Sir,
I read the recent publication by Chowta et al. with a great interest.[1] Chowta et al. reached the conclusion that “there is no effect of BMI and sex on the prevalence of microalbuminuria”.[1] Indeed, the correlation between BMI and microalbuminuria is widely discussed. In a recent publication by Sibal et al.,[2] BMI is a good predictor for macrovascular complication of DM but not for microalbuminuria. However, the strong correlation between BMI and microalbuminuria was reported in another study among patients with hypertension.[3] The correlation between microalbuminuria and BMI is still a myth that needs further complete assessment.
References
- 1.Chowta NK, Pant P, Chowta MN. Microalbuminuria in diabetes mellitus: Association with age, sex, weight, and creatinine clearance. Indian J Nephrol. 2009;19:53–6. doi: 10.4103/0971-4065.53322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Sibal L, Law HN, Gebbie J, Dashora UK, Agarwal SC, Home P. Predicting the development of macrovascular disease in people with type 1 diabetes: A 9-year follow-up study. Ann N Y Acad Sci. 2006;1084:191–207. doi: 10.1196/annals.1372.037. [DOI] [PubMed] [Google Scholar]
- 3.Thoenes M, Reil JC, Khan BV, Bramlage P, Volpe M, Kirch W, et al. Abdominal obesity is associated with microalbuminuria and an elevated cardiovascular risk profile in patients with hypertension. Vasc Health Risk Manag. 2009;5:577–85. doi: 10.2147/vhrm.s5207. [DOI] [PMC free article] [PubMed] [Google Scholar]