Distribution of serum uric acid levels and prevalence of hyper- and hypouricemia in a Korean general population of 172,970
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Background/Aims: We investigated the distribution of serum uric acid (SUA) levels and estimated the prevalence of hyperuricemia and hypouricemia in the Korean population. Methods: This cross-sectional study used data from the Korean Genome and Epidemiology Study and included 172,970 participants (58,981 men and 113,989 women) aged 40 to 79 years. Hypouricemia and hyperuricemia were defined as SUA level ≤ 2.0 mg/dL and > 7 mg/dL, respectively. The prevalence of hyperuricemia and hypouricemia was evaluated by age and sex. Results: The mean SUA levels were significantly higher in men than in women (5.71 ± 1.27 mg/dL vs. 4.21 ± 0.96 mg/dL, p < 0.001). The mean SUA levels and prevalence of hyperuricemia increased with age in women but not in men. The overall prevalence of hyperuricemia and that in men and women was 50.82, 133.25, and 8.17 per 1,000 persons, respectively; the overall prevalence of hypouricemia and that in men and women was 4.16, 1.10, and 5.75 per 1,000 persons, respectively. The prevalence of hypouricemia in men was similar across all age groups; however, that in women was the highest in the age group of 40 to 49 years and the lowest in the age group of 50 to 59 years. Conclusions: The distribution of SUA levels and prevalence of hyperuricemia and hypouricemia differed according to age and sex. Age and sex should be considered in studies on uric acid-related diseases.
Abstract
Background/Aims: We investigated the distribution of serum uric acid (SUA) levels and estimated the prevalence of hyperuricemia and hypouricemia in the Korean population. Methods: This cross-sectional study used data from the Korean Genome and Epidemiology Study and included 172,970 participants (58,981 men and 113,989 women) aged 40 to 79 years. Hypouricemia and hyperuricemia were defined as SUA level ≤ 2.0 mg/dL and > 7 mg/dL, respectively. The prevalence of hyperuricemia and hypouricemia was evaluated by age and sex. Results: The mean SUA levels were significantly higher in men than in women (5.71 ± 1.27 mg/dL vs. 4.21 ± 0.96 mg/dL, p < 0.001). The mean SUA levels and prevalence of hyperuricemia increased with age in women but not in men. The overall prevalence of hyperuricemia and that in men and women was 50.82, 133.25, and 8.17 per 1,000 persons, respectively; the overall prevalence of hypouricemia and that in men and women was 4.16, 1.10, and 5.75 per 1,000 persons, respectively. The prevalence of hypouricemia in men was similar across all age groups; however, that in women was the highest in the age group of 40 to 49 years and the lowest in the age group of 50 to 59 years. Conclusions: The distribution of SUA levels and prevalence of hyperuricemia and hypouricemia differed according to age and sex. Age and sex should be considered in studies on uric acid-related diseases.
참고문헌 (32)
- Choi HK, "Pathogenesis of gout", Ann Intern Med, 143, pp.499~516 (2005)
- Richette P, "Gout", Lancet, 375, pp.318~328 (2010)
- Bellomo G, "Uric acid and chronic kidney disease: a time to act?", World J Nephrol, 2, pp.17~25 (2013)
- Rock KL, "Uric acid as a danger signal in gout and its comorbidities", Nat Rev Rheumatol, 9, pp.13~23 (2013)
- Kanda E, "Uric acid level has a U-shaped association with loss of kidney function in healthy people : a prospective cohort study", PLoS One, 10, pp.e0118031~ (2015)
- Chen H, "Plasma urate and Parkinson’s disease in the Atherosclerosis Risk in Communities(ARIC)study", Am J Epidemiol, 169, pp.1064~1069 (2009)
- Kim TS, "Decreased plasma antioxidants in patients with Alzheimer’s disease", Int J Geriatr Psychiatry, 21, pp.344~348 (2006)
