Evidence map›Paper›PMID 33588849›Full record

ArticleLipids in health and disease2021

Triglycerides to high-density lipoprotein cholesterol ratio is superior to triglycerides and other lipid ratios as an indicator of increased urinary albumin-to-creatinine ratio in the general population of China: a cross-sectional study.

Jing Xue, Yuxia Wang, Bing Li, Songyan Yu, Anping Wang, Weiqing Wang, Zhengnan Gao, Xulei Tang, Li Yan, Qin Wan and 4 more

Open access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 17 citations in OpenAlex.

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  9. Effects ofFrontiers in veterinary science · 2024
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  13. [Application of TG/HDL-C Combined with Liver Function Indexes to Predict Metabolic-Associated Fatty Liver Disease].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 1 country.

Jing XueMedical School of Chinese PLA, Beijing, China.
Yuxia WangDepartment of Endocrinology, The First Medical Center of Chinese PLA General Hospital, No.28 Fuxing Road, Haidian district, Beijing, 100853, China.
Bing LiDepartment of Endocrinology, The First Medical Center of Chinese PLA General Hospital, No.28 Fuxing Road, Haidian district, Beijing, 100853, China.
Songyan YuDepartment of Endocrinology, The First Medical Center of Chinese PLA General Hospital, No.28 Fuxing Road, Haidian district, Beijing, 100853, China.
Anping WangDepartment of Endocrinology, The First Medical Center of Chinese PLA General Hospital, No.28 Fuxing Road, Haidian district, Beijing, 100853, China.
Weiqing WangShanghai Jiaotong University Affiliated Ruijin Hospital, Shanghai, China.
Zhengnan GaoCenter Hospital of Dalian, Dalian, Liaoning, China.
Xulei TangFirst Hospital of Lanzhou University, Lanzhou, Gansu, China.
Li YanSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Qin WanAffiliated Hospital of Luzhou Medical College, Luzhou, Sichuan, China.
Guijun QinZhengzhou University First affiliated Hospital, Zhengzhou, Henan, China.
Lulu ChenUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Guang NingShanghai Jiaotong University Affiliated Ruijin Hospital, Shanghai, China.
Yiming MuMedical School of Chinese PLA, Beijing, China. muyiming@301hospital.com.cn.
Chinese PLA General Hospital · CNRuijin Hospital · CNFirst Affiliated Hospital of Sichuan Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNLanzhou University · CNPLA Academy of Military Science · CNSeventh People's Hospital of Dalian · CNSun Yat-sen University · CNWuhan Union Hospital · CN

Funding

Chinese Society of Endocrinology, the
 Key Laboratory for Endocrine and Metabolic Diseases of the Ministry of Health 1994DP131044National Key New Drug Creation and Manufacturing Program, Ministry of Science and Technology 2012ZX09303006-001the National High Technology Research and Development Program of China 863 Program, 2011AA020107the National Science and Technology Major Project No. 2011ZX09307-001-08, the REACTION study
6 · The paper itself

Abstract

backgroundDyslipidemia contributes to the pathogenesis of renal dysfunction. Previous research demonstrated that triglycerides (TG), instead of other individual lipid indexes, has a significant link with elevated urinary albumin-to-creatinine ratio (UACR). However, it is unclear whether lipid ratios are superior indicators of increased UACR compared with TG. This research is to determine whether there are close relationships of lipid ratios with UACR in a general population.

methods35,751 participants from seven centers across China were enrolled. UACR equal or higher than 30 mg/g was recognized as increased albuminuria. The associations of TG, low-density lipoprotein cholesterol (LDL-C)/ high-density lipoprotein cholesterol (HDL-C), TG/HDL-C and non-high-density lipoprotein cholesterol (non-HDL-C)/HDL-C with increased UACR were evaluated by linear and logistic regression analyses in females and males separately.

resultsThere were 3692 (14.8%) female subjects, and 1307 (12.0%) male subjects characterized as having increased UACR. There were significantly differences in TG/HDL-C and non-HDL-C/HDL-C between the normal UACR group and the increased UACR group, while LDL-C/HDL-C was not. Furthermore, linear regression analysis was implemented and showed that TG and TG/HDL-C were both positively related to UACR even after a variety of potential confounders were adjusted regardless of sexes, while the correlation between non-HDL-C/HDL-C and elevated UACR were only significant in females. Further analyses utilizing logistic regression demonstrated that compared with non-HDL-C/HDL-C and TG, TG/HDL-C showed the strongest association with increased UACR (quartile 1 of TG/HDL-C as a reference; OR [95% CI] of quartile 4: 1.28 [1.13-1.44] in women, 1.24 [1.02-1.50] in men) after fully adjusting for potential confounding factors. Stratified analyses revealed that in males who were overweight and in females who were overweight or over 55 years or had prediabetes or prehypertension, TG/HDL-C had significant associations with abnormal UACR.

conclusionsCompared with TG and other routine lipid ratios, TG/HDL-C is a superior indicator for increased UACR.

Indexed as

LipidsAdultAgedAlbuminsAlbuminuriaBiomarkersBlood GlucoseChinaCholesterolCholesterol, HDLCholesterol, LDLCreatinineCross-Sectional StudiesDyslipidemiasFemaleHumansAlbuminsBiomarkersBlood GlucoseCholesterolCholesterol, HDLCholesterol, LDLCreatinineLipidsTriglyceridesCross-sectional studyDyslipidemiaHigh-density lipoprotein cholesterolMicroalbuminuriaTriglyceridesUrinary albumin-creatinine ratio

Identifiers

PMID33588849
PMCPMC7883433
OpenAlexW3132795375

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.