Serum Lipid Profiles, Lipid Ratios and Chronic Kidney Disease in a Chinese Population

Liying Zhang, Zhiyong Yuan, Wu Chen, Shanying Chen, Xinyu Liu, Yan Liang, Xiaofei Shao and Hequn Zou
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Liying Zhang: Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
Zhiyong Yuan: Wanzai Hospital of Xiangzhou district, Zhuhai 519000, China
Wu Chen: Qianjin health service center of Tianhe district, Guangzhou 510000, China
Shanying Chen: Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
Xinyu Liu: Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
Yan Liang: Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
Xiaofei Shao: Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
Hequn Zou: Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China

IJERPH, 2014, vol. 11, issue 8, 1-14

Abstract: Aim: To examine the association of serum lipids, lipid ratios with Chronic Kidney Disease (CKD) in a Chinese population. Methods: Data were drawn from a cross-sectional survey in China. CKD was defined as estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m 2 or albuminuria-to-creatinine ratio (ACR) > 30 mg/g. Multivariable logistic regressions and multivariate regression models were used. Serum lipids and lipid ratios included total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), TG/HDL-C ratio, TC/HDL-C ratio and LDL-C/HDL-C ratio. Results: In men, only logarithm-transformed (log) TG was associated with CKD. The odds ratio (every SD increment) was 1.39 (95% CI 1.03–1.87, P = 0.03). In women, none of the serum lipids and lipid ratios was associated with CKD. Using multivariate regression models, it was shown that log TG and log TG/HDL-C were negatively correlated with eGFR ( P < 0.05) in men and LDL-C and log LDL-C/HDL-C ratio were correlated with ACR in men. In female subjects, serum TC, log TG, log TG/HDL-C and log TC/HDL-C were negatively correlated with eGFR ( P < 0.05). All of serum lipid profiles and lipid related ratio were not correlated with ACR in women. Conclusion: Serum TG is the only suitable predictor for CKD in men. However, in women, none of serum lipids and lipid ratio can be used as a predictor for CKD. Log TG and log TG/HDL-C are negatively correlated with eGFR in both genders.

Keywords: serum lipids; lipid ratios; chronic kidney disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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