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Inverted U-Shaped Associations between Glycemic Indices and Serum Uric Acid Levels in the General Chinese Population: Findings from the China Cardiometabolic Disease and Cancer Cohort (4C) Study

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收录情况: ◇ SCIE ◇ CSCD-C ◇ 卓越:梯队期刊

单位: [1]Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai Inst Endocrine & Metab Dis, Dept Endocrine & Metab Dis,Sch Med, Shanghai 200025, Peoples R China [2]Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai Natl Ctr Translat Med,Sch Med, Shanghai Natl Clin Res Ctr Metab Dis,Key Lab Endo, Shanghai 200025, Peoples R China [3]First Hosp Jilin Univ, Changchun 130021, Jinlin, Peoples R China [4]Shandong Univ, Qilu Hosp, Jinan 250012, Shandong, Peoples R China [5]Guiyang Med Coll, Affiliated Hosp, Guiyang 550004, Guizhou, Peoples R China [6]Shanghai Jiao Tong Univ, Sch Med, Xinhua Hosp, Shanghai 200092, Peoples R China [7]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China [8]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Guangzhou 510120, Guangdong, Peoples R China [9]Zhengzhou Univ, Affiliated Hosp 1, Zhengzhou 450052, Henan, Peoples R China [10]Southwest Med Univ, Affiliated Hosp, Luzhou 646099, Sichuan, Peoples R China [11]Fujian Med Univ, Fujian Prov Hosp, Fuzhou 350001, Fujian, Peoples R China [12]Dalian Municipal Cent Hosp, Dalian 116003, Liaoning, Peoples R China [13]Wenzhou Med Univ, Affiliated Hosp 1, Wenzhou 325000, Zhejiang, Peoples R China [14]Guangxi Med Univ, Affiliated Hosp 1, Nanning 530021, Guangxi, Peoples R China [15]Nanchang Univ, Jiangxi Prov Peoples Hosp, Nanchang 330006, Jiangxi, Peoples R China [16]Harbin Med Univ, Affiliated Hosp 2, Harbin 150086, Heilongjiang, Peoples R China [17]Zhejiang Prov Ctr Dis Control & Prevent, Hangzhou 310051, Zhejiang, Peoples R China [18]Cent Hosp Shanghai Jiading Dist, Shanghai 201800, Peoples R China [19]Jiangsu Prov Hosp Integrat Chinese & Western Med, Nanjing 210028, Jiangsu, Peoples R China [20]Anhui Med Univ, Affiliated Hosp 1, Hefei 230022, Anhui, Peoples R China [21]Karamay Municipal Peoples Hosp, Karamay 830054, Xinjiang, Peoples R China [22]Nanjing Med Univ, Affiliated Hosp 1, Nanjing 210029, Jiangsu, Peoples R China [23]Chongqing Med Univ, Affiliated Hosp 1, Chongqing 400016, Peoples R China [24]Shandong Univ, Shandong Prov Hosp, Jinan 250021, Shandong, Peoples R China [25]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Wuhan 430022, Hubei, Peoples R China [26]Chinese Peoples Liberat Army Gen Hosp, Beijing 100853, Peoples R China [27]Lanzhou Univ, Hosp 1, Lanzhou 730000, Gansu, Peoples R China
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关键词: Cross-sectional study Serum uric acid Glycemic index Glycemic status

摘要:
Objective The relationship between serum uric acid (SUA) levels and glycemic indices, including plasma glucose (FPG), 2-hour postload glucose (2h-PG), and glycated hemoglobin (HbAlc), remains inconclusive. We aimed to explore the associations between glycemic indices and SUA levels in the general Chinese population. Methods The current study was a cross-sectional analysis using the first follow-up survey data from The China Cardiometabolic Disease and Cancer Cohort Study. A total of 105,922 community-dwelling adults aged >= 40 years underwent the oral glucose tolerance test and uric acid assessment. The nonlinear relationships between glycemic indices and SUA levels were explored using generalized additive models. Results A total of 30,941 men and 62,361 women were eligible for the current analysis. Generalized additive models verified the inverted U-shaped association between glycemic indices and SUA levels, but with different inflection points in men and women. The thresholds for FPG, 2h-PG, and HbA1c for men and women were 6.5/8.0 mmol/L, 11.0/14.0 mmol/L, and 6.1/6.5, respectively (SUA levels increased with increasing glycemic indices before the inflection points and then eventually decreased with further increases in the glycemic indices). Conclusion An inverted U-shaped association was observed between major glycemic indices and uric acid levels in both sexes, while the inflection points were reached earlier in men than in women.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生 3 区 环境科学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 环境科学 4 区 公共卫生、环境卫生与职业卫生
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出版当年[2019]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q2 ENVIRONMENTAL SCIENCES
最新[2023]版:
Q2 ENVIRONMENTAL SCIENCES Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者单位: [1]Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai Inst Endocrine & Metab Dis, Dept Endocrine & Metab Dis,Sch Med, Shanghai 200025, Peoples R China [2]Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai Natl Ctr Translat Med,Sch Med, Shanghai Natl Clin Res Ctr Metab Dis,Key Lab Endo, Shanghai 200025, Peoples R China
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通讯机构: [1]Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai Inst Endocrine & Metab Dis, Dept Endocrine & Metab Dis,Sch Med, Shanghai 200025, Peoples R China [2]Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai Natl Ctr Translat Med,Sch Med, Shanghai Natl Clin Res Ctr Metab Dis,Key Lab Endo, Shanghai 200025, Peoples R China
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