Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study

Jing-Hong Liu,1 Qing-Hua Ma,2 Yong Xu,1 Xing Chen,3 Chen-Wei Pan1 1School of Public Health, Medical College of Soochow University, Suzhou, People’s Republic of China; 2The 3rd People’s Hospital of Xiangcheng District, Suzhou, People’s Republic of China; 3Department of C...

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Autores principales: Liu JH, Ma QH, Xu Y, Chen X, Pan CW
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:ace37e2cc5704f0b90e4aa5c6cd9f9cf2021-12-02T11:14:55ZMetabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study1178-7007https://doaj.org/article/ace37e2cc5704f0b90e4aa5c6cd9f9cf2020-11-01T00:00:00Zhttps://www.dovepress.com/metabolic-syndrome-and-5-year-incident-hyperuricemia-among-older-chine-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Jing-Hong Liu,1 Qing-Hua Ma,2 Yong Xu,1 Xing Chen,3 Chen-Wei Pan1 1School of Public Health, Medical College of Soochow University, Suzhou, People’s Republic of China; 2The 3rd People’s Hospital of Xiangcheng District, Suzhou, People’s Republic of China; 3Department of Children Health Care, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, People’s Republic of ChinaCorrespondence: Xing ChenDepartment of Children Health Care, Affiliated Suzhou Hospital of Nanjing Medical University, No. 26 Dao Qian Road, Suzhou 215000, People’s Republic of ChinaTel +86 512 62362193Email cx1708@126.comChen-Wei PanSchool of Public Health, Medical College of Soochow University, 199 Ren Ai Road, Suzhou 215123, People’s Republic of ChinaTel +86 512 65883907Email pcwonly@gmail.comBackground: There was a lack of studies focusing on older adults about the longitudinal association between metabolic syndrome (MetS) and hyperuricemia (HUA). We aimed to assess the association of baseline MetS and incident HUA among older Chinese adults, with a special focus on the associations between different combinations of MetS components and HUA.Methods: Data of 3247 Chinese adults aged 60 years or older included in a community-based longitudinal cohort study were analyzed. Anthropometric examinations and collection of blood sample were conducted both at baseline and follow-up. HUA was defined as 7 mg/dl or above for men and 6 mg/dl or greater for women. MetS was assessed based on the National Cholesterol Education Program-Adult Treatment Panel III, and older adults with the presence of at least three of MetS components were considered as having MetS.Results: MetS and its components, including high blood pressure (BP), high body mass index, diabetes mellitus and high triglycerides, were significantly related to incident HUA. The association between high BP and incident HUA is strongest among the five MetS components. Among all combinations of MetS components, the group consisting of diabetes mellitus, high BP and high triglycerides had the highest odds for incident HUA (OR = 13.07, 95% CI = 4.95– 34.54).Conclusion: MetS and its components, except for low high-density lipoprotein cholesterol, could increase the risk of HUA among community-dwelling older adults, and high BP may be the most important determinant.Keywords: hyperuricemia, metabolic syndrome, older adults, epidemiologyLiu JHMa QHXu YChen XPan CWDove Medical Pressarticlehyperuricemiametabolic syndromeolder adultsepidemiologySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 4191-4200 (2020)
institution DOAJ
collection DOAJ
language EN
topic hyperuricemia
metabolic syndrome
older adults
epidemiology
Specialties of internal medicine
RC581-951
spellingShingle hyperuricemia
metabolic syndrome
older adults
epidemiology
Specialties of internal medicine
RC581-951
Liu JH
Ma QH
Xu Y
Chen X
Pan CW
Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study
description Jing-Hong Liu,1 Qing-Hua Ma,2 Yong Xu,1 Xing Chen,3 Chen-Wei Pan1 1School of Public Health, Medical College of Soochow University, Suzhou, People’s Republic of China; 2The 3rd People’s Hospital of Xiangcheng District, Suzhou, People’s Republic of China; 3Department of Children Health Care, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, People’s Republic of ChinaCorrespondence: Xing ChenDepartment of Children Health Care, Affiliated Suzhou Hospital of Nanjing Medical University, No. 26 Dao Qian Road, Suzhou 215000, People’s Republic of ChinaTel +86 512 62362193Email cx1708@126.comChen-Wei PanSchool of Public Health, Medical College of Soochow University, 199 Ren Ai Road, Suzhou 215123, People’s Republic of ChinaTel +86 512 65883907Email pcwonly@gmail.comBackground: There was a lack of studies focusing on older adults about the longitudinal association between metabolic syndrome (MetS) and hyperuricemia (HUA). We aimed to assess the association of baseline MetS and incident HUA among older Chinese adults, with a special focus on the associations between different combinations of MetS components and HUA.Methods: Data of 3247 Chinese adults aged 60 years or older included in a community-based longitudinal cohort study were analyzed. Anthropometric examinations and collection of blood sample were conducted both at baseline and follow-up. HUA was defined as 7 mg/dl or above for men and 6 mg/dl or greater for women. MetS was assessed based on the National Cholesterol Education Program-Adult Treatment Panel III, and older adults with the presence of at least three of MetS components were considered as having MetS.Results: MetS and its components, including high blood pressure (BP), high body mass index, diabetes mellitus and high triglycerides, were significantly related to incident HUA. The association between high BP and incident HUA is strongest among the five MetS components. Among all combinations of MetS components, the group consisting of diabetes mellitus, high BP and high triglycerides had the highest odds for incident HUA (OR = 13.07, 95% CI = 4.95– 34.54).Conclusion: MetS and its components, except for low high-density lipoprotein cholesterol, could increase the risk of HUA among community-dwelling older adults, and high BP may be the most important determinant.Keywords: hyperuricemia, metabolic syndrome, older adults, epidemiology
format article
author Liu JH
Ma QH
Xu Y
Chen X
Pan CW
author_facet Liu JH
Ma QH
Xu Y
Chen X
Pan CW
author_sort Liu JH
title Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study
title_short Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study
title_full Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study
title_fullStr Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study
title_full_unstemmed Metabolic Syndrome and 5-Year Incident Hyperuricemia Among Older Chinese Adults: A Community-Based Cohort Study
title_sort metabolic syndrome and 5-year incident hyperuricemia among older chinese adults: a community-based cohort study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/ace37e2cc5704f0b90e4aa5c6cd9f9cf
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AT xuy metabolicsyndromeand5yearincidenthyperuricemiaamongolderchineseadultsacommunitybasedcohortstudy
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