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Dong Y, Wang Z, Wang S, Chang R, Liu Y, Wang R, Chen H, Liu S, Qian C, Cai Y, Hu F. Gender-Specific and U-Shaped Relationship Between Serum Uric Acid and All-Cause Mortality Among Chinese Older Adults: A National Population-Based Longitudinal Study. Int J Public Health 2023; 68:1605934. [PMID: 37206093 PMCID: PMC10188991 DOI: 10.3389/ijph.2023.1605934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 04/19/2023] [Indexed: 05/21/2023] Open
Abstract
Objectives: This study aimed to prospectively investigate gender-specific relationship between hyperuricemia and all-cause mortality among Chinese older adults. Methods: The study was based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) 2008-2018, a prospective nationwide cohort of older adults in China. Multivariate Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% CIs for all-cause mortality. Restricted cubic splines (RCS) were conducted to explore the dose-response relationship between SUA levels and all-cause mortality. Results: For older women, compared to the participants in the third quartile of SUA level, those in the highest quartile of SUA was associated with significantly higher risk of all-cause mortality in the fully adjusted model (HR: 1.41, 95% CI: 1.03-1.92). No significant associations between SUA levels and all-cause mortality were observed in older men. The present study further found a U-shaped non-linear relationship between SUA levels and all-cause mortality in both sexes of older population (P for non-linear <0.05). Conclusions: This study provided prospective epidemiological evidence for the predictive role of SUA on all-cause mortality among the Chinese aging population over 10 years of follow-up, while revealing considerable gender-related differences.
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Affiliation(s)
- Yinqiao Dong
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Center for Community Healthcare, Hospital Development Institute Shanghai Jiao Tong University, Shanghai, China
| | - Zhiqiang Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Suping Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ruijie Chang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yujie Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Rongxi Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Hui Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shangbin Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Changlin Qian
- Department of General Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- *Correspondence: Changlin Qian, ; Yong Cai, ; Fan Hu,
| | - Yong Cai
- Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Center for Community Healthcare, Hospital Development Institute Shanghai Jiao Tong University, Shanghai, China
- *Correspondence: Changlin Qian, ; Yong Cai, ; Fan Hu,
| | - Fan Hu
- Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Center for Community Healthcare, Hospital Development Institute Shanghai Jiao Tong University, Shanghai, China
- *Correspondence: Changlin Qian, ; Yong Cai, ; Fan Hu,
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Kiltz U, Buschhorn-Milberger V, Vaupel K, Braun J. Gicht: aktuelle Epidemiologie, Komorbiditäten, Komplikationen
und sozioökonomische Konsequenzen. AKTUEL RHEUMATOL 2020. [DOI: 10.1055/a-1301-1793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
ZusammenfassungDie Gicht gehört neben der rheumatoiden Arthritis zu den
häufigsten Ursachen von Gelenkentzündungen. Als metabolisch
bedingte Erkrankung geht sie meist mit Hyperurikämie und der
Ablagerung von Uratkristallen in Gelenken, Sehnen und Weichteilgeweben
einher, wodurch Entzündungszustände ausgelöst werden
können. Die Gichtarthritis tritt weltweit insbesondere in den
Industrieländern mit steigender Prävalenz auf (weltweit
0,6%), wobei die größte Häufigkeit bei den
Maoris in Ozeanien (bis zu 10%) gemessen wurde. In Deutschland tritt
die Gicht altersabhängig mit einer Prävalenz von
1,63% auf, wobei Männer ungefähr dreimal so
häufig wie Frauen betroffen sind. Kardiovaskuläre und vor
allem renale Komorbiditäten können zu vermehrten
Komplikationen und einer erhöhten Sterblichkeit von Patienten mit
Gicht führen. Grundsätzlich haben Gichtpatienten eine
erhöhte Mortalität im Vergleich zur
Gesamtbevölkerung. Die zunehmende Inzidenz führt zu
steigenden Gesundheitskosten, besonders durch vermehrte Hospitalisierungen.
Darüber hinaus wurden bei Gichtpatienten mehr
Arbeitsunfähigkeitstage sowie reduzierte Erwerbsfähigkeit
mit entsprechenden volkswirtschaftlichen Konsequenzen nachgewiesen.
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Affiliation(s)
- Uta Kiltz
- Rheumazentrum Ruhrgebiet, Herne, Deutschland
- Medizinische Fakultät, Ruhr-Universität Bochum, Bochum,
Deutschland
| | - Verena Buschhorn-Milberger
- Rheumazentrum Ruhrgebiet, Herne, Deutschland
- Medizinische Fakultät, Ruhr-Universität Bochum, Bochum,
Deutschland
| | - Kristina Vaupel
- Rheumazentrum Ruhrgebiet, Herne, Deutschland
- Medizinische Fakultät, Ruhr-Universität Bochum, Bochum,
Deutschland
| | - Jürgen Braun
- Rheumazentrum Ruhrgebiet, Herne, Deutschland
- Medizinische Fakultät, Ruhr-Universität Bochum, Bochum,
Deutschland
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