Is lower uric acid level better? A combined cross-sectional and longitudinal study in the elderly

被引:7
作者
Hsieh, Chang-Hsun [1 ]
Lin, Jiunn-Diann [2 ]
Wu, Chung-Ze [2 ]
Hsu, Chun-Hsien [3 ]
Pei, Dee [4 ]
Liang, Yao-Jen [5 ]
Chen, Yen-Lin [6 ]
机构
[1] Tri Serv Gen Hosp, Div Endocrinol & Metab, Dept Internal Med, Natl Def Med Ctr, Taipei, Taiwan
[2] Taipei Med Univ, Shuang Ho Hosp, Div Endocrinol & Metab, Dept Med, New Taipei, Taiwan
[3] Fu Jen Catholic Univ, Sch Med, Cardinal Tien Hosp, Dept Family Med, New Taipei 23137, Taiwan
[4] Fu Jen Catholic Univ, Sch Med, Cardinal Tien Hosp, Dept Internal Med, New Taipei 23137, Taiwan
[5] Fu Jen Catholic Univ, Dept Life Sci, New Taipei 23137, Taiwan
[6] Fu Jen Catholic Univ, Sch Med, Cardinal Tien Hosp, Dept Pathol, New Taipei 23137, Taiwan
关键词
Uric acid; Metabolic syndrome; Elderly; J-shape; METABOLIC SYNDROME; CARDIOVASCULAR RISK; SERUM GLUCOSE; ASSOCIATION; DISEASE; ATHEROSCLEROSIS; INSULIN; TESTOSTERONE; INDIVIDUALS; ADOLESCENTS;
D O I
10.1007/s12020-014-0201-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The relationship between metabolic syndrome (MetS) and uric acid (UA) has been explored in many studies, but there is paucity of information on hypo-uricemia and MetS. The current study aimed to elucidate the relationship between the lower end of UA and MetS in elderly. Subjects aged a parts per thousand yen60 years who underwent routine health checkups were enrolled, and 10,579 were eligible for analysis. A cross-sectional study was first performed to determine the correlation between MetS and UA. The subjects were divided into two groups according to the lowest male MetS prevalence in each UA level (UA a parts per thousand currency sign5 and > 5 mg/dl). A longitudinal study then excluded subjects with MetS at baseline to validate the UA level of those with the lowest incidence of MetS. In the prevalence of MetS in different UA levels, there was a J-shaped curve in males but a linear relationship in females. In males, waist circumference, systolic blood pressure, high-density lipoprotein, and triglyceride were correlated with UA in univariate analysis, but high-density lipoprotein became insignificant in multivariate analysis in UA > 5 mg/dl (UA-high). Only fasting plasma glucose (FPG) was significantly related to UA a parts per thousand currency sign5 mg/dl (UA-low). The UA level of 4.5-5 mg/dl had the lowest risk of having MetS in odds ratio, log-rank test, and hazard ratio. A J-shaped phenomenon exists between UA and MetS in elderly men but not in elderly women and FPG seem to be the key factor in this. Lower UA does not provide benefits in elderly men. The new UA control strategy for the elderly warrants further investigation.
引用
收藏
页码:806 / 815
页数:10
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