TABLE 4.
Average Spearman’s rank-order correlations of various albumin measures with blood pressure, body mass index, and urinary volume and odds ratios for microalbuminuria* in relation to these variables, International Study of Macronutrients and Blood Pressure, 1996–2002†
Variable and albumin measure | Men | Women | Total | Odds ratio‡ | 95% confidence interval |
---|---|---|---|---|---|
Systolic blood pressure | |||||
24-hour albumin excretion | 0.319 | 0.265 | 0.289 | 1.90 | 1.67, 2.15 |
Albumin:creatinine ratio | 0.299 | 0.238 | 0.265 | 1.90 | 1.68, 2.16 |
Albumin concentration | 0.304 | 0.284 | 0.293 | 1.90 | 1.68, 2.16 |
Diastolic blood pressure | |||||
24-hour albumin excretion | 0.235 | 0.199 | 0.216 | 1.71 | 1.49, 1.97 |
Albumin:creatinine ratio | 0.206 | 0.173 | 0.188 | 1.73 | 1.51, 1.99 |
Albumin concentration | 0.241 | 0.222 | 0.230 | 1.73 | 1.50, 1.99 |
Body mass index | |||||
24-hour albumin excretion | 0.181 | 0.235 | 0.211 | 1.47 | 1.28, 1.69 |
Albumin:creatinine ratio | 0.086 | 0.143 | 0.118 | 1.48 | 1.29, 1.70 |
Albumin concentration | 0.184 | 0.191 | 0.188 | 1.51 | 1.31, 1.73 |
24-hour urinary volume | |||||
24-hour albumin excretion | 0.225 | 0.272 | 0.251 | 1.30 | 1.16, 1.46 |
Albumin:creatinine ratio | 0.206 | 0.226 | 0.217 | 1.25 | 1.11, 1.41 |
Albumin concentration | −0.169 | −0.221 | −0.198 | 1.07 | 0.93, 1.22 |
Microalbuminuria was defined as 30–299 mg for albumin excretion (n = 204) and by the gender/country-specific cutoff points given in table 1 for albumin:creatinine ratio (n = 204) and albumin concentration (n = 203).
The rank-correlation analyses included 850 men and 1,083 women with albumin concentrations ≥1.0 mg/liter in both urine samples. For calculation of odds ratios, the analyses included the total sample minus those participants who had macroalbuminuria on the basis of each measure (n = 37, n = 41, and n = 39, respectively).
For each variable, odds ratios were calculated for a one-standard-deviation difference in that variable: 14.6 for systolic blood pressure, 10.0 for diastolic blood pressure, 5.4 for body mass index, and 0.7 for urinary volume.