
Correlation between serum uric acid and incident chronic kidney disease in middle-aged and elderly Chinese population and gender differences
MIN Qing, ZHANG Han, SHEN Zi-yan, LYU Shi-qi, ZHU Cheng, ZHANG Xiao-yan, DING Xiao-qiang
Correlation between serum uric acid and incident chronic kidney disease in middle-aged and elderly Chinese population and gender differences
Objective To investigate the correlation between serum uric acid (SUA) levels and incident chronic kidney disease (CKD) in middle-aged and elderly Chinese population and gender differences. Methods Based on the longitudinal survey data of China Health and Retirement Longitudinal Study from 2011 to 2015, the CKD-Epidemiology Collaboration cystatin C formula was used to estimate the glomerular filtration rate (eGFR), and 4 119 participants with normal renal function (eGFR≥60 mL·min-1·1.72 m-2) at baseline were included. Incident CKD was defined as eGFR<60 mL·min-1·1.72 m-2 at the follow-up in 2015. Logistic regression analysis was used to analysis the association of SUA levels at baseline and incident CKD among different genders. Restricted cubic spline analysis was used to analyze the dose-response relationship. Results After 4-year follow-up, 127 participants developed incident CKD, including 57 males and 70 females. Multivariate Logistic regression analysis showed that elevated SUA levels were independently associated with the risk of incident CKD (OR=1.532,P<0.001). For each 1 mg/dL increase in SUA, the risk of incident CKD increased by 33.6% in males (OR=1.336,P=0.012) and 77.5% in females (OR=1.755,P<0.001). Restricted cubic spline analysis showed a linear positive correlation between SUA levels and incident CKD in both males and females. Participants were divided into four groups according to SUA quartiles (Q1-Q4). Multivariate Logistic regression analysis indicated a significant increase in the risk of incident CKD in Q3 group (3.75 mg/dL<SUA≤4.43 mg/dL) and Q4 group (SUA>4.43 mg/dL) compared with Q1 group in females (Q3 group: OR=2.571,P=0.045;Q4 group: OR=3.666,P=0.005). Conclusion SUA is an independent risk factor for incident CKD in the middle-aged and elderly population. In females, serum uric acid levels exceeding 3.75 mg/dL are associated with an increased risk of incident CKD.
serum uric acid (SUA) / chronic kidney disease (CKD) / gender differences / middle-aged and elderly population
1 |
柯倩,宇传华,刘晓雪,等.基于GBD数据的中国慢性肾病疾病负担现状及趋势分析[J].公共卫生与预防医学,2021,32(5):1-5.
|
2 |
|
3 |
|
4 |
|
5 |
|
6 |
|
7 |
|
8 |
|
9 |
中国医师协会肾脏内科医师分会.中国肾脏疾病高尿酸血症诊治的实践指南(2017版)[J].中华医学杂志,2017,(25):1927-1936.
|
10 |
|
11 |
韩全乐,刘晓堃,尚小明.慢性肾病相关危险因素 [J].中国老年学杂志,2018,38(13):3301-3306.
|
12 |
|
13 |
|
14 |
|
15 |
|
16 |
|
17 |
|
18 |
|
19 |
|
20 |
|
21 |
赖秀秀,来芹美,周公民,等.高龄女性血尿酸水平与肾功能的关联性[J].温州医科大学学报,2020,50(5):401-405.
|
22 |
|
23 |
|
24 |
|
25 |
|
26 |
|
27 |
|
28 |
中华医学会内分泌学分会.中国高尿酸血症与痛风诊疗指南(2019)[J].中华内分泌代谢杂志,2020,36(1):1-13.
|
29 |
|
30 |
|
31 |
|
闵青 数据整理和分析,论文撰写。张函 研究构思,数据分析,论文修订。沈子妍,吕诗琦,朱诚 数据整理和分析,文献调研。章晓燕 研究构思,论文指导。丁小强 研究设计,论文修订。
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