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打鼾与高尿酸血症的相关性:一项在中国重庆进行的大型横断面研究。

Association of self-reported snoring and hyperuricaemia: a large cross-sectional study in Chongqing, China.

机构信息

School of Public Health and Management, Chongqing Medical University, Chongqing, China.

Departement of Non-communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing, China.

出版信息

BMJ Open. 2022 Apr 1;12(4):e056143. doi: 10.1136/bmjopen-2021-056143.

Abstract

OBJECTIVE

To examine the relationship between self-reported snoring and hyperuricaemia in a large-scale population in Chongqing, China.

SETTING

Face-to-face electronic questionnaire survey, physical examination and biological sample testing were conducted in 13 districts of Chongqing. Chongqing is a municipality in southwest China.

PARTICIPANTS

In this study, 23 308 Han ethnicity permanent residents aged 30-79 years were recruited. Individuals missing data were excluded, 22 389 subjects were included in final analysis.

PRIMARY AND SECONDARY OUTCOME MEASURES

Serum uric acid (UA) was measured using an oxidase method. Hyperuricaemia was defined as serum UA >420 µmol/L in men and >360 µmol/L in women. Information about self-reported snoring was obtained by questionnaire survey. All participants were divided into 'no snoring' 'snoring occasionally' and 'snoring frequently'. Multivariable logistic regression analysis was performed to assess the relationship between self-reported snoring and hyperuricaemia.

RESULTS

The prevalence of hyperuricaemia was 14.43%, and snorers were more likely to have hyperuricaemia than non-snorer in different age and gender groups. For the total population, those who snore occasionally or frequently were more likely to be hyperuricaemia (OR 1.19, 95% CI 1.07 to 1.31; OR 1.33, 95% CI 1.19 to 1.47) compared with no snoring people. Stratification by age, gender and body mass index (BMI), we found that the positive association between snoring frequently and hyperuricaemia was insisted in different age, gender and high BMI groups, and the strength of association varied with different age, gender and BMI category.

CONCLUSION

Snoring frequency was positively associated with higher risk of hyperuricaemia. Snoring frequently may be a signal for hyperuricaemia, especially for women, those over 59 years of age, or those who are overweight or obese.

摘要

目的

在中国重庆市的一个大规模人群中,研究自我报告的打鼾与高尿酸血症之间的关系。

背景

在重庆市的 13 个区进行了面对面的电子问卷调查、体格检查和生物样本检测。重庆市是中国西南部的一个直辖市。

参与者

本研究纳入了 23308 名年龄在 30-79 岁的汉族常住居民。排除缺失数据的个体后,最终有 22389 名受试者纳入最终分析。

主要和次要观察指标

采用尿酸酶法测定血清尿酸(UA)。男性血清 UA>420μmol/L、女性血清 UA>360μmol/L定义为高尿酸血症。通过问卷调查获得自我报告的打鼾信息。所有参与者被分为“不打鼾”“偶尔打鼾”和“经常打鼾”。采用多变量 logistic 回归分析评估自我报告的打鼾与高尿酸血症之间的关系。

结果

高尿酸血症的患病率为 14.43%,不同年龄和性别组中,打鼾者发生高尿酸血症的可能性高于非打鼾者。对于总体人群,偶尔打鼾或经常打鼾者发生高尿酸血症的可能性更高(OR 1.19,95%CI 1.07 至 1.31;OR 1.33,95%CI 1.19 至 1.47),与不打鼾者相比。按年龄、性别和体重指数(BMI)分层后,我们发现,经常打鼾与高尿酸血症之间的正相关关系在不同年龄、性别和高 BMI 组中仍然存在,且关联强度随不同年龄、性别和 BMI 类别而变化。

结论

打鼾频率与高尿酸血症风险升高呈正相关。打鼾频繁可能是高尿酸血症的一个信号,尤其是对于女性、59 岁以上人群、超重或肥胖人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/035d/8977806/e1dce1f117a3/bmjopen-2021-056143f01.jpg

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