血清尿酸与高甘油三酯血症的关系
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南京医科大学第一附属医院检验学部

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"十四五"省医学重点学科(ZDXK2022394)


Relationship between serum uric acid and hypertriglyceridemia
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    摘要:

    目的:血清尿酸(uric acid, UA)水平升高可能是高甘油三酯血症(hypertriglyceridemia, HTG)的一个危险因素。本文利用采集的临床数据,分析UA水平与HTG之间的关系。 方法:本研究分析了2023年参与研究的11206人的临床数据。采用多变量逻辑回归分析来探讨UA水平和 HTG 之间的关系。应用广义线性模型、平滑曲线拟合和阈值效应分析来研究UA水平和HTG之间的非线性关系。 结果:本研究共纳入 11206名参与者,根据TG水平分为HTG组(n=3410)和非HTG组(n=7796)。在对混杂因素进行充分调整后,多元逻辑回归模型显示,lnUA升高与HTG的风险正相关。在四分位数组中,lnUA 升高与 HTG 发生风险也呈正相关, 将lnUA分为四分位数,最低四分位数Q1 OR=1.00, 第二四分位数Q2 OR=1.557(95%CI: 1.349, 1.796),P<0.001, 第三四分位数Q3 OR=1.977(95%CI: 1.712, 2.283),P<0.001, 最高四分位数Q4 OR=3.101 (95%CI: 2.672, 3.598),P<0.001, 各层之间保持一致,lnUA 和 HTG 之间存在很强的正相关性。平滑曲线拟合展示UA水平与HTG之间呈现非线性关系。lnUA与HTG呈U型关联的拐点为5.517,拐点右侧的效应4.692(95% CI: 3.747, 5.875)高于左侧的2.766(95% CI:1.869, 4.094)。 结论:血清UA水平与HTG呈正相关。考虑到UA可能是HTG的一个危险因素,被诊断为HTG的个体应优先考虑UA水平的日常管理。

    Abstract:

    Objectives: Elevated serum uric acid (UA) levels may be a risk factor for hypertriglyceridemia (HTG). This study analyzes the relationship between UA levels and HTG using collected clinical data. Methods: The study analyzed clinical data from 11, 206 participants in 2023. Multivariate logistic regression was used to examine the relationship between UA levels and HTG. Generalized linear models, smooth curve fitting, and threshold effect analysis were applied to investigate the nonlinear relationship between UA levels and HTG. Results: The study included 11, 206 participants, divided based on TG levels into HTG group (n=3410) and non-HTG group (n=7796). After adjusting for confounders, the multivariate logistic regression model indicated that increased lnUA was positively associated with HTG risk. In quartile analysis, increases in lnUA were positively correlated with HTG risk; Q1 OR=1.00, Q2 OR=1.557 (95% CI: 1.349, 1.796, P<0.001), Q3 OR=1.977 (95% CI: 1.712, 2.283, P<0.001), and Q4 OR=3.101 (95% CI: 2.672, 3.598, P<0.001), showing a strong positive correlation between lnUA and HTG across all levels. Smooth curve fitting demonstrated a nonlinear relationship between UA levels and HTG. The turning point of the U-shaped association between lnUA and HTG was found at 5.517, with the effect size on the right side being 4.692 (95% CI: 3.747, 5.875) higher than on the left at 2.766 (95% CI: 1.869, 4.094). Conclusion: Serum UA levels are positively correlated with HTG. Given that UA may be a risk factor for HTG, individuals diagnosed with HTG should prioritize the daily management of UA levels.

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  • 收稿日期:2024-05-26
  • 最后修改日期:2024-10-31
  • 录用日期:2024-11-26
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