Association between cardiometabolic index and albuminuria: Evidence from NHANES 2017-2020

Albuminuria is a crucial marker of kidney damage and serves as an early indicator of the risk for chronic kidney disease (CKD). Recent studies have suggested that the cardiometabolic index (CMI), could be valuable for screening renal insufficiency. However, the relationship between CMI and albuminuria remains underexplored. Therefore, the aim of this study was to investigate the association between CMI and albuminuria, with the goal of providing new insights for the clinical diagnosis, assessment, and early intervention of kidney disease.

The National Health and Nutrition Examination Survey (NHANES) for the period between 2017-2020 provided the data for this cross-sectional investigation. Triglyceride (TG) (mmol/L)/High density lipid-cholesterol (HDL-C) (mmol/L) ×  Waist height ratio (WHtR) was the formula used for calculating CMI. Using multifactorial logistic regression, the independent connection between albuminuria and CMI was investigated. The threshold effect was determined by means of a two-stage linear regression model. Additionally, subgroup analysis and interaction tests were carried out.

A total of 3,339 participants were included, and 12.38% of them had albuminuria. As the CMI quartiles grew (quartile 1: 7.78%, quartile 2: 13.43%, quartile 3: 12.93%, quartile 4: 17.01%), so did the probability of albuminuria. The results of adjusted model 3 showed that a greater probability of albuminuria prevalence was strongly correlated with CMI (OR =  2.26, 95% CI: 1.58-3.23). This association held true for all subgroups (all P for trend >  0.05). Furthermore, with a two-stage linear regression model with an inflection point of 0.92, we discovered a nonlinear relationship between CMI and albuminuria.

Our findings indicate that CMI levels are significantly associated with the risk of albuminuria prevalence, suggesting that CMI could serve as a valuable biomarker for assessing the risk of albuminuria.