The elevated visceral adiposity index increases the risk of hyperuricemia in Chinese hypertensive patients: A cross-sectional study

Frontiers in Endocrinology

Endocrinology

Hui Liu¹  XiaoLi Song²  Huihui Bao³  Xiaoshu Cheng³  Wei Zhou⁴  Lingjuan Zhu⁴  Tao Wang⁴  Chao Yu⁴  Jian Zhu⁵ 

[1] Central Hospital of Huanggang, Huanggang, Hubei, China;Department of Cardiovascular Medicine, The Second Affifiliated Hospital of Nanchang University, Nanchang, Jiangxi, China;Department of Cardiovascular Medicine, The Second Affifiliated Hospital of Nanchang University, Nanchang, Jiangxi, China;Jiangxi Provincial Cardiovascular Disease Clinical Medical Research Center, Nanchang, Jiangxi, China;Center for Prevention and Treatment of Cardiovascular Diseases, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China;Jiangxi Provincial Cardiovascular Disease Clinical Medical Research Center, Nanchang, Jiangxi, China;Center for Prevention and Treatment of Cardiovascular Diseases, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China;Qiu Kou Town Central Health Center, Wuyuan, Jiangxi, China;

关键词: visceral adiposity index;    uric acid;    hyperuricemia;    hypertension;    obesity;   

DOI  :  10.3389/fendo.2022.1038971

 received in 2022-09-07, accepted in 2022-11-24,  发布年份 2022

来源: Frontiers

【 摘 要 】

BackgroundUncertainty still remained about the relationship between visceral adiposity index (VAI) and hyperuricemia. The aim of this study was to investigate whether VAI was an independent risk factor for hyperuricemia in hypertensive Chinese patients.MethodsA cross-sectional study including 13176 hypertensive participants (6478 males) recruited from Wuyuan County, Jiangxi province, was conducted. All patients received anthropometric measurements, completed questionnaires and provided blood samples for biochemical testing. VAI was calculated by waist circumference, BMI, triglyceride and high-density lipoprotein cholesterol. Hyperuricemia was defined as serum uric acid ≥ 7 mg/dL in men and ≥ 6 mg/dL in women.ResultsOverall, the average level of uric acid was 7.8 ± 2.0 mg/dL in males and 6.34 ± 1.78 in females and prevalence of hyperuricemia was 61.4% and 51.30%, respectively. In multivariate logistic regression analysis, the risk of hyperuricemia increased 1.77 times and 1.88 times with the increase of ln VAI in males (OR:1.77, 95% CI: 1.62, 1.94) and females (OR:1.88, 95% CI: 1.73, 2.04). For males, compared to quartile 1, the risk of hyperuricemia in the second, third and the forth quartile of visceral adiposity index were 1.34 (95% CI: 1.14, 1.57),1.82(95% CI: 1.54, 2.14) and 2.97 (95% CI: 2.48, 3.57). For females, compared to quartile 1, the risk of hyperuricemia in the second, third and the forth quartile of visceral adiposity index were 1.48 (95% CI: 1.28, 1.72), 1.99 (95% CI: 1.71, 2.32) and 2.92 (95% CI: 2.50, 3.42).ConclusionsThis study found that VAI was an independent risk factor for hyperuricemia among hypertensive patients, which may provide some strategies for reducing the level of uric acid.

【 授权许可】

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Copyright © 2022 Song, Liu, Zhu, Zhou, Wang, Yu, Zhu, Cheng and Bao