Yang Lu, He Zhen'an, Gu Xuan, Cheng Hao, Li Lin
Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital City, Hangzhou, Zhejiang Province, People's Republic of China.
Shaanxi Institute of Medical Device Quality Supervision and Inspection, Xi'an City, Shaanxi Province, People's Republic of China.
Int J Gen Med. 2021 Nov 12;14:8065-8071. doi: 10.2147/IJGM.S341622. eCollection 2021.
The purpose of the current study is to explore the demographic characteristics of hyperuricemia in China.
The cross-sectional study was conducted, and the CHARLS dataset in 2011 was used.
Logistic regression model was used to assess the association between BMI and hyperuricemia. We also used restricted cubic spline with three knots to assess the dose-response relationship. To investigate the differences in dose-response relationships in various groups, stratification analysis was conducted.
Of the 9408 middle and older participants, those who were overweight or obese had higher risk for hyperuricemia (OR=1.26, 95% CI=1.01-1.57; OR=1.90, 95% CI=1.46-2.47). In the subgroup, the effect of obesity on hyperuricemia was robust in varying gender and age. However, among overweight group, those with being male and aged over 60 years had higher risk for hyperuricemia (male: OR=1.42, 95% CI=1.07-1.90; over 60 years: OR=1.28, 95% CI=1.03-1.60). A dose-response relationship was examined between BMI and the risk of hyperuricemia. The result showed that the odds ratio of hyperuricemia and BMI displayed U-shaped nonlinear relationship ( <0.001, non-linear <0.001).
The association between BMI and hyperuricemia showed positive relationship. Specifically, the group with male and age over 60 years had higher risk of hyperuricemia along with increased weight.
本研究旨在探讨中国高尿酸血症的人口统计学特征。
采用横断面研究,使用2011年中国健康与养老追踪调查(CHARLS)数据集。
采用逻辑回归模型评估体重指数(BMI)与高尿酸血症之间的关联。我们还使用具有三个节点的受限立方样条来评估剂量反应关系。为了研究不同组中剂量反应关系的差异,进行了分层分析。
在9408名中老年参与者中,超重或肥胖者患高尿酸血症的风险更高(OR=1.26,95%CI=1.01-1.57;OR=1.90,95%CI=1.46-2.47)。在亚组中,肥胖对高尿酸血症的影响在不同性别和年龄中均较为显著。然而,在超重组中,男性和60岁以上者患高尿酸血症的风险更高(男性:OR=1.42,95%CI=1.07-1.90;60岁以上:OR=1.28,95%CI=1.03-1.60)。研究了BMI与高尿酸血症风险之间的剂量反应关系。结果表明,高尿酸血症与BMI的比值比呈现U型非线性关系(<0.001,非线性<0.001)。
BMI与高尿酸血症之间呈正相关。具体而言,60岁以上男性体重增加时患高尿酸血症的风险更高。