Dynamic changes of estimated glomerular filtration rate are conversely related to triglyceride in non-overweight patients

Si-Qi Liu; Xiu-Jun Zhang; Yuan Xue; Rui Huang; Jian Wang; Chao Wu; Yi-Shan He; Ya-Ru Pan; Long-Gen Liu

doi:10.12998/wjcc.v10.i31.11371

Dynamic changes of estimated glomerular filtration rate are conversely related to triglyceride in non-overweight patients

World J Clin Cases. 2022 Nov 6;10(31):11371-11380. doi: 10.12998/wjcc.v10.i31.11371.

Authors

Si-Qi Liu¹, Xiu-Jun Zhang², Yuan Xue², Rui Huang³, Jian Wang³, Chao Wu³, Yi-Shan He¹, Ya-Ru Pan¹, Long-Gen Liu⁴

Affiliations

¹ Changzhou Clinical Medical College, Nanjing Medical University, Changzhou 213000, Jiangsu Province, China.
² Institute of Hepatology, The Third People's Hospital of Changzhou, Changzhou 213000, Jiangsu Province, China.
³ Department of Infectious Diseases, Nanjing Drum Tower Hospital, Nanjing 210008, Jiangsu Province, China.
⁴ Institute of Hepatology, The Third People's Hospital of Changzhou, Changzhou 213000, Jiangsu Province, China. ssewllg@163.com.

Abstract

Background: Correlation between Triglyceride (TG) and estimated glomerular filtration rate (eGFR) remains largely unknown in overweight and non-overweight patients.

Aim: To investigated the dynamic changes of eGFR and lipid profiles during 3-year tenofovir disoproxil fumarate (TDF) treatment in patients with chronic hepatitis B (CHB) and overweight.

Methods: A total of 202 CHB patients who received TDF treatment at the Third People's Hospital of Changzhou (Changzhou, China) and Nanjing Drum Tower Hospital (Nanjing, China) between January 2016 and May 2018 were retrospectively enrolled. According to the body mass index (BMI) at the initiation of TDF treatment, CHB patients were divided into overweight (BMI ≥ 25 kg/m²) and non-overweight (BMI < 25 kg/m²) groups. Logistic regression was applied for the analysis of risk factors for eGFR < 90 mL/(min·1.73 m²).

Results: There is no significant difference in hepatitis B virus DNA (HBV DNA) negativity and hepatitis Be antigen (HBeAg) loss between patients with overweight and non-overweight (both P > 0.05). More patients in non-overweight group achieved alanine aminotransferase normalization compared with those in overweight group (χ ² = 11.036, P < 0.01). In non-overweight patients, the eGFR significantly declined in the 1^st year (P < 0.01), then remained at a relatively lower level. TG significantly declined in the 2^nd year (P = 0.02) and increased in the 3^rd year. Moreover, TG was negatively correlated with GFR at the four-time points (P = 0.002, 0.030, 0.007, 0.008, respectively). In overweight patients, eGFR and TG remained relatively stable during the 3-year treatment, and eGFR showed no significant relationship with TG. Moreover, multivariate analysis showed that age [P < 0.01, 95%CI (0.97-1.005)] and baseline eGFR [P < 0.01, 95%CI (5.056-33.668)] were independent risk factors for eGFR < 90 mL/(min·1.73 m²) at the 3^rd year.

Conclusion: Dynamic changes in renal function were conversely related to TG during TDF treatment in patients with CHB and normal BMI, but not with overweight.

Keywords: Body mass index; Glomerular filtration rate; Hepatitis B virus; Overweight; Tenofovir disoproxil fumarate.