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Urinary albumin, protein excretion and circadian blood pressure in patients with fibromyalgia

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dc.creator Burucu, Rukuye
dc.creator Afsar, Barış
dc.date 2013-09-01T00:00:00Z
dc.date.accessioned 2021-12-03T11:46:50Z
dc.date.available 2021-12-03T11:46:50Z
dc.identifier aacd7db5-2f38-4651-8fea-0ae2cf84a9d3
dc.identifier 10.1007/s00296-013-2748-6
dc.identifier https://avesis.sdu.edu.tr/publication/details/aacd7db5-2f38-4651-8fea-0ae2cf84a9d3/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/94068
dc.description Recent evidence suggests that patients with fibromyalgia (FM) have increased oxidative stress, inflammation, endothelial dysfunction and autonomic dysfunction. These factors are also shown to be responsible for increased urinary albumin and protein excretion and deranged circadian blood pressure (BP). However, no study has examined the 24-h urinary albumin excretion (UAE), 24-h urinary protein excretion (UPE) and 24-h ambulatory BP measurements in FM patients. The sociodemographic, laboratory parameters, depressive symptoms, sleep problems and 24-h ambulatory BPs were measured for all patients. Diagnosis of FM was based on the criteria for the classification of FM by the American College of Rheumatology. After diagnosis of FM, these patients underwent to complete the Fibromyalgia Impact Questionnaire (FIQ). In total, 30 patients with FM and 61 patients without FM were included. Among FM patients, the average number of tender points was 13.1 +/- A 1.57 and the mean FIQ score was 57.9 +/- A 8.86. The number of tender points did not show any correlation with office and ambulatory BPs. There were also no correlations between the number of tender points, UPE and UAE. The stepwise linear regression did not show any relation between UPE and FM. However, 24-h UAE was independently correlated with office systolic BP (P 0.008) and the presence of FM (P 0.045). The logistic regression analysis revealed no association between FM and non-dipping status. We suggest that circadian blood pressure and UPE are not independently associated with FM. However, UAE was related with the presence of FM. Studies are needed to confirm our findings and to highlight pathophysiologic mechanisms.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Urinary albumin, protein excretion and circadian blood pressure in patients with fibromyalgia
dc.type info:eu-repo/semantics/article


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