Impact of hyperuricaemia on the chronic kidney disease-associated risk factors in a community-based population

Aim Hyperuricaemia is a common finding in subjects with lifestyle related diseases. This study was performed to examine its association with chronic kidney disease (CKD) in relation to other risk factors in a community‐based population. Methods Data from 187 914 participants, excepting CKD stage 5,...

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Veröffentlicht in:Nephrology (Carlton, Vic.) Vic.), 2015-06, Vol.20 (6), p.399-404
Hauptverfasser: Tsumuraya, Yoshiko, Hirayama, Tomo, Tozuka, Emiko, Furuta, Wakana, Utsugi, Shinobu, Tsuchiya, Atsuko, Hishida, Akira, Kumagai, Hiromichi
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container_end_page 404
container_issue 6
container_start_page 399
container_title Nephrology (Carlton, Vic.)
container_volume 20
creator Tsumuraya, Yoshiko
Hirayama, Tomo
Tozuka, Emiko
Furuta, Wakana
Utsugi, Shinobu
Tsuchiya, Atsuko
Hishida, Akira
Kumagai, Hiromichi
description Aim Hyperuricaemia is a common finding in subjects with lifestyle related diseases. This study was performed to examine its association with chronic kidney disease (CKD) in relation to other risk factors in a community‐based population. Methods Data from 187 914 participants, excepting CKD stage 5, of the health check‐up were included in this analysis. The association between CKD and its risk factors were examined by a logistic analysis. The association of hyperuricaemia and CKD was also compared in the population without any lifestyle related diseases and the whole population. Results The prevalence of hyperuricaemia was significantly higher in the advanced stage of CKD. The odds ratio of hyperuricaemia was higher than that of other factors for the association with CKD. The odds ratio of many CKD‐associated variables was increased in the advanced stage. Among them, the odds ratio of hyperuricaemia was markedly increased. The prevalence of hyperuricaemia was lower in the population without any lifestyle related diseases than in the whole population in the early stages, the difference of prevalence between the two populations becoming smaller in the advanced stage. Conclusions The association of incident CKD with hyperuricaemia was stronger than with other chronic kidney disease‐risk factors, this association becoming more significant in the advanced stage of chronic kidney disease. Although this result does not indicate the cause and result relationship, the data suggest that hyperuricaemia might not be appropriately treated in this population. Summary at a Glance This cross‐sectional study demonstrated that the association of incident CKD with hyperuricaemia was stronger than with other CKD‐risk factors. This association between hyperuricaemia and CKD was more significant in the advanced stage of CKD.
doi_str_mv 10.1111/nep.12411
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This study was performed to examine its association with chronic kidney disease (CKD) in relation to other risk factors in a community‐based population. Methods Data from 187 914 participants, excepting CKD stage 5, of the health check‐up were included in this analysis. The association between CKD and its risk factors were examined by a logistic analysis. The association of hyperuricaemia and CKD was also compared in the population without any lifestyle related diseases and the whole population. Results The prevalence of hyperuricaemia was significantly higher in the advanced stage of CKD. The odds ratio of hyperuricaemia was higher than that of other factors for the association with CKD. The odds ratio of many CKD‐associated variables was increased in the advanced stage. Among them, the odds ratio of hyperuricaemia was markedly increased. The prevalence of hyperuricaemia was lower in the population without any lifestyle related diseases than in the whole population in the early stages, the difference of prevalence between the two populations becoming smaller in the advanced stage. Conclusions The association of incident CKD with hyperuricaemia was stronger than with other chronic kidney disease‐risk factors, this association becoming more significant in the advanced stage of chronic kidney disease. Although this result does not indicate the cause and result relationship, the data suggest that hyperuricaemia might not be appropriately treated in this population. Summary at a Glance This cross‐sectional study demonstrated that the association of incident CKD with hyperuricaemia was stronger than with other CKD‐risk factors. 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This study was performed to examine its association with chronic kidney disease (CKD) in relation to other risk factors in a community‐based population. Methods Data from 187 914 participants, excepting CKD stage 5, of the health check‐up were included in this analysis. The association between CKD and its risk factors were examined by a logistic analysis. The association of hyperuricaemia and CKD was also compared in the population without any lifestyle related diseases and the whole population. Results The prevalence of hyperuricaemia was significantly higher in the advanced stage of CKD. The odds ratio of hyperuricaemia was higher than that of other factors for the association with CKD. The odds ratio of many CKD‐associated variables was increased in the advanced stage. Among them, the odds ratio of hyperuricaemia was markedly increased. The prevalence of hyperuricaemia was lower in the population without any lifestyle related diseases than in the whole population in the early stages, the difference of prevalence between the two populations becoming smaller in the advanced stage. Conclusions The association of incident CKD with hyperuricaemia was stronger than with other chronic kidney disease‐risk factors, this association becoming more significant in the advanced stage of chronic kidney disease. Although this result does not indicate the cause and result relationship, the data suggest that hyperuricaemia might not be appropriately treated in this population. Summary at a Glance This cross‐sectional study demonstrated that the association of incident CKD with hyperuricaemia was stronger than with other CKD‐risk factors. 