Yang Tuo, Ding Xiang, Wang Yi-Lun, Zeng Chao, Wei Jie, Li Hui, Xiong Yi-Lin, Gao Shu-Guang, Li Yu-Sheng, Lei Guang-Hua
Department of Orthopaedics, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, 410008, Hunan Province, China.
Health Management Center, Xiangya Hospital, Central South University, Changsha, 410008, Hunan Province, China.
Rheumatol Int. 2016 Apr;36(4):561-6. doi: 10.1007/s00296-016-3429-z. Epub 2016 Feb 10.
The aim of the study was to examine the cross-sectional association between high-sensitivity C-reactive protein (hsCRP) and hyperuricemia (HU). The hsCRP was measured by latex turbidity method. Uric acid was detected on Beckman Coulter AU 5800. HU was defined as uric acid ≥416 μmol/L for the male population and ≥360 μmol/L for the female population. A multivariable logistic analysis model was applied to test the association after adjusting for a number of potential confounding factors. A total of 1935 subjects were included in this study. According to the multivariable regression model, the relative odds of the prevalence of HU were increased by 0.56 times in the third quintile (OR 1.56, 95 % CI 1.03-2.38, P = 0.04), 0.55 times in the fourth quintile (OR 1.55, 95 % CI 1.01-2.36, P = 0.04) and 0.96 times in the fifth quintile (OR 1.96, 95 % CI 1.29-2.98, P < 0.01) of hsCRP comparing with the lowest quintile, and P for trend was smaller than 0.01. In the male population, a positive association existed in the highest quintile of hsCRP (OR 1.66, 95 % CI 1.04-2.66, P = 0.04), and P for trend was 0.07. In the female population, the multivariable-adjusted ORs (95 % CI) of HU in the fourth and fifth quintile of hsCRP were 3.02 (95 % CI 1.09-8.35, P = 0.03) and 3.66 (95 % CI 1.36-9.89, P = 0.01), respectively, and P for trend was smaller than 0.01. The findings of this cross-sectional study suggest that the hsCRP level is positively associated with the prevalence of HU. Level of evidence Cross-sectional study, Level III.
本研究旨在探讨高敏C反应蛋白(hsCRP)与高尿酸血症(HU)之间的横断面关联。hsCRP采用乳胶比浊法测定。尿酸在贝克曼库尔特AU 5800上检测。HU的定义为男性人群尿酸≥416μmol/L,女性人群尿酸≥360μmol/L。应用多变量逻辑分析模型在调整了一些潜在混杂因素后检验这种关联。本研究共纳入1935名受试者。根据多变量回归模型,与最低五分位数相比,hsCRP第三五分位数中HU患病率的相对比值增加0.56倍(OR 1.56,95%CI 1.03 - 2.38,P = 0.04),第四五分位数中增加0.55倍(OR 1.55,95%CI 1.01 - 2.36,P = 0.04),第五五分位数中增加0.96倍(OR 1.96,95%CI 1.29 - 2.98,P < 0.01),趋势P值小于0.01。在男性人群中,hsCRP最高五分位数存在正相关(OR 1.66,95%CI 1.04 - 2.66,P = 0.04),趋势P值为0.07。在女性人群中,hsCRP第四和第五五分位数中HU的多变量调整OR(95%CI)分别为3.02(95%CI 1.09 - 8.35,P = 0.03)和