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Hyperuricaemia Prevalence Rates According to Their Physiochemical and Epidemiological Diagnostic Criteria and Their Associations with Cardio-Renal-Metabolic Factors: SIMETAP-HU Study.
Ruiz-García, Antonio; Serrano-Cumplido, Adalberto; Arranz-Martínez, Ezequiel; Escobar-Cervantes, Carlos; Pallarés-Carratalá, Vicente.
Afiliación
  • Ruiz-García A; Lipids and Cardiovascular Prevention Unit, Pinto University Health Centre, 28320 Madrid, Spain.
  • Serrano-Cumplido A; Department of Medicine, European University of Madrid, 28005 Madrid, Spain.
  • Arranz-Martínez E; Repelega Health Centre, 48920 Portugalete, Spain.
  • Escobar-Cervantes C; San Blas Health Centre, 28981 Madrid, Spain.
  • Pallarés-Carratalá V; Department of Cardiology, La Paz University Hospital, 28046 Madrid, Spain.
J Clin Med ; 13(16)2024 Aug 19.
Article en En | MEDLINE | ID: mdl-39201026
ABSTRACT

Background:

Scientific societies disagree on serum uric acid (SUA) thresholds for the diagnosis of hyperuricaemia (HU) according to epidemiological or physiochemical criteria (SUA ≥ 7.0 mg/dL for men and ≥6.0 mg/dL for women [HU-7/6]; SUA ≥ 7.0 mg/dL for both genders [HU-7/7], respectively). HU is not included among the diagnostic criteria for metabolic syndrome or cardiovascular-renal-metabolic syndrome (CKM), although it promotes atherosclerosis and is associated with renal and cardiometabolic diseases. Both issues are of utmost importance and need to be clarified, hence the present study aims to assess the prevalence rates of HU and their associations with CKM factors.

Methods:

A cross-sectional observational study was conducted on a random population-based sample of 6489 adults. Bivariate and multivariate analyses were performed on the most well-known renal and cardiometabolic variables of the populations with and without HU-7/7 and HU-7/6.

Results:

The adjusted prevalence rates for HU-7/6 were 13.4% in adult population (18.4% in men; 9.6% in women) and 10.2% (18.4% in men; 3.8% in women) for HU-7/7. The main factors associated independently with HU for both genders were low estimated glomerular filtration rate, hypertension, hypertriglyceridaemia, and alcoholism, regardless of the criteria chosen, as well as albuminuria in women and central obesity in men.

Conclusions:

The prevalence rates of HU increase linearly with age for both genders. The associations of CKM factors with HU diagnosed according to physiochemical criterion are more similar between men and women than those using epidemiological criteria.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza