Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1284-1286
CHEN Hao, WU Qian, ZHANG Rushan, ZOU Jianfei, WANG Rui, TANG Genfu. The relationship between body mass index and waist-height ratio and hyperuricemia in patients with hypertension in Wuyuan, Jiangxi Province[J]. Chinese Journal of General Practice, 2023, 21(8): 1284-1286. doi: 10.16766/j.cnki.issn.1674-4152.003103
Citation: CHEN Hao, WU Qian, ZHANG Rushan, ZOU Jianfei, WANG Rui, TANG Genfu. The relationship between body mass index and waist-height ratio and hyperuricemia in patients with hypertension in Wuyuan, Jiangxi Province[J]. Chinese Journal of General Practice, 2023, 21(8): 1284-1286. doi: 10.16766/j.cnki.issn.1674-4152.003103
shu

The relationship between body mass index and waist-height ratio and hyperuricemia in patients with hypertension in Wuyuan, Jiangxi Province

doi: 10.16766/j.cnki.issn.1674-4152.003103

  • School of Health Management, Anhui Medical University, Hefei, Anhui 230032, China

Funds:

 81773534

  • Received Date: 2022-09-26
    Available Online: 2023-09-13
    Abstract
  •   Objective  To investigate the effects of body mass index (BMI) and waist-height ratio (WHtR) on hyperuricemia (HUA) in hypertensive patients, and to provide a basis for the early prevention of hypertension complicated with HUA.  Methods  A total of 1 522 hypertensive patients were enrolled in 5 townships from July to August 2022 in Wuyuan County by multi-stage sampling, they were included for on-site questionnaire survey, physical examination and biochemical index detection. The subjects were divided into case group and control group according to whether they had HUA, the relationship between BMI and WHtR and HUA was analyzed by logistic regression, and the receiver operating characteristic curve was used for evaluation.  Results  The mean age of 1 522 hypertensive patients was (63.99±8.80) years, and a total of 600 HUA patients (39.4%) were detected in this study. Multivariate logistic regression results showed that overweight (24≤BMI < 28), obesity (BMI≥28), and central obesity (WHtR≥0.5) were important risk factors for HUA in hypertensive patients, with OR values of 1.828 (95% CI: 1.444-2.314), 2.955 (95% CI: 2.052-4.257), and 2.105 (95% CI: 1.629-2.720), respectively. The area under the BMI and WHtR curves were 0.599 (95% CI: 0.570-0.628) and 0.583 (95% CI: 0.554-0.612), respectively.  Conclusion  Overweight, obesity and central obesity promote the occurrence of HUA in hypertensive population, and local hypertension management agencies should pay attention to the evaluation and intervention of BMI and WHtR in hypertensive patients.

     

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    • References(20)
  • [1]
    中国高血压防治指南修订委员会. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56. doi: 10.3969/j.issn.1007-5410.2019.01.002

    Chinese Hypertension Prevention and Treatment Guidelines Revision Committee. 2018 Chinese guidelines for the management of hypertension[J]. Chinese Journal of Cardiovascular Medicine, 2019, 24(1): 24-56. doi: 10.3969/j.issn.1007-5410.2019.01.002
    [2]
    SU H Y, YANG C, LIANG D, et al. Research advances in the mechanisms of hyperuricemia-induced renal Injury[J]. Biomed Res Int, 2020, 26: 5817348. DOI: 10.1155/2020/5817348.
    [3]
    刘甜, 王禹川, 刘梅林. 高尿酸血症与高血压关系的研究进展[J]. 中国医药, 2021, 16(6): 935-938. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202106033.htm

    LIU T, WANG Y C, LIU M L. Research progress on the relationship between hyperuricemia and hypertension[J]. China Medicine, 2021, 16(6): 935-938. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202106033.htm
    [4]
    GROSSMAN C, GROSSMAN E, GOLDBOURT U. Uric acid variability at midlife as an independent predictor of coronary heart disease and all-cause mortality[J]. PLoS One, 2019, 14(8): e0220532. DOI: 10.1371/journal.pone.0220532.
    [5]
    孟雪莲, 鲍立平, 徐晓艳, 等. 孕前体质指数及妊娠期体重增长与妊娠糖尿病发病率的相关性[J]. 河北医学, 2021, 27(12): 2043-2046. doi: 10.3969/j.issn.1006-6233.2021.12.024

