Volume 20 Issue 1
Jan.  2022
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LI Dan, SUN Guo-hua, CHEN Xin-chun, KOU Yong-mei. Relationship between uric acid level and cardiovascular risk factors in overweight and obese children in Tangshan City[J]. Chinese Journal of General Practice, 2022, 20(1): 157-160. doi: 10.16766/j.cnki.issn.1674-4152.002301
Citation: LI Dan, SUN Guo-hua, CHEN Xin-chun, KOU Yong-mei. Relationship between uric acid level and cardiovascular risk factors in overweight and obese children in Tangshan City[J]. Chinese Journal of General Practice, 2022, 20(1): 157-160. doi: 10.16766/j.cnki.issn.1674-4152.002301

Relationship between uric acid level and cardiovascular risk factors in overweight and obese children in Tangshan City

doi: 10.16766/j.cnki.issn.1674-4152.002301
Funds:

 20191599

  • Received Date: 2021-01-24
    Available Online: 2022-03-03
  •   Objective  To understand the relationship between uric acid level and cardiovascular risk factors in overweight and obesity children in Tangshan, and to provide theoretical basis for preventing hyperuricemia and reducing the risk of cardiovascular disease.  Methods  Total 560 overweight and obesity children screened by physical examination of school-age children in Tangshan City from 2018 to 2019 were taken as the research objects. Height, weight, waist circumference (WC), blood pressure (BP) were measured, body mass index (BMI) was calculated. Uric acid (UA), fasting blood glucose (FPG), total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) were detected. The relationship between uric acid and cardiovascular risk factors was analyzed by sex stratification.  Results  (1) The detection rates of boys and girls hyperuricemia were 36.50% and 26.26% respectively (P < 0.05). (2) With the increase of UA level, SBP and DBP increased and HDL-C decreased in boys, SBP, FPG, TC, TG, LDL-C increased and HDL-C decreased in girls, the difference between groups was statistically significant (all P < 0.05). (3) UA level in boys was negatively correlated with HDL-C (r=-0.154, P < 0.05), positively correlated with TG and SBP (r=0.141, 0.238, all P < 0.05), meanwhile UA level in girls was negatively correlated with HDL-C (r=-0.700, P < 0.05), and positively correlated with LDL-C and TG (r=0.615, 0.341, all P < 0.05). (4) The influencing factors of hyperuricemia in boys were age, low HDL-C, abnormal fasting blood glucose, overweight/obesity, meanwhile the influencing factors of hyperuricemia in girls were age, high TC, low HDL-C, high TG, overweight/obesity and hypertension.  Conclusion  UA level of overweight and obesity children in Tangshan City is related to cardiovascular risk factors. Uric acid levels of overweight and obesity children should be monitored regularly.

     