- Zhu Y, "Prevalence of gout and hyperuricemia in the US general population : the National Health and Nutrition Examination Survey 2007-2008", Arthritis Rheum, 63, pp.3136~3141 (2011)
- Maynard JW, "Racial differences in gout incidence in a population-based cohort : Atherosclerosis Risk in Communities Study", Am J Epidemiol, 179, pp.576~583 (2014)
- Wakasugi M, "Association between hypouricemia and reduced kidney function : a cross-sectional population-based study in Japan", Am J Nephrol, 41, pp.138~146 (2015)
- Kuwabara M, "Prevalence and complications of hypouricemia in a general population : a large-scale cross-sectional study in Japan", PLoS One, 12, pp.e0176055~ (2017)
- Kim Y, "Cohort profile : the Korean Genome and Epidemiology Study(KoGES)consortium", Int J Epidemiol, 46, pp.e20~ (2017)
- Kuwabara M, "Different risk for hypertension, diabetes, dyslipidemia, and hyperuricemia according to level of body mass index in Japanese and American subjects", Nutrients, 10, pp.1011~ (2018)
- Mellen PB, "Serum uric acid predicts incident hypertension in a biethnic cohort : the atherosclerosis risk in communities study", Hypertension, 48, pp.1037~1042 (2006)
- Yamanaka H, "Japanese guideline for the management of hyperuricemia and gout: second edition", Nucleosides Nucleotides Nucleic Acids, 30, pp.1018~1029 (2011)
- Kim Y, "Prevalence of hyperuricemia and its associated factors in the general Korean population : an analysis of a population-based nationally representative sample", Clin Rheumatol, 37, pp.2529~2538 (2018)
- Nagahama K, "Hyperuricemia as a predictor of hypertension in a screened cohort in Okinawa, Japan", Hypertens Res, 27, pp.835~841 (2004)
- Chang-Nam Son, "Prevalence and possible causes of hypouricemia at a tertiary care hospital", The Korean Journal of Internal Medicine, 31(5), pp.971~976 (2016), 대한내과학회[DOI]
- Kawasoe S, "Uric acid level and prevalence of atrial fibrillation in a Japanese general population of 285, 882", Circ J, 80, pp.2453~2459 (2016)
- Lin X, "Association between serum uric acid and bone health in general population : a large and multicentre study", Oncotarget, 6, pp.35395~35403 (2015)
- Zhang C, "No associations exists between red blood cell distribution width and serum uric acid in both sexes", Medicine(Baltimore), 97, pp.e12707~ (2018)
- 김응호, "고요산혈증을 보이는 한국인 건강검진 내원자들에서의 통풍의 유병률과 관련 인자들에 관한 연구", 대한류마티스학회지, 11(1), pp.7~13 (2004), 대한류마티스학회
- 홍수진, "전남, 광주지역의 건강검진센터에서의 고요산혈증의 빈도와 임상적 의의", 대한류마티스학회지, 19(3), pp.138~146 (2012), 대한류마티스학회[DOI]
- Yang J, "The prevalence of hyperuricemia and its correlates in an inland Chinese adult population, urban and rural of Jinan", Rheumatol Int, 33, pp.1511~1517 (2013)
- Akizuki S, "Serum uric acid levels among thirty-four thousand people in Japan", Ann Rheum Dis, 41, pp.272~274 (1982)
- Latourte A, "Uric acid and cognitive decline: a double-edge sword?", Curr Opin Rheumatol, 30, pp.183~187 (2018)
- Tana C, "Uric acid and cognitive function in older individuals", Nutrients, 10, pp.975~ (2018)
- Eunhee Ji, "Prevalence of chronic kidney disease defined by using CKD-EPI equation and albumin-to-creatinine ratio in the Korean adult population", The Korean Journal of Internal Medicine, 31(6), pp.1120~1130 (2016), 대한내과학회[DOI]
- 박지인, "Prevalence of Chronic Kidney Disease in Korea: the Korean National Health and Nutritional Examination Survey 2011-2013", Journal of Korean Medical Science, 31(6), pp.915~923 (2016), 대한의학회
- Johnson RJ, "Uric acid and chronic kidney disease: which is chasing which?", Nephrol Dial Transplant, 28, pp.2221~2228 (2013)
- Mumford SL, "Serum uric acid in relation to endogenous reproductive hormones during the menstrual cycle : findings from the BioCycle study", Hum Reprod, 28, pp.1853~1862 (2013)
- Wingrove CS, "The effect of menopause on serum uric acid levels in non-obese healthy women", Metabolism, 47, pp.435~438 (1998)
