Association of triglycerides to high-density lipoprotein cholesterol ratio with incident cardiovascular disease but not end-stage kidney disease among patients with biopsy-proven diabetic nephropathy

• Material Type: 博士論文
• Title: Association of triglycerides to high-density lipoprotein cholesterol ratio with incident cardiovascular disease but not end-stage kidney disease among patients with biopsy-proven diabetic nephropathy
• Author/Editor: Uemura, Takayuki; Nishimoto, Masatoshi; Eriguchi, Masahiro; Tamaki, Hiroyuki; Tasaki, Hikari; Furuyama, Riri; Fukata, Fumihiro; Kosugi, Takaaki; Morimoto, Katsuhiko; Matsui, Masaru; Samejima, Ken-Ichi; Tsuruya, Kazuhiko
• Author Heading: Uemura, Takayuki; Nishimoto, Masatoshi; Eriguchi, Masahiro; Tamaki, Hiroyuki; Tasaki, Hikari; Furuyama, Riri; Fukata, Fumihiro; Kosugi, Takaaki; Morimoto, Katsuhiko; Matsui, Masaru; Samejima, Ken-Ichi; Tsuruya, Kazuhiko
• Publication, Distribution, etc.: Springer Nature
• Publication Date: 2023-06
• Publication Date (W3CDTF): 2023-06
• Alternative Title: 糖尿病性腎症におけるTG/HDL-C比と心血管疾患および腎予後との関連
• Periodical title: Hypertension Research
• No. or year of volume/issue: 46 6
• Volume: 46
• Issue: 6
• Pages: 1423-1432
• ISSN (Periodical Title): ISSN : 0916-9636
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2024-03-14
• Dissertation Number: 甲第909号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: cardiovascular disease; diabetic nephropathy; end-stage kidney disease; kidney biopsy; triglycerides to high-density lipoprotein cholesterol ratio
• Target Audience: 一般
• Note (General): type:Thesis; Increased triglycerides (TG) and decreased high-density lipoprotein cholesterol (HDL-C) are dyslipidemias characteristic of diabetes. Here, we aimed to examine associations of TG/HDL-C ratio with cardiovascular disease (CVD) and kidney dysfunction among patients with diabetic nephropathy. This retrospective observational study consists of patients with biopsy-proven diabetic nephropathy at Nara Medical University Hospital. Exposure of interest was TG/HDL-C ratio measured at kidney biopsy. Outcome variables were kidney histological findings, incident CVD and end-stage kidney disease (ESKD). Multivariable logistic regression models and Cox proportional hazard models were used to examined these associations. A total of 353 subjects were divided into quartiles based on TG/HDL-C ratio: Quartile 1 (reference), <1.96; Quartile 2, 1.96-3.10; Quartile 3, 3.11-4.55; and Quartile 4, ≥4.56. TG/HDL-C ratio was not a predictor of any histological findings in fully adjusted models. During median follow-up periods of 6.2 and 7.3 years, 152 and 90 subjects developed CVD and ESKD, respectively. Higher TG/HDL-C ratio was independently associated with higher incidences of CVD even after adjustments for potential confounders (hazard ratio [95% confidence interval] for Quartile 3 vs. reference; 1.73 [1.08-2.79] and Quartile 4 vs. reference; 1.86 [1.10-3.17]). Although there was a weak association between TG/HDL-C ratio and ESKD in the univariable model, the association was not significant in fully adjusted models. In conclusion, among patients with biopsy-proven diabetic nephropathy, higher TG/HDL-C ratio was independently associated with higher incidences of CVD but not with kidney outcomes, suggesting different impact of TG/HDL-C ratio on cardiorenal outcomes.; 権利情報：© The Author(s), under exclusive licence to The Japanese Society of Hypertension 2023. This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1038/s41440-023-01197-y; identifier:Hypertension Research. 2023 Jun, vol.46, no.6, p.1423-1432; identifier:0916-9636; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4360; identifier:Hypertension Research, 46(6): 1423-1432
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1038/s41440-023-01197-y
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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