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Hirayama, Tomo ; Tozuka, Emiko ; Furuta, Wakana ; Utsugi, Shinobu ; Tsuchiya, Atsuko ; Hishida, Akira ; Kumagai, Hiromichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3961-b28cbdcde530c49fcfa83f4d7469ede5cf55a5d0a7d795f526231c669d75b1543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chi-Square Distribution</topic><topic>chronic kidney disease</topic><topic>Cross-Sectional Studies</topic><topic>Disease Progression</topic><topic>Female</topic><topic>health check-up</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>hyperuricaemia</topic><topic>Hyperuricemia - blood</topic><topic>Hyperuricemia - diagnosis</topic><topic>Hyperuricemia - epidemiology</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Life Style</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Odds Ratio</topic><topic>Prevalence</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>risk factor</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>uric acid</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsumuraya, Yoshiko</creatorcontrib><creatorcontrib>Hirayama, Tomo</creatorcontrib><creatorcontrib>Tozuka, Emiko</creatorcontrib><creatorcontrib>Furuta, Wakana</creatorcontrib><creatorcontrib>Utsugi, Shinobu</creatorcontrib><creatorcontrib>Tsuchiya, Atsuko</creatorcontrib><creatorcontrib>Hishida, Akira</creatorcontrib><creatorcontrib>Kumagai, Hiromichi</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Nephrology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsumuraya, Yoshiko</au><au>Hirayama, Tomo</au><au>Tozuka, Emiko</au><au>Furuta, Wakana</au><au>Utsugi, Shinobu</au><au>Tsuchiya, Atsuko</au><au>Hishida, Akira</au><au>Kumagai, Hiromichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of hyperuricaemia on the chronic kidney disease-associated risk factors in a community-based population</atitle><jtitle>Nephrology (Carlton, Vic.)</jtitle><addtitle>Nephrology</addtitle><date>2015-06</date><risdate>2015</risdate><volume>20</volume><issue>6</issue><spage>399</spage><epage>404</epage><pages>399-404</pages><issn>1320-5358</issn><eissn>1440-1797</eissn><abstract>Aim Hyperuricaemia is a common finding in subjects with lifestyle related diseases. This study was performed to examine its association with chronic kidney disease (CKD) in relation to other risk factors in a community‐based population. Methods Data from 187 914 participants, excepting CKD stage 5, of the health check‐up were included in this analysis. The association between CKD and its risk factors were examined by a logistic analysis. The association of hyperuricaemia and CKD was also compared in the population without any lifestyle related diseases and the whole population. Results The prevalence of hyperuricaemia was significantly higher in the advanced stage of CKD. The odds ratio of hyperuricaemia was higher than that of other factors for the association with CKD. The odds ratio of many CKD‐associated variables was increased in the advanced stage. Among them, the odds ratio of hyperuricaemia was markedly increased. The prevalence of hyperuricaemia was lower in the population without any lifestyle related diseases than in the whole population in the early stages, the difference of prevalence between the two populations becoming smaller in the advanced stage. Conclusions The association of incident CKD with hyperuricaemia was stronger than with other chronic kidney disease‐risk factors, this association becoming more significant in the advanced stage of chronic kidney disease. Although this result does not indicate the cause and result relationship, the data suggest that hyperuricaemia might not be appropriately treated in this population. Summary at a Glance This cross‐sectional study demonstrated that the association of incident CKD with hyperuricaemia was stronger than with other CKD‐risk factors. This association between hyperuricaemia and CKD was more significant in the advanced stage of CKD.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>25651516</pmid><doi>10.1111/nep.12411</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Wiley Journals
subjects Adult
Aged
Chi-Square Distribution
chronic kidney disease
Cross-Sectional Studies
Disease Progression
Female
health check-up
Health Surveys
Humans
hyperuricaemia
Hyperuricemia - blood
Hyperuricemia - diagnosis
Hyperuricemia - epidemiology
Incidence
Japan - epidemiology
Life Style
Logistic Models
Male
Middle Aged
Multivariate Analysis
Odds Ratio
Prevalence
Renal Insufficiency, Chronic - diagnosis
Renal Insufficiency, Chronic - epidemiology
risk factor
Risk Factors
Severity of Illness Index
uric acid
title Impact of hyperuricaemia on the chronic kidney disease-associated risk factors in a community-based population
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