4.7 Article

Obesity and Albuminuria Among Adults With Type 2 Diabetes The Look AHEAD (Action for Health in Diabetes) Study

Journal

DIABETES CARE
Volume 32, Issue 5, Pages 851-853

Publisher

AMER DIABETES ASSOC
DOI: 10.2337/dc08-2059

Keywords

-

Funding

  1. Mid-Career Mentorship Award in Patient-Oriented Research [K24 DK62222]
  2. Diabetes Research and Training Center [P60 DK079637]
  3. National Institutes of Health [DK57136, DK57149, DK56990, DK57177, DK57171, DK57151, DK57182, DK57131, DK57002, DK57078, DK57154, DK57178, DK57219, DK57008, DK57135, DK56992, DK 046204]
  4. National Institute of Diabetes and Digestive and Kidney Diseases
  5. National Heart, Lung, and Blood Institute
  6. National Institute of Nursing Research
  7. National Center on Minority Health and Health Disparities
  8. Office of Research on Women's Health
  9. Centers for Disease Control and Prevention
  10. Johns Hopkins Medical Institutions Bayview General Clinical Research Center [M01RR02719]
  11. Massachusetts General Hospital Mallinckrodt General Clinical Research Center [M01RR01066]
  12. University of Colorado Health Sciences Center General Clinical Research Center [M01RR00051]
  13. Clinical Nutrition Research Unit [P30 DK48520]
  14. University of Tennessee at Memphis General Clinical Research Center [M01RR0021140]
  15. University of Pittsburgh General Clinical Research Center [M01RR000056 44]
  16. University of Washington/VA Puget Sound Health Care System Medical Research Service, Department of Veterans Affairs
  17. Frederic C. Bartter General Clinical Research Center [M01 RR01346]

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OBJECTIVE - To determine the association between obesity measures and albuminuria in adults with type 2 diabetes. RESEARCH DESIGN AND METHODS - in the Look AHEAD (Action for Health in Diabetes) Study, BMI and waist circumference were measured among 4,985 participants while total percent body fat was measured by whole-body DEXA scans among 1,351 participants. Odds of albuminuria by quartiles of BMI, waist circumference, and percent. total body fat were calculated using logistic regression analysis while adjusting for covariates. RESULTS - The highest quartile of BMI (odds ratio [OR] 1.72 [95% CI 1.40-2.11]) and waist circumference (OR 1.75 [95% CI 1.42-2.15]) was significantly associated with albuminuria compared with the lowest quartile after adjustment for covariates. No associations were noted between quartiles of percent total body fat and albuminuria in an), model. CONCLUSIONS - Increased BMI and abdominal obesity are associated with albuminuria in overweight and obese adults with type 2 diabetes,

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