Tianjin Women and Children's Health Center, Tianjin, China.
Sci Rep. 2017 Aug 25;7(1):9448. doi: 10.1038/s41598-017-10120-8.
To estimate the prevalence of hyperuricemia and its major risk factors among Chinese preschool children. A cross-sectional survey was carried out in six central urban districts of Tianjin from March to June 2015. A cluster sampling was employed to obtain a random sample of preschool children. A total of 4073 children aged from 3 to 6 years participated in this survey. Logistic regression was used to obtain odds ratios and 95% confidence intervals. The overall mean serum uric acid concentrations was 243.0 ± 53.2 μmol/L, corresponding to a mean concentrations of 247.3 ± 53.7 μmol/L among boys and 238.3 ± 52.4 μmol/L among girls. The overall prevalence of serum uric acid ≥ 310 μmol/L among children was 10.1%. Boys, obesity, diastolic blood pressure, and serum triglyceride concentrations were associated with the increased risk of hyperuricemia in univariable models, although the statistically significant association between diastolic blood pressure, serum triglyceride concentrations and hyperuricemia disappeared in multivariable models. The prevalence of hyperuricemia among children aged from 3 to 6 years was relatively high. Several metabolic syndrome components were associated with the risk of hyperuricemia.
评估中国学龄前儿童高尿酸血症的流行情况及其主要危险因素。
采用横断面研究方法,于 2015 年 3 月至 6 月在天津市 6 个中心城区抽取学龄前儿童进行调查。采用整群抽样方法抽取研究对象。共纳入 4073 名 3~6 岁儿童。采用 logistic 回归分析计算比值比(OR)及其 95%可信区间(95%CI)。
儿童血尿酸平均水平为(243.0±53.2)μmol/L,其中男童为(247.3±53.7)μmol/L,女童为(238.3±52.4)μmol/L。血尿酸≥310 μmol/L 的检出率为 10.1%。单因素分析显示,男性、肥胖、舒张压、血清三酰甘油与高尿酸血症相关,多因素分析仅显示肥胖与高尿酸血症相关(OR=1.23,95%CI:1.03~1.47)。
天津市学龄前儿童高尿酸血症的检出率较高,多种代谢综合征组分与高尿酸血症的发生相关。