Research Article

Urinary Sodium Concentration Is an Independent Predictor of All-Cause and Cardiovascular Mortality in a Type 2 Diabetes Cohort Population

Table 1

Baseline characteristics according to tertiles of urinary sodium concentration.

All
(n = 1,439)
Tertiles of urinary sodium concentration value
LowIntermediateHigh
<69 mmol/L
()
69–103 mmol/L
(n = 481)
>103 mmol/L
()

Clinical variables
 Age (year)65.3 ± 10.766.1 ± 10.665.6 ± 10.564.0 ± 10.80.008
 Male, (%)835 (58%)252 (53%)282 (59%)301 (63%)0.006
 Body mass index (kg/m2)31.2 ± 6.331.2 ± 6.430.7 ± 6.031.9 ± 6.30.02
 Active smoking, (%)152 (11%)48 (10%)48 (10%)56 (12%)0.66
 Diabetes duration (years)14.5 ± 10.015.9 ± 10.115.1 ± 10.412.5 ± 9.3<0.001
(%)7.8 ± 1.67.7 ± 1.77.8 ± 1.77.7 ± 1.50.47
 History of cardiovascular disease, (%)276 (19%)113 (24%)87 (18%)76 (16%)0.005
 Systolic blood pressure (mmHg)132 ± 18131 ± 18134 ± 18133 ± 160.03
 Diastolic blood pressure (mmHg)72 ± 1171 ± 1173 ± 1073 ± 120.002
Medications use
 Any Diabetes therapy, (%)1,378 (96%)462 (97%)457 (95%)459 (96%)0.62
 Oral antidiabetic agent, (%)910 (63%)279 (58%)294 (61%)337 (71%)<0.001
 Insulin, (%)864 (60%)322 (67%)292 (61%)250 (52%)<0.001
 Any antihypertensive therapy, (%)1189 (83%)426 (89%)394 (82%)369 (77%)<0.001
 Diuretics, (%)655 (46%)268 (57%)210 (44%)177 (37%)<0.001
 RAAS blockers, (%)900 (63%)316 (66%)301 (63%)283 (60%)0.05
 Beta blockers, (%)483 (34%)185 (39%)163 (34%)135 (28%)0.002
 Calcium channel blockers, (%)448 (31%)162 (34%)146 (31%)140 (29%)0.23
Renal parameters
 eGFR (ml⋅min−1 per 1.73 m−2)73 ± 2565 ± 2773 ± 2481 ± 19<0.001
 uACR (mg/g)3.0 (12.9)4.1 (18.2)3.5 (15.1)2.4 (7.6)<0.001
 Diabetic nephropathy (normo-/micro-/macroalbuminuric): (%)528 (43%)/421 (34%)/293 (24%)163 (40%)/119 (29%)/127 (31%)173 (41%)/149 (35%)/100 (24%)192 (47%)/153 (37%)/66 (16%)<0.001
(mmol/L)89 ± 4145 ± 1585 ± 10135 ± 26<0.001
(mmol/L)52 ± 2547 ± 2651 ± 2459 ± 24<0.001
 U : 91 (89)70 (85)82 (78)114 (84)<0.001
 Estimated 24 h Na excretion (g/day)4.6 ± 1.83.5 ± 1.44.9 ± 1.55.5 ± 1.7
 NT-proBNP (pg/mL)113 (270)155 (530)113 (241)83 (147)
 Copeptin (pmol/L)6.7 (8.0)6.7 (10.7)6.2 (7.2)7.3 (6.7)0.07
 Presence of glycosuria: n (%)494 (34%)143 (30%)170 (35%)181 (38%)0.03

Quantitative variables are described by mean ± SD or median (IQR).
History of cardiovascular disease = history of stroke or myocardial infarction; RAAS blockers = angiotensin receptor blockers and/or ACE inhibitors. eGFR, CKD EPI equation; uACR, urinary albumin/creatinine ratio; , urinary sodium concentration; , urinary potassium concentration; U : , urinary to plasma creatinine concentration ratio; NT-proBNP, N-terminal pro-brain natriuretic peptide.