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作者

Shuguang Pang, Qiang Jiang, Pei Sun, Yi Li, Yanhua Zhu, Jin Liu, Xiaoran Ye, Ting Chen, Fei Zhao, Wenjun Yang

作者单位

Department of Endocrinology, The Affiliated Hospital of Shandong University of TCM, Jinan, China. Shanghai Palan DataRx Co., Ltd., Shanghai, China. Department of Endocrinology, Jinan Central Hospital Affiliated to Shandong First Medical University, Jinan, China. Jiangsu Hengrui Pharmaceuticals Co., Ltd., Lianyungang, China. Department of Endocrinology, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. Affiliations Shandong Health Medical Big Data Co., Ltd., Jinan, China.

刊名

Annals of translational medicine

年份

2021

卷号

Vol.9 No.20

页码

1550

ISSN

2305-5839

关键词

Hyperuricemia (HUA) metabolic disorder serum uric acid level sex difference.

摘要

Background: The prevalence of hyperuricemia and gout continues to increase in China. Research suggests that HUA may be related to many diseases other than gout. However, further population research is required to investigate the association between HUA and metabolic syndromes. This study sought to investigate the prevalence of HUA in an average population in China, and the association between serum uric acid levels and related metabolic disorders. Methods: This multicenter retrospective real-w...更多

Background: The prevalence of hyperuricemia and gout continues to increase in China. Research suggests that HUA may be related to many diseases other than gout. However, further population research is required to investigate the association between HUA and metabolic syndromes. This study sought to investigate the prevalence of HUA in an average population in China, and the association between serum uric acid levels and related metabolic disorders. Methods: This multicenter retrospective real-world study examined the hospital information system data of 4 tertiary hospitals in 3 provinces in China. The data of patients aged between 18 and 80 years, who had attended at least 1 medical appointment at which their UA level was recorded, were analyzed to evaluate associations between UA levels and metabolic disorders. Results: Among the 374,506 enrolled subjects , the overall prevalence of HUA and gout were 14.8% and 0.5%, respectively. The prevalence was higher among males than females . Groups exhibiting higher UA levels had increased adjusted odds ratios for dyslipidemia and chronic kidney disease in both sexes. Changes in UA levels from the baseline were negatively correlated with changes in the estimated glomerular filtration rate and hemoglobin A1c among both sexes , and were positively correlated with changes in total cholesterol , triglyceride , and low-density lipoprotein cholesterol among males, and changes in TC, TG, LDL-C and glucose among females. Conclusions: HUA is associated with dyslipidemia and CKD both cross-sectionally and longitudinally. Similar phenomena were observed in both sexes.收起

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