Carolina Becerra Arias
Universidad Industrial de Santander, Colombia
Title: Association of the triglycerides/ high-density lipoprotein cholesterol ratio and chronic kidney disease in the INEFAC Colombian cohort: a cross sectional analysis
Biography
Biography: Carolina Becerra Arias
Abstract
The INEFAC cohort was initiated in 2000 in Bucaramanga, Colombia to estimate the incidence of cardiovascular diseases (CVD) and their risk factors. Follow-up evaluations were conducted in 2007 and 2013. Currently, we are completing the second follow up. Chronic kidney disease (CKD) is a risk factor for cardiac events and involves high mortality rates as a consequence of progression to kidney failure. Recent studies have found that the triglycerides/high-density lipoprotein cholesterol (TG/HDL-c) ratio is an independent risk factor for CKD. The objective of the present study was to evaluate the association between the TG/HDL-c ratio and CKD in the 2007 evaluation of the cohort. The methodology included questionnaires and anthropometric measures in every assessment. CKD was defined as having a glomerular filtration rate <60ml/min/1.73m2 with the use of CKD-EPI equation. A stepwise forward logistic regression was done to assess the association adjusted by other covariates. The prevalence of CKD in the population was 2.46% among which only 0.55% knew their condition at the time of the evaluation. The results demonstrated that the odds for having CKD increases 10% for every unit augmentation of the ratio (p=0.002) when adjusted for independent variables as diabetes, hypertension and age. Additionally, the ROC curve of the fitted model revealed an AUC=91.6%. The model showed an excellent adjustment evidenced through the diagnostic test. In conclusion, the TG/HDL-c ratio was an independent factor associated with the prevalence of CKD in the INEFAC cohort.