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高校教职工高尿酸血症与代谢综合征的关联:性别及职业差异

Association of hyperuricemia with metabolic syndrome among university workers: sex and occupational differences.

作者信息

Cheserek Maureen Jepkorir, Shi Yonghui, Le Guowei

机构信息

State Key Laboratory of Food Science and Technology, Jiangnan University, 1800 Lihu Road, Wuxi, 214122, Jiangsu, China.

Department of Human Nutrition, Faculty of Health Science, Egerton University, PO BOX 536-20115, Egerton, Nakuru, Kenya.

出版信息

Afr Health Sci. 2018 Dec;18(4):842-851. doi: 10.4314/ahs.v18i4.2.

Abstract

BACKGROUND

The relationship between metabolic syndrome (MetS) and hyperuricemia is not fully understood.

OBJECTIVE

To examine the association of hyperuricemia with MetS and the component of MetS that is mostly influenced by hyperuricemia among university workers.

METHODS

Anthropometric measurements, blood pressure, glucose, lipid profiles, renal function tests were measured in 1198 male and 1075 female (22-60 years old) workers on annual medical examination.

RESULTS

Hyperuricemia was 3-fold higher in males (odds ratio, OR, 2.938, 95% confidence interval, CI, 1.909-4.522, P<0.01) than females after adjustment for age, body mass index (BMI) and renal function. Overall, individuals with hyperuricemia were 3.9-fold likely to have MetS OR, 3.903; CI (2.439-6.245), P<0.01, and dyslipidemia, 2.5 times (OR, 2.501; 95% CI, 1.776-3.521, P<0.01) after adjustment for age, BMI, sex and renal function. However, no associations were found in individuals with hypertension (OR, 1.427; 95% CI, 0.996-2.205, P=0.052) and hyperglycemia (OR, 1.476; 95% CI, 0.989-2.202, P=0.057). Administrative work positively associated (OR, 1.895; 95% CI, 1.202-2.925, P<0.05) with hyperuricemia in males and not females.

CONCLUSION

Male workers with hyperuricemia, especially those working in administration were at risk of metabolic syndrome. It is important to screen, prevent and treat metabolic syndrome in individuals diagnosed with hyperuricemia at the workplace.

摘要

背景

代谢综合征(MetS)与高尿酸血症之间的关系尚未完全明确。

目的

探讨高校教职工中高尿酸血症与MetS的关联以及受高尿酸血症影响最大的MetS组分。

方法

对1198名男性和1075名女性(年龄22 - 60岁)的教职工进行年度体检,测量人体测量指标、血压、血糖、血脂谱及肾功能。

结果

在调整年龄、体重指数(BMI)和肾功能后,男性高尿酸血症的发生率是女性的3倍(优势比,OR,2.938;95%置信区间,CI,1.909 - 4.522;P<0.01)。总体而言,在调整年龄、BMI、性别和肾功能后,高尿酸血症患者患MetS的可能性是正常人的3.9倍(OR,3.903;CI,2.439 - 6.245;P<0.01),患血脂异常的可能性是正常人的2.5倍(OR,2.501;95% CI,1.776 - 3.521;P<0.01)。然而,未发现高尿酸血症与高血压(OR,1.42

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