1.327 to 6.037], respectively) after adjusting for potential confounding covariates. Conclusion: Urinary albumin excretion reflects CVD risk in postmenopausal women without diabetes, and high normal levels andmicroalbuminuria were independently associated with a higher risk of CVD.

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