Analysis of clinical characteristics and related influencing factors of patients with early-onset gout
10.3760/cma.j.cn311282-20200119-00033
- VernacularTitle:早发痛风患者的临床特征及相关影响因素分析
- Author:
Lihui CHEN
1
;
Si CHEN
;
Fengjing LIU
;
Zhumeng HU
;
Ying HAN
;
Mian WU
;
Yiwen MA
;
Junxi LU
;
Haibing CHEN
Author Information
1. 上海交通大学附属第六人民医院内分泌代谢科 200233
- From:
Chinese Journal of Endocrinology and Metabolism
2020;36(9):767-772
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical features and influencing factors of early-onset gout.Methods:Male patients with gout admitted to Department of Endocrinology and Metabolism were recruited from 2015 to 2018. Patients with gout onset before age 30 were defined as the " early-onset" group, and those with onset at 30~60 years were defined as the "late-onset" group. Clinical characteristics were compared between two groups. Factors associated with early-onset gout were analyzed.Results:A total of 1 243 male patients were enrolled in this study; 480 individuals were in the early-onset, and 763 in the late-onset groups. Compared with the late-onset group, patients with early-onset gout had higher consumption rates of sugar-sweetened beverage(28.0% vs 15.0%, P=0.001), a higher homeostasis model assessment for insulin resistance level(3.78±2.93 vs 3.10±2.39, P<0.01), and larger proportions of family histories of diabetes(30.8% vs 20.4%, P<0.01)and hypertension(51.2% vs 42.6%, P=0.003). Logistic regression analysis showed that factors associated with early-onset gout were drinking sugar-sweetened beverage( P=0.012), family history of diabetes( P=0.037). Conclusion:Early-onset gout was associated with a family history of diabetes. Patients with family histories of diabetes are more likely to have early-onset gout, which may be associated with a common genetic basis.
