Related factor analysis of anemia in patients with type 2 diabetic kidney disease

Objective To explore the related factors of anemia in patients with type 2 diabetic kidney disease(DKD).Methods In this retrospective study, 334 patients with a clinical diagnosis of type 2 DKD were recruited and divided into anemia and non-anemia groups.The relationships of anemia with clinical man...

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Bibliographic Details
Main Authors: Zhang Jing, Chen Guang-mei, Fan Wen-xing, Su Feng
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2021-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/thesisDetails?columnId=57903936&Fpath=home&index=0
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Summary:Objective To explore the related factors of anemia in patients with type 2 diabetic kidney disease(DKD).Methods In this retrospective study, 334 patients with a clinical diagnosis of type 2 DKD were recruited and divided into anemia and non-anemia groups.The relationships of anemia with clinical manifestations and laboratory findings were analyzed.Binary Logistic regression analysis was performed for evaluating the related factors in type 2 DKD patients of different genders.Results Significant inter-group differences existed in complement(C4),serum creatinine(Scr),cystatin C(CysC),retinol binding protein(RBP),ferritin(SF),urinary albumin/creatinine(UACR),diabetes duration, body mass index(BMI),hemoglobin(Hb),glycosylated hemoglobin(HbA1 c),complement(C3),albumin(Alb),indirect bilirubin(IDBIL),estimated ball filtration rate(eGFR),cholesterol(TC),iron(Fe)and calcium(Ca)for males(P<0.05);for females, Scr, CysC,RBP,UACR,Hb, Alb, Fe, IDBIL,eGFR,C3 and Ca were significantly different between two groups(P<0.05).Logistic regression analysis showed that BMI,eGFR and Alb were associated with anemia in males(P<0.05);BMI,eGFR and Ca were correlated with anemia in females(P<0.05).Conclusions Anemia in type 2 diabetic kidney disease patients is closely correlated with deterioration of renal function, disorder of iron metabolism, hypocalcemia, malnutrition and microinflammation.
ISSN:1671-2390