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血清尿酸与 2 型糖尿病患者相位角的相关性:一项横断面研究。

Association between serum uric acid and phase angle in patients with type 2 diabetes mellitus: A cross-sectional study.

机构信息

Department of Clinical Nutrition, Affiliated Zhongda Hospital of Southeast University, Nanjing, China.

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China.

出版信息

Front Endocrinol (Lausanne). 2023 Mar 27;14:1124565. doi: 10.3389/fendo.2023.1124565. eCollection 2023.

Abstract

BACKGROUND

The purpose of this analysis was to investigate the associations between serum uric acid and phase angle in patients with type 2 diabetes mellitus.

METHODS

In this retrospective cross-sectional study, we included 200 type 2 diabetes mellitus (T2DM) patients treated during 2018-2019 at Zhongda Hospital Southeast University. Phase angle (PhA) and other body composition indicators were measured by bioelectrical impedance analysis (BIA). All patients underwent routine clinical examinations on the day of hospitalization, and the basic information and clinical symptoms of these patients were recorded.

RESULTS

Serum uric acid (UA) was significantly associated with PhA (p <0.001). Overall, in the crude model and minor, all adjusted models (crude model, Models I-II), the phase angle increased as the tertiles of serum uric acid increased. In the minor adjusted model (Model I, adjustment for age and duration) fully adjusted model (Model II, adjustment for age, duration, Lpa, BMI, and WHR), the adjusted β for participants in tertiles of serum uric acid were 0.26 (95% CI: 0.05-0.46) and 0.32 (95% CI: 0.11-0.54), respectively, compared with those in the lowest tertile 1.

CONCLUSION

There was a nonlinear relationship between serum uric acid and PhA in T2DM patients, and the phase angle increased as uric acid increased within a certain range, and this effect disappeared when uric acid exceeded a certain value.

摘要

背景

本分析旨在研究 2 型糖尿病患者血清尿酸与相位角之间的关系。

方法

本回顾性横断面研究纳入了 2018 年至 2019 年在东南大学中大医院接受治疗的 200 例 2 型糖尿病(T2DM)患者。相位角(PhA)和其他身体成分指标通过生物电阻抗分析(BIA)进行测量。所有患者在住院当天接受常规临床检查,并记录这些患者的基本信息和临床症状。

结果

血清尿酸(UA)与 PhA 显著相关(p<0.001)。总体而言,在未经调整模型和轻度调整模型(调整年龄和病程)、中度调整模型(Model I-Ⅱ,调整年龄、病程、Lpa、BMI 和 WHR)中,随着血清尿酸三分位数的升高,相位角增加。在轻度调整模型(Model I,调整年龄和病程)和完全调整模型(Model II,调整年龄、病程、Lpa、BMI 和 WHR)中,血清尿酸三分位组的参与者的调整后β值分别为 0.26(95%CI:0.05-0.46)和 0.32(95%CI:0.11-0.54),与最低三分位组 1 相比。

结论

在 T2DM 患者中,血清尿酸与 PhA 之间存在非线性关系,在一定范围内,随着尿酸的增加,相位角增加,当尿酸超过一定值时,这种作用消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a08/10083473/1c85b33eb561/fendo-14-1124565-g001.jpg

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