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在韩国健康筛查受检者中,血清尿酸与肺功能呈正相关。

Serum uric acid is positively associated with pulmonary function in Korean health screening examinees.

作者信息

Song Jae-Uk, Hwang Jiwon, Ahn Joong Kyong

机构信息

a Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kangbuk Samsung Hospital , Sungkyunkwan University School of Medicine , Seoul , South Korea.

b Division of Rheumatology, Department of Internal Medicine , National Police Hospital , Seoul , South Korea.

出版信息

Mod Rheumatol. 2017 Nov;27(6):1057-1065. doi: 10.1080/14397595.2017.1285981. Epub 2017 Feb 21.

Abstract

OBJECTIVES

To determine whether level of serum uric acid (SUA) is linked to pulmonary function in health screening examinees without overt medical conditions.

METHODS

We performed a cross-sectional study on 69,928 Koreans that participated in an annual health check.

RESULTS

Percent predicted forced vital capacity (FVC%) and forced expiratory volume in 1 s (FEV1%) were positively correlated with SUA in both genders (FVC%: r = .361; FEV1%: r = .314 in males and FVC%: r = .413; FEV1%: r = .382 in females, all p < .001). When the 2nd, 3rd and lowest FEV1% quartile were compared to the highest quartile group (the reference) by regression analysis, the adjusted ORs for hyperuricemia in males were 0.876 (95% CI, 0.809-0.949), 0.631 (0.574-0.695), and 0.311 (0.278-0.349), respectively. The adjusted ORs for hyperuricemia when the 2nd, 3rd and lowest FEV1% quartile were compared to the highest quartile in males were 0.791 (95% CI, 0.729-0.859), 0.565 (0.513-0.623), and 0.302 (0.270-0.337), respectively (p for trend <.001). Similarly, the adjusted OR of having hyperuricemia in females decreased significantly across FEV1% and FVC% quartile groups compared to the reference.

CONCLUSIONS

Hyperuricemia may have a positive effect on pulmonary function in middle aged healthy population.

摘要

目的

确定在无明显疾病的健康筛查受检者中,血清尿酸(SUA)水平是否与肺功能相关。

方法

我们对69928名参加年度健康检查的韩国人进行了一项横断面研究。

结果

预计用力肺活量百分比(FVC%)和第1秒用力呼气量百分比(FEV1%)在两性中均与SUA呈正相关(男性FVC%:r = 0.361;FEV1%:r = 0.314,女性FVC%:r = 0.413;FEV1%:r = 0.382,所有p < 0.001)。通过回归分析将第二、第三和最低FEV1%四分位数组与最高四分位数组(参照组)进行比较时,男性高尿酸血症的校正比值比分别为0.876(95%可信区间,0.809 - 0.949)、0.631(0.574 - 0.695)和0.311(0.278 - 0.349)。男性中当将第二、第三和最低FEV1%四分位数组与最高四分位数组进行比较时,高尿酸血症的校正比值比分别为0.791(95%可信区间,0.729 - 0.859)、0.565(0.513 - 0.623)和0.302(0.270 - 0.337)(趋势p < 0.001)。同样,与参照组相比,女性中高尿酸血症的校正比值比在FEV1%和FVC%四分位数组中显著降低。

结论

高尿酸血症可能对中年健康人群的肺功能有积极影响。

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