Low serum uric acid concentration augments insulin effects on the prevalence of metabolic syndrome.
Diabetes Metab Syndr
; 12(3): 325-331, 2018 May.
Article
em En
| MEDLINE
| ID: mdl-29292186
AIM: Insulin and uric acid were shown affect the prevalence of Metabolic Syndrome (MetS), but no studies examine their interaction. Therefore, we conducted this study to determine their biological interaction in subjects from central Mexico. METHODS: 433 subjects were enrolled for a cross-sectional study. MetS was defined according to the Harmonizing Definition. Hyperuricemia was defined as ≥7.0â¯mg/dL in males and ≥5.8â¯mg/dL in females. Hyperinsulinemia was defined as ≥11.0⯵U/mL. Pearson correlation coefficient (r) was calculated to determine the association between uric acid or insulin and MetS. Logistic regression was used to determine the risk (odds ratio) of developing MetS. Biological interactions were determined by the PROCESS Macro and Anderson's method. RESULTS: Insulin and uric acid levels were elevated in MetS positive group (pâ¯<â¯.05) and correlated with the number of MetS components (râ¯=â¯0.276 and râ¯=â¯0.166, pâ¯<â¯.001, respectively). The interaction between uric acid and insulin was associated with the number of MetS components (PROCESS Model 1, interaction coefficientâ¯=â¯-0.009, 95%CI: -0.017 to -0.001, pâ¯=â¯.036). Johnson-Neyman analysis suggests the interaction is lost when uric acid concentration increased >7.0â¯mg/dL. When the cohort was separated by hyperinsulinemia and hyperuricemia, there was a significant risk of developing MetS for subjects with hyperuricemia (odds ratioâ¯=â¯2.3; 95%CI: 1.1-4.8, pâ¯<â¯.05), hyperinsulinemia (odds ratioâ¯=â¯3.1; 95%CI: 1.9-4.9, pâ¯<â¯.05), or both (odds ratioâ¯=â¯7.4; 95%CI: 3.2-17.2, pâ¯<â¯.05); however, there was no multiplicative or additive interaction. CONCLUSION: Here, we show that uric acid and insulin augments the prevalence of MetS; however, no biological interaction was determined for hyperuricemia and hyperinsulinemia.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ácido Úrico
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Síndrome Metabólica
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Hiperuricemia
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Hiperinsulinismo
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Insulina
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Mexico
Idioma:
En
Revista:
Diabetes Metab Syndr
Ano de publicação:
2018
Tipo de documento:
Article
País de publicação:
Holanda