Introduction
Materials and methods
Study design and population
Data collection
Clinical outcomes
Statistical analyses
Results
Baseline characteristics of the study population
Clinical characteristics | Low MLR group (n = 99) | High MLR group (n = 270) | P-value |
---|---|---|---|
Male (n, %) | 50 (50.5%) | 164 (60.7%) | 0.078 |
Age (years) | 41 (34, 54) | 49 (39, 61) | 0.003 |
BMI (kg/m2) | 22.18 ± 2.85 | 22.62 ± 3.04 | 0.214 |
SBP (mmHg) | 153 (139, 164) | 156 (140, 170) | 0.061 |
DBP (mmHg) | 90 (81, 97) | 89 (80, 100) | 0.555 |
Diabetes mellitus (n, %) | 13 (13.1%) | 48 (17.8%) | 0.287 |
Current smoking (n, %) | 11 (11.1%) | 45 (16.7%) | 0.188 |
CVD history (n, %) | 9 (9.1%) | 32 (11.9%) | 0.455 |
ESRD causes | 0.699 | ||
Glomerulonephritis (n, %) | 56 (56.6%) | 149 (55.2%) | |
Diabetic nephropathy (n, %) | 7 (7.1%) | 27 (10.0%) | |
Hypertension nephropathy (n, %) | 12 (12.1%) | 24 (8.9%) | |
Other/unknown (n, %) | 24 (24.2%) | 70 (25.9%) | |
White blood count (× 109/L) | 5.59 (4.60, 6.97) | 6.25 (5.09, 8.01) | 0.003 |
Hemoglobin (g/dL) | 8.20 (7.00, 9.40) | 8.15 (6.80, 9.30) | 0.431 |
Platelet count (× 109/L) | 160 (122, 211) | 161 (126, 207) | 0.701 |
Neutrophil count (× 109/L) | 3.38 (2.94, 4.91) | 4.45 (3.45, 5.86) | < 0.001 |
Lymphocyte count (× 109/L) | 1.44 (1.09, 1.87) | 1.05 (0.74, 1.39) | < 0.001 |
Monocyte count (× 109/L) | 0.25 (0.18, 0.31) | 0.40 (0.31, 0.52) | < 0.001 |
Albumin (g/L) | 35.6 (32.9, 38.3) | 32.3 (28.9, 35.6) | < 0.001 |
Globulin (g/L) | 25.5 (22.3, 29.9) | 25.9 (22.9, 29.0) | 0.971 |
BUN (mmol/L) | 29.81 ± 10.67 | 30.75 ± 10.38 | 0.444 |
Serum creatinine (μmol/L) | 765.0 (622.4, 931.0) | 803.5 (685.5, 1000.5) | 0.125 |
Uric acid (μmol/L) | 484.38 ± 130.50 | 50.28 ± 136.34 | 0.316 |
RRF (ml/min/1.73m2) | 5.72 (4.59, 7.14) | 5.30 (4.23, 6.95) | 0.127 |
Corrected calcium (mmol/L) | 2.11 (1.83, 2.25) | 1.99 (1.78, 2.16) | 0.005 |
Phosphate (mmol/L) | 1.88 (1.47, 2.32) | 1.90 (1.58, 2.37) | 0.311 |
iPTH (Pg/mL) | 254.3 (131.4, 420.6) | 233.8 (92.6, 418.4) | 0.239 |
Prealbumin (mg/L) | 269 (224, 313) | 269 (220, 303) | 0.615 |
CRP (mg/L) | 4.8 (3.3, 7.0) | 5.0 (3.7, 9.6) | 0.110 |
Cholesterol (mmol/L) | 4.00 (3.43, 4.92) | 4.18 (3.50, 4.85) | 0.451 |
Triglyceride (mmol/L) | 1.56 (1.05, 2.11) | 1.78 (1.22, 2.41) | 0.058 |
HDL-C (mmol/L) | 0.94 (0.76, 1.16) | 0.92 (0.76, 1.11) | 0.748 |
LDL-C (mmol/L) | 2.03 (1.61, 2.57) | 2.08 (1.68, 2.47) | 0.875 |
apo-A1 (g/L) | 1.11 ± 0.23 | 1.14 ± 0.19 | 0.169 |
apo-B (g/L) | 0.81 (0.67, 1.00) | 0.88 (0.73, 1.01) | 0.092 |
MLR and all-cause mortality
Variables | All-cause mortality | new-onset CVD events | ||
---|---|---|---|---|
Univariate analysis | Univariate analysis | |||
HR (95% CI) | P-value | HR (95% CI) | P-value | |
Gender (male) | 0.773 (0.471, 1.268) | 0.308 | 0.777 (0.554, 1.090) | 0.144 |
Age (≥ 60 years old) | 4.487 (2.728, 7.379) | < 0.001 | 2.514 (1.798, 3.515) | < 0.001 |
BMI (kg/m2) | 1.078 (0.995, 1.167) | 0.065 | 1.095 (1.037, 1.157) | 0.001 |
SBP (mmHg) | 1.006 (0.995, 1.016) | 0.301 | 1.010 (1.003, 1.017) | 0.008 |
DBP (mmHg) | 0.989 (0.973, 1.006) | 0.199 | 0.993 (0.982, 1.005) | 0.261 |
