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Independent association of serum uric acid levels with arterial stiffness in the absence of established cardiovascular disorders

Title
Independent association of serum uric acid levels with arterial stiffness in the absence of established cardiovascular disorders
Author
허란
Keywords
PULSE-WAVE VELOCITY; HEART-DISEASE; RISK-FACTOR; ENDOTHELIAL DYSFUNCTION; ALLOPURINOL; MORTALITY; EVENTS; IMPACT; MIDDLE; HYPERURICEMIA
Issue Date
2020-09
Publisher
WILEY
Citation
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, v. 75, no. 3, article no. e13720
Abstract
Background The impact of serum uric acid (SUA) on atherosclerosis has been suspected to be epiphenomenal owing to its close relationship with metabolic abnormalities. The aim of the present study was to evaluate the association between SUA levels and arterial stiffness in the absence of established cardiovascular (CV) disorders. Methods The relationship between SUA levels and brachial-ankle pulse wave velocity (baPWV) was examined in 353 asymptomatic adults (57 +/- 8 years, 11.9% men) without established CV disorders defined as systolic blood pressure (BP) >= 140 mmHg or diastolic BP >= 90 mmHg; total cholesterol >= 240 mg/dL; low-density lipoprotein cholesterol >= 160 mg/dL; high-density lipoprotein cholesterol <40 mg/dL; fasting glucose >= 126 mg/dL; body mass index >= 25.0 kg/m(2); current smoking; and history of medication for hypertension, diabetes, and dyslipidemia. Subjects were stratified into four groups based on the quartiles of their SUA levels. Results Mean baPWV was significantly different in all groups: group I, 1320 +/- 195 cm/s; group II, 1336 +/- 195 cm/s; group III, 1404 +/- 199 cm/s; and group IV, 1483 +/- 248 cm/s (P < .001). SUA levels were significantly correlated with baPWV (r = .364) (P < .001). Multivariate linear regression analysis showed that SUA (beta: 32.93; 95% confidence interval [CI]: 18.99-54.87), together with age (beta: 11.44; 95% CI: 9.36-13.53) and systolic BP (beta: 8.98; 95% CI: 6.80-11.16), was significantly associated with baPWV (P < .001). Conclusions High SUA levels have an independent association with increased arterial stiffness even in subjects without established CV disorders.
URI
https://onlinelibrary.wiley.com/doi/10.1111/ijcp.13720https://repository.hanyang.ac.kr/handle/20.500.11754/170631
ISSN
1368-5031; 1742-1241
DOI
10.1111/ijcp.13720
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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