Clinical features of hyperuricemia and relationship between serum uric acid and metabolic syndrome in health examination of population
10.3760/cma.j.issn.1673-4904.2012.01.012
- VernacularTitle:健康体检人群高尿酸血症的临床特征及血尿酸与代谢综合征的关系
- Author:
Xiaoling GAN
;
Qingyu CHEN
;
Bei LIAO
- Publication Type:Journal Article
- Keywords:
Hyperuricemia;
Metabolic syndrome X;
Health examination
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(1):39-42
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the clinical features of hyperuricemia (HUA) and relationship between serum uric acid (SUA) and metabolic syndrome (MS) in adults.MethodsData were gathered from medical examination among adults age ≥ 20 years,and totally 18 862 subjects were analyzed in this study.ResultsThe prevalence of HUA was 14.8% (2788/18 862).The rate was 18.4%( 1926/10 445) in men,10.2% (862/8417) in women.The prevalence of HUA was increased with age,there was significant difference among different age (P =0.000),the rate in men was higher than that in women (P < 0.01 or <0.05 ).Compared with normal SUA Patients,the levels of body mass index(BMI),systolic blood pressure (SBP),diastolic blood pressure (DBP),total cholesterol (TC),triacylglycerol (TG) and lowdensity lipid cholesterol(LDL-C) were markedly elevated (P <0.01 or <0.05),and the level of highdensity lipid cholesterol (HDL-C) was markedly decreased in HUA patients (P <0.05).Stepwise regression analysis showed that BMI,SBP,DBP,fasting plasma glucose (FPG),TG,HDL-C were the independent correlation factor of SUA.The incidence of hypertension,over weight/obesity,dyslipidosis,hyperglycosemia and MS in HUA patients [24.1% (672/2788),36.2% (1009/2788),31.2% (870/2788),18.0% (502/2788),20.8%(580/2788) ] was significantly higher than that in normal SUA patients [ 18.2% (2925/16 074),26.4%(4244/16 074),22.0%(3536/16 074),15.00(2411/16 074),17.0%(2733/16 074),P< 0.01 ].The level of SUA in patients with MS [ (342.3 ± 64.2 ) μ mol/L ] was higher than that of those without MS[ (319.3 ± 67.1 )μ mol/L,P =0.000].ConclusionsThe prevalence of HUA is increased with age.Multiple factors of dysbolism are clustered in subjects with HUA.There is correlation between SUA and MS.