Clinical Study

Factors Associated with the Decline of Kidney Function Differ among eGFR Strata in Subjects with Type 2 Diabetes Mellitus

Table 1

Baseline characteristics of subjects data are mean  SD. AER and TG were expressed as median and interquartile range and were transformed to the common logarithm for calculations. * , ** , and *** versus stratum 1, # , ## , and ### versus stratum 2 as determined by multiple comparison method (Fisher's LSD) after ANOVA. BMI: body mass index, SBP: systolic blood pressure, DBP: diastolic blood pressure, FPG: fasting plasma glucose, TC: total cholesterol, HDL-C: HDL cholesterol, TG: triglyceride, UA: uric acid, Cr: creatinine, and AER: albumin excretion rate.

ParameterOverall
( )
Stratum 1
( )
Stratum 2
( )
Stratum 3
( )
value

Age (years)60.0 ± 8.956.0 ± 8.361.3 ± 8.6***65.2 ± 7.6***, ###<0.001
BMI (kg/m2)23.6 ± 3.823.7 ± 4.123.5 ± 3.624.5 ± 3.5*<0.05
Male (%)68.660.072.575.6<0.001
Duration of diabetes (y)10.4 ± 8.38.9 ± 7.410.7 ± 8.3**12.9 ± 9.7***, ##<0.001
Diabetic retinopathy (%)28.926.428.342.0<0.01
SBP (mmHg)132.0 ± 17.6131.5 ± 18.9131.5 ± 16.4137.3 ± 18.9**, ###<0.01
DBP (mmHg)74.5 ± 10.874.6 ± 11.674.5 ± 10.474.2 ± 10.1n.s.
FPG (mmol/L)9.7 ± 2.910.4 ± 3.09.4 ± 2.7***8.8 ± 2.8***, #<0.001
HbA1c (%)9.1 ± 1.89.4 ± 1.98.9 ± 1.7***8.7 ± 1.7***<0.001
TC (mmol/L)5.3 ± 1.05.4 ± 1.05.2 ± 0.9*5.4 ± 0.9<0.05
HDL-C (mmol/L)1.4 ± 0.41.4 ± 0.41.3 ± 0.41.4 ± 0.4n.s.
TG (mmol/L)111 (78–163)109 (79–171)110 (76–159)*122 (90–179)#<0.05
UA (mg/dL)5.2 ± 1.44.7 ± 1.35.3 ± 1.3***6.3 ± 1.7***, ###<0.001
Cr (mg/dL)0.7 ± 0.50.6 ± 0.80.8 ± 0.2***1.1 ± 0.2***, ###<0.001
eGFR (mL/min/1.73 m2)82.7 ± 19.7106.5 ± 13.378.0 ± 9.6***53.0 ± 12.2***, ###<0.001
eGFR after 3 years75.7 ± 20.592.5 ± 19.073.7 ± 14.6***47.8 ± 15.4***, ###<0.001
Annual GFR decline (mL/min/1.73 m2)2.3 ± 5.44.6 ± 6.51.4 ± 4.4***1.7 ± 5.8***<0.001
Annual GFR decline
(% reduction from baseline)
2.5 ± 6.294.2 ± 6.01.7 ± 5.6***, #2.9 ± 8.9*, #<0.001
AER (μg/min)12.5 (5.8–41.3)11.5 (6.0–29.9)11.4 (5.6–35.5)35.4***, ### (10.3–232.5)<0.001
Hemoglobin (g/L)143 ± 13143 ± 14144 ± 13137 ± 16***, ###<0.001