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血清尿酸与秘鲁卫生人员的代谢综合征和胰岛素抵抗相关。

Serum Uric Acid Is Associated with Metabolic Syndrome and Insulin Resistance among Health Personnel from Peru.

作者信息

Galindo-Yllu Brenda M, Rojas-Humpire Ricardo, Toro-Huamanchumo Carlos J, Gutierrez-Ajalcriña Rosmery, Soriano Anderson N

机构信息

Clinical and Epidemiological Research Unit, School of Medicine, Universidad Peruana Union, Lima, Peru.

Universidad San Ignacio de Loyola, Unidad para la Generación y Síntesis de Evidencias en Salud, Lima, Peru.

出版信息

J Nutr Metab. 2021 Nov 15;2021:9933319. doi: 10.1155/2021/9933319. eCollection 2021.

Abstract

We explored the association between serum uric acid (SUA) and metabolic syndrome (MetS) and insulin resistance (IR) among health personnel from a public hospital in Peru in a cross-sectional study with data from the Plan for the Prevention and Surveillance of Communicable and Noncommunicable Diseases of Huaycán Hospital. MetS was defined according to Latin American Diabetes Association (ALAD) criteria and IR with surrogate IR markers, triglyceride-to-HDL-C ratio (TG/HDL-C), and triglyceride-to-glucose index (TyG). The association between SUA and MetS and IR was determined using Poisson regression models in a sample of 292 participants with an average age of 46.2 ± 10.6 years. The total prevalence of MetS was 38%, and the individuals with MetS presented mainly alterations in anthropometric parameters (obesity and body fat). Finally, the adjusted regression models showed that women with SUA in the highest tertile increased the prevalence of MetS (PR: 1.71, 95% CI: 1.07-2.74) compared to the lowest tertile of SUA in women, while SUA increased hypertriglyceridemia and IR (TG/HDL-C and TyG) in both sexes. We concluded that SUA is strongly associated with MetS in women, and SUA increases hypertriglyceridemia and IR in both sexes. On the contrary, more research is required regarding the female population.

摘要

我们在一项横断面研究中,利用秘鲁一家公立医院的华坎医院传染病和非传染病预防与监测计划的数据,探讨了医务人员血清尿酸(SUA)与代谢综合征(MetS)及胰岛素抵抗(IR)之间的关联。MetS根据拉丁美洲糖尿病协会(ALAD)标准定义,IR则采用替代IR标志物甘油三酯与高密度脂蛋白胆固醇比值(TG/HDL-C)和甘油三酯与葡萄糖指数(TyG)来评估。在292名平均年龄为46.2±10.6岁的参与者样本中,使用泊松回归模型确定SUA与MetS及IR之间的关联。MetS的总患病率为38%,患有MetS的个体主要表现为人体测量参数(肥胖和体脂)的改变。最后,调整后的回归模型显示,与女性SUA最低三分位数相比,SUA处于最高三分位数的女性MetS患病率增加(PR:1.71,95%CI:1.07 - 2.74),而SUA在两性中均增加了高甘油三酯血症和IR(TG/HDL-C和TyG)。我们得出结论,SUA与女性的MetS密切相关,且SUA在两性中均增加了高甘油三酯血症和IR。相反,对于女性人群还需要更多的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e732/8608523/d7ee6ac4cf5c/jnme2021-9933319.001.jpg

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