The role of albumin–globulin ratio in peripheral arterial disease among hypertensive adults: evidence from a large-scale multicenter study - Report - MDSpire

The role of albumin–globulin ratio in peripheral arterial disease among hypertensive adults: evidence from a large-scale multicenter study

  • By

  • Chao Yu

  • Yang Yang

  • Xiong Liao

  • Lei Wu

  • May 28, 2026

  • 0 min

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Clinical Report: Association of Albumin-Globulin Ratio with PAD in Hypertensives

Overview

This study investigates the relationship between the albumin-globulin ratio (AGR) and peripheral arterial disease (PAD) in hypertensive individuals. Findings indicate an inverse association, suggesting that higher AGR levels may correlate with a reduced risk of PAD.

Background

Peripheral arterial disease (PAD) is a significant health concern, particularly among hypertensive populations, with a high prevalence in aging societies. Understanding novel risk factors, such as the albumin-globulin ratio (AGR), may enhance predictive capabilities for PAD and improve patient management. Given the rising incidence of cardiovascular diseases, identifying additional risk factors is crucial for effective prevention and treatment strategies.

Data Highlights

AGR QuartileOdds Ratio (OR)95% Confidence Interval (CI)P-value
Q20.890.71-1.100.278
Q30.730.58-0.920.008
Q40.650.51-0.84<0.001

Key Findings

  • A total of 24,808 hypertensive adults were analyzed for the association between AGR and PAD.
  • Higher AGR levels were associated with a lower risk of PAD, particularly in the Q3 and Q4 quartiles.
  • The risk reduction for PAD was 27% in Q3 and 35% in Q4 compared to Q1.
  • The association was more pronounced in subgroups of smokers and individuals with a history of stroke.
  • AGR may serve as a novel biomarker for assessing PAD risk in hypertensive patients.

Clinical Implications

Clinicians should consider the albumin-globulin ratio as a potential biomarker for assessing the risk of peripheral arterial disease in hypertensive patients. Monitoring AGR could aid in identifying individuals at higher risk, particularly among smokers and those with a history of stroke, allowing for targeted interventions.

Conclusion

The study highlights a significant inverse relationship between AGR and PAD in hypertensive individuals, suggesting that higher AGR may be protective against PAD. Further research is warranted to explore the clinical utility of AGR in cardiovascular risk assessment.

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