Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study

Abstract Several epidemiological studies report a positive correlation between hyperuricemia and metabolic syndrome (MetS) in adults, which hyperuricemic subjects seem to more easily develop. We aimed to verify if serum uric acid (SUA) concentrations were positively associated with MetS prevalence a...

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Autores principales:	Arrigo Francesco Giuseppe Cicero, Federica Fogacci, Marina Giovannini, Elisa Grandi, Martina Rosticci, Sergio D’Addato, Claudio Borghi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2018
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/dc52300f4ca845faaae407fba40bd0b9
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spelling	oai:doaj.org-article:dc52300f4ca845faaae407fba40bd0b92021-12-02T15:08:16ZSerum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study10.1038/s41598-018-29955-w2045-2322https://doaj.org/article/dc52300f4ca845faaae407fba40bd0b92018-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-29955-whttps://doaj.org/toc/2045-2322Abstract Several epidemiological studies report a positive correlation between hyperuricemia and metabolic syndrome (MetS) in adults, which hyperuricemic subjects seem to more easily develop. We aimed to verify if serum uric acid (SUA) concentrations were positively associated with MetS prevalence and middle-term (4-year) incidence in older overall healthy subjects. We also purposed to identify which SUA cut-off values could be functional in MetS diagnosis in addition to the traditionally used parameters. For this reason, we selected from the historical cohort of the Brisighella Heart Study 923 older healthy subjects repeatedly visited during the 2008 and 2012 population surveys. In our sample, MetS was more frequent for higher SUA concentrations rather than the population’s mean in both men [OR = 2.12, 95%C.I.(1.55, 2.90)] and women [OR = 2.69,95%C.I.(1.91, 3.78)]. ROC analysis showed SUA was predictive of MetS in the whole population [AUC = 0.647, 95%C.I.(0.609, 0.686), P = 0.000001] and in both sex subgroups [men: AUC = 0.592, 95%C.I.(0.529, 654); P = 0.004; women: AUC = 0.758, 95%C.I.(0.711, 0.806), P < 0.000001], even there were sex-related differences in the best cut-off values (5.5 mg/dL for men; 4.2 mg/dL for women). Prospectively, SUA appeared predictive of middle-term (4-year) MetS incidence in the whole population (AUC = 0.604, 95%C.I.[0.518, 0.690], P = 0.029, best cut-off value = 4.7 mg/dL) and in the female group (AUC = 0,641, 95%C.I.[0.519, 0.762], P = 0.039, best cut-off value = 3.9 mg/dL) though not in the male one (P > 0.05). In conclusion, in our cohort, SUA is a frequent component of MetS, other than a middle-term predictor of newly diagnosed MetS in older women.Arrigo Francesco Giuseppe CiceroFederica FogacciMarina GiovanniniElisa GrandiMartina RosticciSergio D’AddatoClaudio BorghiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-6 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Arrigo Francesco Giuseppe Cicero Federica Fogacci Marina Giovannini Elisa Grandi Martina Rosticci Sergio D’Addato Claudio Borghi Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study
description	Abstract Several epidemiological studies report a positive correlation between hyperuricemia and metabolic syndrome (MetS) in adults, which hyperuricemic subjects seem to more easily develop. We aimed to verify if serum uric acid (SUA) concentrations were positively associated with MetS prevalence and middle-term (4-year) incidence in older overall healthy subjects. We also purposed to identify which SUA cut-off values could be functional in MetS diagnosis in addition to the traditionally used parameters. For this reason, we selected from the historical cohort of the Brisighella Heart Study 923 older healthy subjects repeatedly visited during the 2008 and 2012 population surveys. In our sample, MetS was more frequent for higher SUA concentrations rather than the population’s mean in both men [OR = 2.12, 95%C.I.(1.55, 2.90)] and women [OR = 2.69,95%C.I.(1.91, 3.78)]. ROC analysis showed SUA was predictive of MetS in the whole population [AUC = 0.647, 95%C.I.(0.609, 0.686), P = 0.000001] and in both sex subgroups [men: AUC = 0.592, 95%C.I.(0.529, 654); P = 0.004; women: AUC = 0.758, 95%C.I.(0.711, 0.806), P < 0.000001], even there were sex-related differences in the best cut-off values (5.5 mg/dL for men; 4.2 mg/dL for women). Prospectively, SUA appeared predictive of middle-term (4-year) MetS incidence in the whole population (AUC = 0.604, 95%C.I.[0.518, 0.690], P = 0.029, best cut-off value = 4.7 mg/dL) and in the female group (AUC = 0,641, 95%C.I.[0.519, 0.762], P = 0.039, best cut-off value = 3.9 mg/dL) though not in the male one (P > 0.05). In conclusion, in our cohort, SUA is a frequent component of MetS, other than a middle-term predictor of newly diagnosed MetS in older women.
format	article
author	Arrigo Francesco Giuseppe Cicero Federica Fogacci Marina Giovannini Elisa Grandi Martina Rosticci Sergio D’Addato Claudio Borghi
author_facet	Arrigo Francesco Giuseppe Cicero Federica Fogacci Marina Giovannini Elisa Grandi Martina Rosticci Sergio D’Addato Claudio Borghi
author_sort	Arrigo Francesco Giuseppe Cicero
title	Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study
title_short	Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study
title_full	Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study
title_fullStr	Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study
title_full_unstemmed	Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study
title_sort	serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the brisighella heart study
publisher	Nature Portfolio
publishDate	2018
url	https://doaj.org/article/dc52300f4ca845faaae407fba40bd0b9
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Serum uric acid predicts incident metabolic syndrome in the elderly in an analysis of the Brisighella Heart Study

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