机构:[1]Hangzhou Sanat Peoples Liberat Army, Army Convalescence Area, Hangzhou, Zhejiang, Peoples R China[2]Shanghai Jiao Tong Univ, Sch Med, Tongren Hosp, Dept Endocrinol, 1111 XianXia Rd, Shanghai 200336, Peoples R China[3]Second Mil Med Univ, Naval Mil Med Univ, Changhai Hosp, Dept Rheumatol, Shanghai, Peoples R China
BackgroundThe association between several novel adiposity indices and hyperuricemia is inconclusive. Therefore, we aimed to investigate this association so as to provide theoretical support for the management of hyperuricemia in overweight/obese individuals.MethodsA cross-sectional study was carried out among 174,698 adults. The values of body adiposity index (BAI), conicity index (CI), a body shape index (ABSI), body roundness index (BRI), visceral adiposity index (VAI), lipid accumulation product (LAP) index, and cardiometabolic index (CMI) were divided into four quartiles, and multivariate logistic analysis was used to analyze the association between them and hyperuricemia. Receiver operating characteristic curve and area under curve (AUC) were used to evaluate the power of predictions for hyperuricemia.ResultsAfter adjusting for confounding variables, LAP and CMI exhibited stronger association with hyperuricemia than other indices. The odd ratio (OR) for hyperuricemia in the highest quartile of the LAP and CMI was 2.049 (CI 95%=1.824-2.302) and 4.332(CI 95%=3.938-4.765). The AUC value of LAP was 0.632 (95% CI=0.626-0.637), p<0.001; and the AUC value of CMI was 0.687 (95% CI=0.682-0.692), p<0.001. The optimal cutoff values of LAP and CMI were 26.21 and 0.485, respectively.ConclusionsLAP and CMI, combination of WC and lipid parameters and reliable visceral adiposity indices, were strongly associated with hyperuricemia than other indices. So they could be potential monitoring indicators for hyperuricemia management in overweight/obese individuals.
基金:
Shanghai Changning District Health Planning Commission Project [20144Y007]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81671595]
第一作者机构:[1]Hangzhou Sanat Peoples Liberat Army, Army Convalescence Area, Hangzhou, Zhejiang, Peoples R China
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推荐引用方式(GB/T 7714):
Liu Xing Zhen,Li Hui Hua,Huang Shan,et al.Association between hyperuricemia and nontraditional adiposity indices[J].CLINICAL RHEUMATOLOGY.2019,38(4):1055-1062.doi:10.1007/s10067-018-4374-x.
APA:
Liu, Xing Zhen,Li, Hui Hua,Huang, Shan&Zhao, Dong Bao.(2019).Association between hyperuricemia and nontraditional adiposity indices.CLINICAL RHEUMATOLOGY,38,(4)
MLA:
Liu, Xing Zhen,et al."Association between hyperuricemia and nontraditional adiposity indices".CLINICAL RHEUMATOLOGY 38..4(2019):1055-1062