Research Article

Glucose Metabolism Indices and the Development of Chronic Kidney Disease: A Cohort Study of Middle-Aged and Elderly Chinese Persons

Table 1

Characteristics of study population at baseline by incident CKD status at follow-up.

Without CKDWith CKD

n (%)4938 (93.6)335 (6.4)<0.0001
UACR (mg/g)7.61 (5.57–10.78)11.10 (7.09–16.78)<0.0001
eGFR (ml/min per 1.73 m2)103.1 ± 21.295.0 ± 24.6<0.0001
FPG (mmol/L)5.40 (5.00–5.90)5.59 (5.10–6.16)<0.0001
OGTT 2 h glucose (mmol/L)7.27 (6.09–9.00)7.99 (6.52–10.43)<0.0001
HbA1c5.90 (5.60–6.20)6.00 (5.70–6.40)<0.0001
Fasting insulin (μIU/ml)7.05 (5.20–9.60)7.90 (5.80–11.10)<0.0001
HOMA-IR1.71 (1.21–2.45)2.08 (1.40–3.01)<0.0001
HOMA-β74.8 (52.3–106.1)77.4 (48.2–113.0)0.9873
Age (years)55.5 ± 7.058.5 ± 8.5<0.0001
Male (n (%))1347 (27.3)127 (37.9)<0.0001
BMI (kg/m2)23.5 ± 3.224.6 ± 3.3<0.0001
WC (cm)81.1 ± 9.384.2 ± 9.3<0.0001
WC (cm) adjusted sex81.2 ± 9.183.7 ± 9.0<0.001
SBP (mmHg)124.8 ± 15.6132.5 ± 16.7<0.0001
DBP (mmHg)74.9 ± 9.777.5 ± 9.9<0.0001
Current smoking (n (%))404 (8.4)37 (11.3)0.0667
Current drinking (n (%))156 (3.3)12 (3.7)0.6718
TG (mmol/L)1.25 (0.92–1.81)1.49 (1.01–2.14)<0.0001
TC (mmol/L)5.23 ± 1.245.21 ± 1.260.7446
HDL-C (mmol/L)1.34 ± 0.361.23 ± 0.33<0.0001
LDL-C (mmol/L)3.16 ± 0.953.13 ± 0.960.6469
ALT (U/L)13.0 (9.0–17.0)13.0 (10.0–19.0)0.3104
AST (U/L)18.0 (15.0–22.0)18.0 (15.0–22.0)0.7884
γ-GGT (U/L)19.0 (14.0–28.0)21.5 (15.0–29.5)0.0164
Physical activity (MET-h/week)22.3 (10.5–46.0)24.5 (10.5–46.0)0.7883

Data were means ± SD or medians (interquartile ranges) for skewed variables or numbers (proportions) for categorical variables. n (%) was for the number of incident CKD status at follow-up. values were for the ANOVA or χ2 analyses across the groups. CKD: chronic kidney disease; UACR: urinary albumin-to-creatinine ratio; eGFR: estimated glomerular filtration rate; FPG: fasting plasma glucose; OGTT: oral glucose tolerance test; HOMA-IR: homeostasis model assessment of insulin resistance; HOMA-β: homeostasis model assessment-β; BMI: body mass index; WC: waist circumference; SBP: systolic blood pressure; DBP: diastolic blood pressure; TG: triglycerides; TC: total cholesterol; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; γ-GGT: γ-glutamyltransferase; MET-h/week: separate metabolic equivalent hours per week.