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The Predictive Value of Visceral Adiposity Index and Lipid Accumulation Index for Microalbuminuria in Newly Diagnosed Type 2 Diabetes Patients

Authors Qi L, Kang N, Li Y, Zhao H, Chen S

Received 20 January 2021

Accepted for publication 24 February 2021

Published 11 March 2021 Volume 2021:14 Pages 1107—1115

DOI https://doi.org/10.2147/DMSO.S302761

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Juei-Tang Cheng


Licui Qi,1,2 Ning Kang,3 Yong Li,2 Hang Zhao,2 Shuchun Chen2

1Graduate School of Hebei North University, Zhangjiakou, 075000, People’s Republic of China; 2Endocrinology Department, Hebei General Hospital, Shijiazhuang, 050051, People’s Republic of China; 3Graduate School of Hebei Medical University, Shijiazhuang, 050000, People’s Republic of China

Correspondence: Shuchun Chen
Endocrinology Department, Hebei General Hospital, 348 Heping West Road, Shijiazhuang, Hebei, 050051, People’s Republic of China
Email [email protected]

Purpose: This study aims to investigate the predictive value of visceral adiposity index (VAI) and lipid accumulation index (LAP) for microalbuminuria (MAU) in patients with newly diagnosed Type 2 diabetes (T2DM).
Patients and Methods: This study included 335 patients with newly diagnosed T2DM patients from Hebei General Hospital. All the patients aged from 18 to 65 years old include 226 males and 109 females. Patients information and blood indicators were Collected and calculated the LAP and VAI scores. All the patients were divided into males (group A) and females (group B), and these groups were then further subdivided into A1 group which arises microalbuminuria, and A2 group which does not. With the same method, women were divided into B1 group and B2 group.
Results: Baseline data analysis showed that LAP and VAI levels in A1 and B1 groups were significantly higher than those in A2 and B2 groups (P< 0.05). Logistic regression analysis showed that fasting blood glucose, waist circumference, LAP, and VAI were independent risk factors for the occurrence of microalbuminuria in both males and females. ROC showed that the area under curve (AUC) of waist circumference, fasting blood glucose, LAP and VAI in male patients were 0.626, 0.676, 0.760 and 0.742, respectively, and in female patients were 0.703, 0.685, 0.787 and 0.764, respectively. In addition, the area under the curve of both LAP and VAI was higher in females than in males.
Conclusion: This study confirmed that both LAP and VAI had predictive values for the occurrence of urinary microalbumin in newly diagnosed T2DM patients. The predictive value was higher in the female group and the suggestion was more applicable to female patients.

Keywords: visceral adiposity index, lipid accumulation index, type 2 diabetes, microalbuminuria

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