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  • [1]
    SONG Y, MA J, WANG H J, et al. Secular trends of obesity prevalence in Chinese children from 1985 to 2010: Urban-rural disparity[J]. Obesity (Silver Spring, Md. ), 2015, 23(2): 448-453. doi: 10.1002/oby.20938
    [2]
    王烁, 董彦会, 王政和, 等. 1985—2014年中国7~18岁学生超重与肥胖流行趋势[J]. 中华预防医学杂志, 2017, 51(4): 300-305. doi: 10.3760/cma.j.issn.0253-9624.2017.04.005
    [3]
    LIANG Y J, HOU D Q, ZHAO X Y, et al. Childhood obesity affects adult metabolic syndrome and diabetes[J]. Endocrine, 2015, 50(1): 87-92. doi: 10.1007/s12020-015-0560-7
    [4]
    PETKEVICIENE J, KLUMBIENE J, KRIAUCIONIENE V, et al. Anthropometric measurements in childhood and prediction of cardiovascular risk factors in adulthood: Kaunas cardiovascular risk cohort study[J]. BMC Public Health, 2015, 15(1): 218-226. doi: 10.1186/s12889-015-1528-5
    [5]
    闫银坤, 侯冬青, 段佳丽, 等. 肥胖儿童尿酸水平与心血管代谢异常及非酒精性脂肪肝的关系[J]. 中华实用儿科临床杂志, 2015, 30(13): 1000-1003. doi: 10.3760/cma.j.issn.2095-428X.2015.13.011
    [6]
    CAPUANO V, MARCHESE F, CAPUANO R, et al. Hyperuricemia as an independent risk factor for major cardiovascular events: A 10-year cohort study from Southern Italy[J]. J Cardiovasc Med, 2017, 18(3): 159-164. doi: 10.2459/JCM.0000000000000347
    [7]
    刘真成, 边云飞, 李嘉伟, 等. 血清尿酸与心血管疾病相关性的研究进展[J]. 中国医药导报, 2019, 16(29): 45-48. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201929011.htm
    [8]
    中国肥胖问题工作组, 季成叶. 中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J]. 中华流行病学杂志, 2004, 25(2): 97-102. doi: 10.3760/j.issn:0254-6450.2004.02.003
    [9]
    中国医师协会心血管内科医师分会. 无症状高尿酸血症合并心血管疾病诊治建议中国专家共识[J]. 中国临床医生, 2011, 39(2): 73-77. doi: 10.3969/j.issn.1008-1089.2011.02.028
    [10]
    RHO Y H, ZHU Y, CHOI H K. The epidemiology of uric acid and fructose[J]. Semin Nephrol, 2011, 31(5) : 410-419. doi: 10.1016/j.semnephrol.2011.08.004
    [11]
    米杰, 王天有, 孟玲慧, 等. 中国儿童青少年血压参照标准的研究制定[J]. 中国循证儿科杂志, 2010, 5(1): 4-14. doi: 10.3969/j.issn.1673-5501.2010.01.002
    [12]
    ANON. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report[J]. Pediatrics, 2011, 128(S5): 213-256.
    [13]
    RICOTTI R, GENONI G L, GIGLIONE E, et al. High-normal estimated glomerular filtration rate and hyperuricemia positively correlate with metabolic impairment in pediatric obese patients[J]. PLoS One, 2018, 13(3): e0193755. doi: 10.1371/journal.pone.0193755
    [14]
    牛杨, 汤庆娅, 赵雪林, 等. 肥胖儿童尿酸水平与糖尿病及心血管疾病危险因子的相关性[J]. 中国学校卫生, 2016, 37(12): 1859-1862. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201612033.htm
    [15]
    庄婧誉, 徐滨华, 段滨红, 等. 青少年血尿酸水平与心血管内代谢危险因子的相关性分析[J]. 中国学校卫生, 2016, 37(3): 425-427, 431. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201603035.htm
    [16]
    CASTILLO-DURÁN C, SEPÙLVEDA A C, ESPINOZA G A, et al. Hyperuricaemia and metabolic syndrome in obese children and adolescents[J]. Revista Chilena De Pediatria, 2016, 87(1): 18-23. doi: 10.1016/j.rchipe.2015.07.022
    [17]
    刘英, 曾勇. 高尿酸血症与肥胖[J]. 中国心血管杂志, 2016, 21(1): 11-13. doi: 10.3969/j.issn.1007-5410.2016.01.004
    [18]
    ORLANDO A, CAZZANIGA E, GIUSSANI M, et al. Hypertension in children: Role of obesity, simple carbohydrates, and Uric Acid[J]. Front Public Health, 2018, 6: 129. doi: 10.3389/fpubh.2018.00129
    [19]
    刘新琼, 王晓朋, 关黎清, 等. 新疆伊犁哈萨克自治州不同民族中高尿酸血症与痛风患病率及相关危险因素分析[J]. 中华全科医学, 2016, 14(7): 1186-1188, 1192. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201607041.htm
    [20]
    雷伊玲, 源梓妃, 唐钊协, 等. 广州学龄儿童尿酸水平与心血管代谢指标的关联[J]. 中国学校卫生, 2020, 41(11): 1726-1729. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS202011036.htm
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