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Weinstein S, Maor E, Bleier J, Kaplan A, Hod T, Leibowitz A, Grossman E, Shlomai G. Non-Interventional Weight Changes Are Associated with Alterations in Serum Uric Acid Levels. J Clin Med 2024; 13:2314. [PMID: 38673586 PMCID: PMC11051435 DOI: 10.3390/jcm13082314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 04/04/2024] [Accepted: 04/13/2024] [Indexed: 04/28/2024] Open
Abstract
Background/Objectives: Serum uric acid is an established cardiovascular risk factor. Higher serum uric acid levels are associated with overweight and obesity. We assessed whether non-interventional weight changes affect serum uric acid levels. Methods: We performed a retrospective analysis of 19,193 participants referred to annual medical screening. Body mass index (BMI) and serum uric acid were measured annually. Subjects were divided into five groups according to changes in BMI between visits: large reduction (reduction of more than 5% in BMI), moderate reduction (reduction of more than 2.5% and 5% or less in BMI), unchanged (up to 2.5% change in BMI), moderate increase (increase of more than 2.5% and 5% or less in BMI), and large increase (increase of more than 5% in BMI). The primary outcome was serum uric acid level changes between visits. Results: A decrease in serum uric acid levels was evident as BMI decreased and an increase in serum uric acid levels was associated with an increase in BMI. The proportion of patients whose serum uric acid levels were increased by at least 10% between visits increased with the relative increase in BMI, while the proportion of patients whose serum uric acid levels were reduced by at least 10% decreased with the relative decrease in BMI. Conclusions: Non-interventional weight changes, even modest, are associated with significant alterations in serum uric acid levels. Our findings may aid in better risk stratification and the primary prevention of cardiovascular morbidity and mortality.
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Affiliation(s)
- Shiri Weinstein
- Internal Medicine D and the Hypertension Unit, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel; (S.W.); (J.B.); (A.K.); (A.L.)
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
| | - Elad Maor
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
- Leviev Heart Center, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5266202, Israel
| | - Jonathan Bleier
- Internal Medicine D and the Hypertension Unit, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel; (S.W.); (J.B.); (A.K.); (A.L.)
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
- The Institute of Endocrinology, Diabetes and Metabolism, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel
| | - Alon Kaplan
- Internal Medicine D and the Hypertension Unit, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel; (S.W.); (J.B.); (A.K.); (A.L.)
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
| | - Tammy Hod
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
- Renal Transplant Center, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel
- Nephrology Department, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel
| | - Avshalom Leibowitz
- Internal Medicine D and the Hypertension Unit, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel; (S.W.); (J.B.); (A.K.); (A.L.)
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
| | - Ehud Grossman
- Adelson School of Medicine, Ariel University, Ariel 4070000, Israel;
| | - Gadi Shlomai
- Internal Medicine D and the Hypertension Unit, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel; (S.W.); (J.B.); (A.K.); (A.L.)
- Tel Aviv Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel (T.H.)
- The Institute of Endocrinology, Diabetes and Metabolism, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262504, Israel
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Grossman E. The Importance of Blood Pressure Variability. Am J Hypertens 2021; 34:1259-1260. [PMID: 34379103 DOI: 10.1093/ajh/hpab127] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 08/09/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Ehud Grossman
- Internal Medicine Wing, The Chaim Sheba Medical Center, Tel-Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel
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