Research Article

Estimation of Glomerular Filtration Rate Based on Serum Cystatin C versus Creatinine in a Uruguayan Population

Table 1

Characteristics of 119 participants by fourths of the distribution of eGFRcys.

Characteristic Categories of eGFRcys

eGFRcys limits, mL/min/1.73 m2>93.7 93.7–78.778.7–61.5 ≤61.5
Number of subjects (%) 30303029
 Women 18 (60.0) 22 (73.3) 12 (40.0) 16 (53.3) 0.063
 Smokers 4 (13.3) 5 (16.7)3 (10.0) 4 (13.8) 0.90
 Drinking alcohol 16 (53.3) 13 (43.3) 12 (40.0) 12 (41.4) 0.73
 Hypertension 8 (26.7) 11 (36.7) 16 (53.3) 18 (62.1) 0.027
 Antihypertensive treatment 3 (10.0) 8 (26.7) 12 (40.0) 12 (66.6) 0.32
 Cardiovascular disease 2 (6.7) 1 (3.3) 3 (10.0) 2 (6.9) 0.87
 Diabetes mellitus 4 (13.3) 1 (3.3) 7 (23.3)*8 (27.6) 0.058
Mean (SD) of characteristic
 Age, years 41.3 (14.0) 52.1 (14.7)64.2 (13.9)68.9 (11.8) <0.0001
 Body mass index, kg/m227.6 (4.4) 29.2 (5.1) 29.1 (5.3) 29.5 (4.6) 0.44
 Office blood pressure
  Systolic pressure, mmHg 118.5 (15.1) 123.3 (16.6) 130.9 (21.1) 133.6 (22.0) 0.0097
  Diastolic pressure, mmHg 79.3 (10.6) 78.2 (11.9) 79.8 (12.1) 81.4 (12.7) 0.79
 Pulse rate, beats per minute 71.3 (7.1) 69.1 (9.9) 75.4 (8.9)*71.0 (9.8) 0.054
 Central augmentation index, % 14.7 (14.8) 19.6 (11.3) 28.7 (9.8)23.6 (10.9) <0.0001
 Aortic pulse wave velocity, m/s 7.6 (1.8) 8.6 (2.5) 11.1 (3.2)10.0 (2.9) <0.0001
Biochemical measurements
 Total cholesterol (mg/dL)204.2 (30.2) 194.6 (28.8) 216.5 (38.6)*225.3 (34.9)0.004
 Glucose (mg/dL)100.0 (35.3) 96.6 (12.7) 101.8 (21.6) 101.9 (15.6) 0.88
 Serum cystatin C (mg/L)0.75 (0.15)0.94 1.03 1.27 <0.0001
 Serum creatinine, mg/dL 0.75 (0.14) 0.81 (0.15) 0.77 (0.28) 0.92 (0.23)*0.0077
 eGFRmdrd, mL/min/1.73 m2103.2 (21.6) 92.9 (16.1)*90.1 (24.5) 71.9 (5.4)<0.0001
 eGFRepi, mL/min/1.73 m2107.1 (14.2) 96.4 (12.8)88.6 (17.1)*73.4 (14.1)<0.0001
 eGFRmix, mL/min/1.73 m2110.4 (13.1) 90.7 78.6 61.8 <0.0001

eGFRcys, eGFRmdrd, eGFRepi, and eGFRmix indicate estimated glomerular filtration rate derived from serum cystatin C, from serum creatinine according to the IDMS-traceable Modification of Diet in Renal Disease (MDRD) Study Equation or the Chronic Kidney Disease Epidemiology Collaboration equations, or from both serum cystatin C and creatinine. Office blood pressure was the average of five consecutive readings. Hypertension was an office blood pressure of ≥140 mmHg systolic or ≥90 mmHg diastolic or use of antihypertensive drugs. Diabetes mellitus was a fasting glucose level of ≥126 mg/dL or use of antidiabetic drugs. The central augmentation index was standardised to a heart rate of 75 beats/minute. Conversion factors: creatinine from mg/dL to mol/L, multiply by 88.4; cholesterol from mg/dL to mmol/L, multiply by 0.0259. values denote the significance of the differences in prevalence or means across quartiles of eGFRcys. Significance of the difference with the adjacent lower fourth:*; ; ; .