Chongqing Blood Center, Chongqing, China.
The People's Hospital of Chaya County, Changdu, Tibet, China.
Front Public Health. 2024 Mar 25;12:1336674. doi: 10.3389/fpubh.2024.1336674. eCollection 2024.
Hyperuricemia is a common metabolic disorder linked to various health conditions. Its prevalence varies among populations and genders, and high-altitude environments may contribute to its development. Understanding the connection between blood cell parameters and hyperuricemia in high-altitude areas can shed light on the underlying mechanisms. This study aimed to investigate the relationship between blood cell parameters and hyperuricemia in high-altitude areas, with a particular focus on gender differences.
We consecutively enrolled all eligible Tibetan participants aged 18-60 who were undergoing routine medical examinations at the People's Hospital of Chaya County between January and December 2022. During this period, demographic and laboratory data were collected to investigate the risk factors associated with hyperuricemia.
Among the participants, 46.09% were diagnosed with hyperuricemia. In the male cohort, significant correlations were found between serum uric acid (SUA) levels and red blood cell (RBC) count, creatinine (Cr). Urea, alanine transaminase (ALT), and albumin (ALB). Notably, RBC exhibited the strongest association. Conversely, in the female cohort, elevated SUA levels were associated with factors such as white blood cell (WBC) count. Urea, ALT, and ALB, with WBC demonstrating the most significant association. Further analysis within the female group revealed a compelling relationship between SUA levels and specific white blood cell subtypes, particularly neutrophils (Neu).
This study revealed gender-specific associations between SUA levels and blood cell parameters in high-altitude areas. In males, RBC count may play a role in hyperuricemia, while in females, WBC count appears to be a significant factor. These findings contribute to our understanding of metabolic dynamics in high-altitude regions but require further research for comprehensive mechanistic insights.
高尿酸血症是一种常见的代谢紊乱,与多种健康状况有关。其患病率在不同人群和性别之间存在差异,高海拔环境可能促成其发展。了解高海拔地区血细胞参数与高尿酸血症之间的关系,可以深入了解潜在的机制。本研究旨在探讨高海拔地区血细胞参数与高尿酸血症之间的关系,特别关注性别差异。
我们连续纳入了 2022 年 1 月至 12 月期间在察雅县人民医院进行常规体检的所有年龄在 18-60 岁之间的藏族合格参与者。在此期间,收集了人口统计学和实验室数据,以调查与高尿酸血症相关的危险因素。
在参与者中,46.09%被诊断为高尿酸血症。在男性队列中,血清尿酸(SUA)水平与红细胞(RBC)计数、肌酐(Cr)、尿素、丙氨酸转氨酶(ALT)和白蛋白(ALB)之间存在显著相关性。值得注意的是,RBC 与 SUA 水平的相关性最强。相反,在女性队列中,升高的 SUA 水平与白细胞(WBC)计数、尿素、ALT 和 ALB 等因素相关,其中 WBC 与 SUA 水平的相关性最为显著。在女性组内进一步分析显示,SUA 水平与特定的白细胞亚型,特别是中性粒细胞(Neu)之间存在强烈的关系。
本研究揭示了高海拔地区 SUA 水平与血细胞参数之间存在性别特异性关联。在男性中,RBC 计数可能在高尿酸血症中起作用,而在女性中,WBC 计数似乎是一个重要因素。这些发现有助于我们了解高海拔地区的代谢动态,但需要进一步研究以全面了解机制。