Plasma Uric Acid and the Risk of Type 2 Diabetes in a Chinese Community

Previous cross-sectional studies have shown hyperuricemia to be prevalent among individuals with metabolic syndrome, but the evidence from prospective studies of an association between uric acid and diabetes risk is limited. We prospectively investigated the association between plasma concentrations...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2008-02, Vol.54 (2), p.310-316
Hauptverfasser: Chien, Kuo-Liong, Chen, Ming-Fong, Hsu, Hsiu-Ching, Chang, Wei-Tien, Su, Ta-Chen, Lee, Yuan-Teh, Hu, Frank B
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container_issue 2
container_start_page 310
container_title Clinical chemistry (Baltimore, Md.)
container_volume 54
creator Chien, Kuo-Liong
Chen, Ming-Fong
Hsu, Hsiu-Ching
Chang, Wei-Tien
Su, Ta-Chen
Lee, Yuan-Teh
Hu, Frank B
description Previous cross-sectional studies have shown hyperuricemia to be prevalent among individuals with metabolic syndrome, but the evidence from prospective studies of an association between uric acid and diabetes risk is limited. We prospectively investigated the association between plasma concentrations of uric acid and the incidence of type 2 diabetes in Chinese individuals. We conducted a community-based prospective cohort study of 2690 participants (age range, 35-97 years) in the Chin-Shan Community Cardiovascular Cohort Study, who were found to be free of diabetes and cardiovascular disease during baseline assessment at study entry in 1990. During a median 9.0-year follow-up, 548 participants developed type 2 diabetes. High plasma uric acid concentrations were associated with a higher prevalence of metabolic syndrome. After adjustment for age, sex, body mass index, and other covariates, the relative risks (RR) of diabetes according to uric acid quintile were 1.11, 1.29, 1.40, and 1.63 [95% confidence interval (CI), 1.20-2.23; P for trend
doi_str_mv 10.1373/clinchem.2007.095190
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We prospectively investigated the association between plasma concentrations of uric acid and the incidence of type 2 diabetes in Chinese individuals. We conducted a community-based prospective cohort study of 2690 participants (age range, 35-97 years) in the Chin-Shan Community Cardiovascular Cohort Study, who were found to be free of diabetes and cardiovascular disease during baseline assessment at study entry in 1990. During a median 9.0-year follow-up, 548 participants developed type 2 diabetes. High plasma uric acid concentrations were associated with a higher prevalence of metabolic syndrome. After adjustment for age, sex, body mass index, and other covariates, the relative risks (RR) of diabetes according to uric acid quintile were 1.11, 1.29, 1.40, and 1.63 [95% confidence interval (CI), 1.20-2.23; P for trend &lt;0.001]. After additional adjustment for metabolic syndrome, the RR for comparing the participants in the fifth and first uric acid quintiles was 1.40 (95% CI, 1.02-1.92; P for trend = 0.027). In joint analyses, participants who were in the highest uric acid quintile and also had metabolic syndrome had a 3.3-fold greater risk of diabetes (95% CI, 2.27-4.94) than those in the lowest uric acid quintile and without metabolic syndrome. These findings suggest a modest positive association between plasma uric acid concentration and the incidence of type 2 diabetes in Chinese individuals. 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Psychology ; Health risks ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Metabolic disorders ; Metabolic syndrome ; Middle Aged ; Multivariate Analysis ; Nutrition ; Physical examinations ; Plasma ; Prospective Studies ; Risk Factors ; Studies ; Taiwan - epidemiology ; Uric Acid - blood</subject><ispartof>Clinical chemistry (Baltimore, Md.), 2008-02, Vol.54 (2), p.310-316</ispartof><rights>2008 INIST-CNRS</rights><rights>Copyright American Association for Clinical Chemistry Feb 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-b10fb7756294819a55895879ae0693d8cc46e0cb5def7397b415a66fd9b7358b3</citedby><cites>FETCH-LOGICAL-c504t-b10fb7756294819a55895879ae0693d8cc46e0cb5def7397b415a66fd9b7358b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27913,27914</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20053333$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18089655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chien, Kuo-Liong</creatorcontrib><creatorcontrib>Chen, Ming-Fong</creatorcontrib><creatorcontrib>Hsu, Hsiu-Ching</creatorcontrib><creatorcontrib>Chang, Wei-Tien</creatorcontrib><creatorcontrib>Su, Ta-Chen</creatorcontrib><creatorcontrib>Lee, Yuan-Teh</creatorcontrib><creatorcontrib>Hu, Frank B</creatorcontrib><title>Plasma Uric Acid and the Risk of Type 2 Diabetes in a Chinese Community</title><title>Clinical chemistry (Baltimore, Md.)