Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study

BackgroundSystemic immune-inflammation index (SII) is a novel inflammatory marker, and inflammation has been reported to be related with renal damage. We aimed to investigate the possible relationship between SII and albuminuria.MethodsThe present cross-sectional study was conducted among adults wit...

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Main Authors: Zheng Qin, Hancong Li, Liya Wang, Jiwen Geng, Qinbo Yang, Baihai Su, Ruoxi Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.863640/full
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author Zheng Qin
Zheng Qin
Zheng Qin
Hancong Li
Liya Wang
Liya Wang
Liya Wang
Jiwen Geng
Jiwen Geng
Jiwen Geng
Qinbo Yang
Qinbo Yang
Qinbo Yang
Baihai Su
Baihai Su
Baihai Su
Ruoxi Liao
Ruoxi Liao
Ruoxi Liao
author_facet Zheng Qin
Zheng Qin
Zheng Qin
Hancong Li
Liya Wang
Liya Wang
Liya Wang
Jiwen Geng
Jiwen Geng
Jiwen Geng
Qinbo Yang
Qinbo Yang
Qinbo Yang
Baihai Su
Baihai Su
Baihai Su
Ruoxi Liao
Ruoxi Liao
Ruoxi Liao
author_sort Zheng Qin
collection DOAJ
description BackgroundSystemic immune-inflammation index (SII) is a novel inflammatory marker, and inflammation has been reported to be related with renal damage. We aimed to investigate the possible relationship between SII and albuminuria.MethodsThe present cross-sectional study was conducted among adults with complete data about SII and urinary albumin-to-creatinine ratio (ACR) in 2005–2018 National Health and Nutrition Examination Survey (NHANES). SII was calculated as the platelet count × neutrophil count/lymphocyte count. Albuminuria was defined as ACR >30mg/g. Weighted multivariable regression analysis and subgroup analysis were conducted to explore the independent relationship between SII and albuminuria.ResultsA total of 36,463 individuals were included in our analysis; 9.56% participants were categorized as having albuminuria overall and increased with the higher SII tertiles (tertile 1, 7.83%; tertile 2, 8.49%; tertile 3, 12.13%; p for trend <0.0001). Multivariable logistic regression showed that a higher SII level was associated with increased likelihood of albuminuria independently (OR = 1.31; 95% CI, 1.17–1.48, p<0.0001) after full adjustment. Subgroup analysis and interaction test showed that there was no significant dependence of gender, age, body mass index, hypertension, diabetes, non‐alcoholic fatty liver disease, and estimated glomerular filtration rate (eGFR) on this positive association (all p for interaction >0.05).ConclusionsSII was positively associated with increased urinary albumin excretion in US adults. Further large-scale prospective studies are still needed to analyze the role of SII in albuminuria.
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spelling doaj.art-1d590e5f12ed4213adc827b14e88f6dc2022-12-21T23:52:27ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-03-011310.3389/fimmu.2022.863640863640Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based StudyZheng Qin0Zheng Qin1Zheng Qin2Hancong Li3Liya Wang4Liya Wang5Liya Wang6Jiwen Geng7Jiwen Geng8Jiwen Geng9Qinbo Yang10Qinbo Yang11Qinbo Yang12Baihai Su13Baihai Su14Baihai Su15Ruoxi Liao16Ruoxi Liao17Ruoxi Liao18Department of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaMed+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University, Chengdu, ChinaMed-X Center for Materials, Sichuan University, Chengdu, ChinaWest China School of Medicine, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaMed+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University, Chengdu, ChinaMed-X Center for Materials, Sichuan University, Chengdu, ChinaDepartment of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaMed+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University, Chengdu, ChinaMed-X Center for Materials, Sichuan University, Chengdu, ChinaDepartment of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaMed+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University, Chengdu, ChinaMed-X Center for Materials, Sichuan University, Chengdu, ChinaDepartment of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaMed+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University, Chengdu, ChinaMed-X Center for Materials, Sichuan University, Chengdu, ChinaDepartment of Nephrology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaMed+ Biomaterial Institute of West China Hospital/West China School of Medicine of Sichuan University, Chengdu, ChinaMed-X Center for Materials, Sichuan University, Chengdu, ChinaBackgroundSystemic immune-inflammation index (SII) is a novel inflammatory marker, and inflammation has been reported to be related with renal damage. We aimed to investigate the possible relationship between SII and albuminuria.MethodsThe present cross-sectional study was conducted among adults with complete data about SII and urinary albumin-to-creatinine ratio (ACR) in 2005–2018 National Health and Nutrition Examination Survey (NHANES). SII was calculated as the platelet count × neutrophil count/lymphocyte count. Albuminuria was defined as ACR >30mg/g. Weighted multivariable regression analysis and subgroup analysis were conducted to explore the independent relationship between SII and albuminuria.ResultsA total of 36,463 individuals were included in our analysis; 9.56% participants were categorized as having albuminuria overall and increased with the higher SII tertiles (tertile 1, 7.83%; tertile 2, 8.49%; tertile 3, 12.13%; p for trend <0.0001). Multivariable logistic regression showed that a higher SII level was associated with increased likelihood of albuminuria independently (OR = 1.31; 95% CI, 1.17–1.48, p<0.0001) after full adjustment. Subgroup analysis and interaction test showed that there was no significant dependence of gender, age, body mass index, hypertension, diabetes, non‐alcoholic fatty liver disease, and estimated glomerular filtration rate (eGFR) on this positive association (all p for interaction >0.05).ConclusionsSII was positively associated with increased urinary albumin excretion in US adults. Further large-scale prospective studies are still needed to analyze the role of SII in albuminuria.https://www.frontiersin.org/articles/10.3389/fimmu.2022.863640/fullsystemic immune-inflammation indexalbuminuriapopulation-based studyNHANEScross-sectional study
spellingShingle Zheng Qin
Zheng Qin
Zheng Qin
Hancong Li
Liya Wang
Liya Wang
Liya Wang
Jiwen Geng
Jiwen Geng
Jiwen Geng
Qinbo Yang
Qinbo Yang
Qinbo Yang
Baihai Su
Baihai Su
Baihai Su
Ruoxi Liao
Ruoxi Liao
Ruoxi Liao
Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
Frontiers in Immunology
systemic immune-inflammation index
albuminuria
population-based study
NHANES
cross-sectional study
title Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
title_full Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
title_fullStr Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
title_full_unstemmed Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
title_short Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
title_sort systemic immune inflammation index is associated with increased urinary albumin excretion a population based study
topic systemic immune-inflammation index
albuminuria
population-based study
NHANES
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.863640/full
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