Hyperuricemia prevalence in healthy subjects and its relationship with cardiovascular target organ damage.

Background and Aim: Heterogeneous results have been obtained in the relationship between Uric Acid (UA) and Target Organ Damage (TOD). In the present study we sought to assess the prevalence of hyperuricemia in healthy subjects as well as the role of UA in determining TOD. We evaluated vascular, car...

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Publicado en:Nutrition, Metabolism & Cardiovascular Diseases Vol. 31; no. 1; pp. 178 - 186
Autores principales: Maloberti, Alessandro, Qualliu, Esmerilda, Occhi, Lucia, Sun, Jinwei, Grasso, Enzo, Tognola, Chiara, Tavecchia, Giovanni, Cartella, Iside, Milani, Martina, Vallerio, Paola, Signorini, Stefano, Brambilla, Paolo, Casati, Marco, Bombelli, Michele, Grassi, Guido, Giannattasio, Cristina
Formato: research Journal Article
Publicado: Elsevier B.V. Jan2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Nutrition, Metabolism & Cardiovascular Diseases
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      dt: Jan2021
      vid: 31
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      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
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        148233227
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        148233227
        10.1016/j.numecd.2020.08.015
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        atl: Hyperuricemia prevalence in healthy subjects and its relationship with cardiovascular target organ damage.
      aug:
        au:
          Maloberti, Alessandro
          Qualliu, Esmerilda
          Occhi, Lucia
          Sun, Jinwei
          Grasso, Enzo
          Tognola, Chiara
          Tavecchia, Giovanni
          Cartella, Iside
          Milani, Martina
          Vallerio, Paola
          Signorini, Stefano
          Brambilla, Paolo
          Casati, Marco
          Bombelli, Michele
          Grassi, Guido
          Giannattasio, Cristina
        affil: Cardiology IV, "A. De Gasperis" Department, ASTT GOM Niguarda Ca' Granda, Milan, Italy
      sug:
        subj:
          Cardiovascular Diseases Epidemiology
          Kidney Diseases Epidemiology
          Hyperuricemia Epidemiology
          Uric Acid Blood
          Italy
          Aged, 80 and Over
          Kidney Diseases Blood
          Risk Factors
          Cardiovascular Diseases Blood
          Kidney Diseases Diagnosis
          Research Subjects
          Hyperuricemia Diagnosis
          Female
          Human
          Prevalence
          Cardiovascular Diseases Diagnosis
          Young Adult
          Adolescence
          Risk Assessment
          Cross Sectional Studies
          Aged
          Adult
          Middle Age
          Male
          Hyperuricemia Blood
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Aged, 80 & over
          Adolescent: 13-18 years
          Aged: 65+ years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background and Aim: Heterogeneous results have been obtained in the relationship between Uric Acid (UA) and Target Organ Damage (TOD). In the present study we sought to assess the prevalence of hyperuricemia in healthy subjects as well as the role of UA in determining TOD. We evaluated vascular, cardiac and renal TODs in the whole population as well as sub-grouped by gender.Methods and Results: As many as 379 blood donors participated at the present analysis. TOD was evaluated as Pulse Wave Velocity (PWV), Left Ventricular Mass Index (LVMI) and carotid Intima-Media Thickness (IMT). Hyperuricemia was defined with the classic cut-off (>7.0 in men and >6.0 mg/dL in women) but also with a most recently defined one (5.6 mg/dL for both sex). Hyperuricemia was present in 6.3% of the whole population (7.3% males, 2.8% females) considering the classic cut-off, while, with the recently identified one, it was present in 28.2% of the whole population (37.3% males, 4.7% females). Despite all the evaluated TODs significantly correlated with UA, linear multivariate regression analysis showed that none of them, except for GFR, displayed UA as a significant covariate. Similar figures were found also when both correlation and linear regression analyses were repeated in the two genders separately.Conclusions: Hyperuricemia is an important problem also in healthy subjects and its prevalence could further increase if lower cut-off will be used. In this specific population UA is significantly associated with renal impairment while this was not the case for cardiac and vascular damage.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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