</title><addtitle>Clin Chem</addtitle><description>Previous cross-sectional studies have shown hyperuricemia to be prevalent among individuals with metabolic syndrome, but the evidence from prospective studies of an association between uric acid and diabetes risk is limited. We prospectively investigated the association between plasma concentrations of uric acid and the incidence of type 2 diabetes in Chinese individuals. We conducted a community-based prospective cohort study of 2690 participants (age range, 35-97 years) in the Chin-Shan Community Cardiovascular Cohort Study, who were found to be free of diabetes and cardiovascular disease during baseline assessment at study entry in 1990. During a median 9.0-year follow-up, 548 participants developed type 2 diabetes. High plasma uric acid concentrations were associated with a higher prevalence of metabolic syndrome. After adjustment for age, sex, body mass index, and other covariates, the relative risks (RR) of diabetes according to uric acid quintile were 1.11, 1.29, 1.40, and 1.63 [95% confidence interval (CI), 1.20-2.23; P for trend &lt;0.001]. After additional adjustment for metabolic syndrome, the RR for comparing the participants in the fifth and first uric acid quintiles was 1.40 (95% CI, 1.02-1.92; P for trend = 0.027). In joint analyses, participants who were in the highest uric acid quintile and also had metabolic syndrome had a 3.3-fold greater risk of diabetes (95% CI, 2.27-4.94) than those in the lowest uric acid quintile and without metabolic syndrome. These findings suggest a modest positive association between plasma uric acid concentration and the incidence of type 2 diabetes in Chinese individuals. 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We prospectively investigated the association between plasma concentrations of uric acid and the incidence of type 2 diabetes in Chinese individuals. We conducted a community-based prospective cohort study of 2690 participants (age range, 35-97 years) in the Chin-Shan Community Cardiovascular Cohort Study, who were found to be free of diabetes and cardiovascular disease during baseline assessment at study entry in 1990. During a median 9.0-year follow-up, 548 participants developed type 2 diabetes. High plasma uric acid concentrations were associated with a higher prevalence of metabolic syndrome. After adjustment for age, sex, body mass index, and other covariates, the relative risks (RR) of diabetes according to uric acid quintile were 1.11, 1.29, 1.40, and 1.63 [95% confidence interval (CI), 1.20-2.23; P for trend &lt;0.001]. After additional adjustment for metabolic syndrome, the RR for comparing the participants in the fifth and first uric acid quintiles was 1.40 (95% CI, 1.02-1.92; P for trend = 0.027). In joint analyses, participants who were in the highest uric acid quintile and also had metabolic syndrome had a 3.3-fold greater risk of diabetes (95% CI, 2.27-4.94) than those in the lowest uric acid quintile and without metabolic syndrome. These findings suggest a modest positive association between plasma uric acid concentration and the incidence of type 2 diabetes in Chinese individuals. The association between hyperuricemia and diabetes was partly mediated through the metabolic syndrome.</abstract><cop>Washington, DC</cop><pub>Am Assoc Clin Chem</pub><pmid>18089655</pmid><doi>10.1373/clinchem.2007.095190</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Acids
Adult
Aged
Analytical, structural and metabolic biochemistry
Asian Continental Ancestry Group
Asian people
Biological and medical sciences
Biomarkers - blood
Cardiovascular disease
Cardiovascular diseases
Diabetes
Diabetes Mellitus, Type 2 - ethnology
Diet
Female
Fundamental and applied biological sciences. Psychology
Health risks
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Metabolic disorders
Metabolic syndrome
Middle Aged
Multivariate Analysis
Nutrition
Physical examinations
Plasma
Prospective Studies
Risk Factors
Studies
Taiwan - epidemiology
Uric Acid - blood
title Plasma Uric Acid and the Risk of Type 2 Diabetes in a Chinese Community
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