Diabetes mellitus | 3.687 (2.146, 6.335) | < 0.001 | 3.437 (2.348, 5.031) | < 0.001 |
Current smoking | 2.132 (1.195, 3.804) | 0.010 | 1.605 (1.046, 2.462) | 0.030 |
CVD history | 3.033 (1.738, 5.292) | < 0.001 | 2.461 (1.615, 3.748) | < 0.001 |
White blood count (× 109/L) | 1.064 (0.961, 1.178) | 0.230 | 1.090 (1.013, 1.173) | 0.022 |
Hemoglobin (g/dL) | 1.040 (1.007, 1.075) | 0.018 | 1.028 (1.001, 1.056) | 0.045 |
Platelet count (× 109/L) | 1.006 (1.003, 1.010) | 0.001 | 1.004 (1.001, 1.007) | 0.003 |
Neutrophil count (× 109/L) | 1.081 (0.975, 1.198) | 0.138 | 1.088 (1.006, 1.177) | 0.034 |
Lymphocyte count (× 109/L) | 0.736 (0.435, 1.245) | 0.253 | 1.065 (0.766, 1.479) | 0.709 |
Monocyte count (× 109/L) | 2.095 (0.623, 7.047) | 0.232 | 2.265 (1.066, 4.811) | 0.033 |
MLR (> 0.2168) | 2.983 (1.284, 6.931) | 0.011 | 2.010 (1.285, 3.146) | 0.002 |
Albumin (g/L) | 0.976 (0.929, 1.026) | 0.338 | 0.954 (0.922, 0.986) | 0.006 |
Globulin (g/L) | 1.056 (1.007, 1.106) | 0.024 | 1.035 (1.000, 1.071) | 0.050 |
BUN (mmol/L) | 0.978 (0.953, 1.004) | 0.101 | 0.992 (0.975, 1.008) | 0.315 |
Serum creatinine (μmol/L) | 0.999 (0.998, 1.000) | 0.035 | 1.000 (0.999, 1.000) | 0.616 |
Uric acid (μmol/L) | 0.999 (0.997, 1.001) | 0.161 | 1.000 (0.999, 1.002) | 0.510 |
RRF (ml/min/1.73m2) | 1.051 (0.933, 1.183) | 0.413 | 0.977 (0.898, 1.063) | 0.587 |
Corrected calcium (mmol/L) | 1.047 (0.507, 2.161) | 0.902 | 0.854 (0.534, 1.367) | 0.510 |
Phosphate (mmol/L) | 0.892 (0.597, 1.333) | 0.577 | 0.998 (0.761, 1.308) | 0.986 |
iPTH (Pg/mL) | 1.000 (0.999, 1.001) | 0.537 | 1.000 (0.999, 1.000) | 0.182 |
Prealbumin (mg/L) | 0.992 (0.988, 0.996) | < 0.001 | 0.997 (0.994, 1.000) | 0.030 |
CRP (mg/L) | 1.021 (1.008, 1.034) | 0.002 | 1.012 (1.001, 1.022) | 0.027 |
Cholesterol (mmol/L) | 1.274 (1.035, 1.567) | 0.022 | 1.305 (1.138, 1.497) | < 0.001 |
Triglyceride (mmol/L) | 1.009 (0.806, 1.263) | 0.939 | 1.229 (1.089, 1.389) | 0.001 |
HDL-C (mmol/L) | 1.439 (0.659, 3.144) | 0.362 | 0.691 (0.382, 1.250) | 0.221 |
LDL-C (mmol/L) | 1.555 (1.156, 2.092) | 0.004 | 1.279 (1.047, 1.563) | 0.016 |
apo-A1 (g/L) | 1.219 (0.309, 4.804) | 0.777 | 1.885 (0.812, 4.378) | 0.140 |
apo-B (g/L) | 3.840 (1.546, 9.541) | 0.004 | 2.877 (1.608, 5.149) | < 0.001 |
Variables | Multivariate analysis | |
---|---|---|
HR (95% CI) | P-value | |
Age (≥ 60 years old) | 3.791 (2.261, 6.357) | < 0.001 |
Diabetes mellitus | 1.884 (1.049, 3.382) | 0.034 |
CVD history | 2.374 (1.326, 4.249) | 0.004 |
Hemoglobin (g/dL) | 1.058 (1.018, 1.099) | 0.004 |
MLR (> 0.2168) | 2.518 (1.020, 6.214) | 0.045 |
CRP (mg/L) | 1.016 (1.002, 1.030) | 0.021 |
LDL-C (mmol/L) | 1.620 (1.157, 2.269) | 0.005 |
MLR and new-onset CVD events
Variables | Multivariate analysis | |
---|---|---|
HR (95% CI) | P-value | |
Age (≥ 60 years old) | 2.172 (1.511, 3.123) | < 0.001 |
BMI (kg/m2) | 1.061 (1.000, 1.126) | 0.049 |
Diabetes mellitus | 1.847 (1.194, 2.858) | 0.006 |
CVD history | 2.163 (1.382, 3.386) | 0.001 |
SBP (mmHg) | 1.009 (1.001, 1.016) | 0.030 |
MLR (> 0.2168) | 1.815 (1.157, 2.849) | 0.010 |
Cholesterol (mmol/L) | 1.325 (1.146, 1.531) | < 0.001 |