[Normal and abnormal daily variability of urinary excretion of albumin]

Arch Mal Coeur Vaiss. 2000 Aug;93(8):1023-7.
[Article in French]

Abstract

Urinary albumin excretion (UAE) is very variable from day to day. We analyzed day-to-day UAE in 207 elderly (60-75 years) inpatients (134 with and 73 without diabetes mellitus) attending the department of internal medicine of the Angers University hospital. Twenty-four-hour urine was collected 3 times during a 5-10 day hospitalization period. One-hundred-fifty-one patients (73%) displayed normoalbuminuria (UAE < 30 mg/24 h in 2 or 3 measures) while 56 patients (27%) had microalbuminuria (UAE within 30-300 mg/24 h in 2 or 3 measures). As the raw data of UAE was not normally distributed, we transformed UAE into the variable z = log(log(k+ UAE)) where k is an integer. We found that z has a gaussian distribution for k = 2. Mean value and coefficient of variation of z in the 3 measurements were used to define the level and the temporal intra-individual variability of UAE. Expressed in term of z, the day-to-day intra-individual variability of UAE showed a potent change (from large variability to small variability) at the particular level z = 1.25, corresponding to UAE = 30.8 mg/24 h, which is precisely the level currently used to define microalbuminuria in diabetic subjects.

MeSH terms

  • Aged
  • Albuminuria / urine*
  • Blood Pressure / physiology
  • Chi-Square Distribution
  • Chromatography, High Pressure Liquid
  • Circadian Rhythm / physiology*
  • Creatinine / blood
  • Diabetes Mellitus, Type 2 / urine
  • Female
  • Follow-Up Studies
  • Glycated Hemoglobin / analysis
  • Hospitalization
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Nephelometry and Turbidimetry
  • Normal Distribution

Substances

  • Glycated Hemoglobin A
  • Creatinine