    MENG X L, BAO L P, XU X Y, et al. The Relationship Between Body Mass Index and Weight Gain During Pregnancy and the Incidence of Gestational Diabetes[J]. Hebei Medicine, 2021, 27(12): 2043-2046. doi: 10.3969/j.issn.1006-6233.2021.12.024
    [6]
    吴林飞, 郑黎芳, 张奇, 等. 不同年龄组肥胖指标与心血管疾病危险因素的相关性分析[J]. 心脑血管病防治, 2022, 22(1): 90-92, 96. https://www.cnki.com.cn/Article/CJFDTOTAL-XXFZ202201025.htm

    WU L F, ZHENG L F, ZHANG Q, et al. Correlation analysis between obesity indexes and cardiovascular disease risk factors in different age groups[J]. Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, 2022, 22(1): 90-92, 96. https://www.cnki.com.cn/Article/CJFDTOTAL-XXFZ202201025.htm
    [7]
    吴建华, 郭鹏辉, 赖秋娴, 等. 体检人群高尿酸血症合并泌尿系结石相关临床特点及危险因素[J]. 现代医药卫生, 2022, 38(22): 3908-3910, 3914. doi: 10.3969/j.issn.1009-5519.2022.22.027

    WU J H, GUO P H, LAI Q X, et al. Clinical features and risk factors associated with urinary stones in the physical examination population[J]. Journal of Modern Medicine & Health, 2022, 38(22): 3908-3910, 3914. doi: 10.3969/j.issn.1009-5519.2022.22.027
    [8]
    王友发, 孙明晓, 薛宏, 等. 《中国肥胖预防和控制蓝皮书》解读及中国肥胖预防控制措施建议[J]. 中华预防医学杂志, 2019, 52(9): 875-884.

    WANG Y F, SUN M X, XUE H, et al. Understanding the China Blue Paper on Obesity Prevention and Control and policy implications and recommendations for obesity prevention and control in China[J]. Chinese Journal of Preventive Medicine, 2019, 52(9): 875-884.
    [9]
    袁空军, 杨媛, 赵创艺, 等. 腰围、腰围身高比联合体质指数预测血脂异常病人患病风险效果评价[J]. 护理研究, 2022, 36(11): 1894-1900. doi: 10.12102/j.issn.1009-6493.2022.11.003

    YUAN K J, YANG Y, ZHAO C Y, et al. Evaluation of the effect of waist circumference, waist-to-height ratio combined with body mass index in predicting the risk of disease in patients with dyslipidemia[J]. Chinese Nursing Research, 2022, 36(11): 1894-1900. doi: 10.12102/j.issn.1009-6493.2022.11.003
    [10]
    林淑芃. 《中国高尿酸血症与痛风诊疗指南(2019)》解读[J]. 临床内科杂志, 2020, 37(6): 460-462. doi: 10.3969/j.issn.1001-9057.2020.06.022

    LIN S P. Interpretation of Chinese Guidelines for the Diagnosis and Treatment of Hyperuricemia and Gout (2019)[J]. Journal of Clinical Internal Medicine, 2020, 37(6): 460-462. doi: 10.3969/j.issn.1001-9057.2020.06.022
    [11]
    姜一农. 高血压伴无症状高尿酸血症管理中国专家共识[J]. 中华高血压杂志, 2022, 30(11): 1014-1019, 1000. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ202211004.htm

    JIANG Y N. Chinese expert consensus on the management of hypertension with asymptomatic hyperuricemia[J]. Chinese Journal of Hypertension, 2022, 30(11): 1014-1019, 1000. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ202211004.htm
    [12]
    任娜, 王伟英, 侯芳素, 等. 老年高血压合并高尿酸血症影响因素分析[J]. 解放军医药杂志, 2019, 31(2): 54-56. doi: 10.3969/j.issn.2095-140X.2019.02.013

    REN N, WANG W Y, HOU F S, et al. Analysis of Influencing Factors of Elderly Patients with Hypertension Associated by Hyperuricemia[J]. Medical & Pharmaceutical Journal of Chinese People's Liberation Army, 2019, 31(2): 54-56. doi: 10.3969/j.issn.2095-140X.2019.02.013
    [13]
    谭树凤, 沈红卫, 李桃, 等. 上海市浦东新区某社区老年人群体检结果及5年随访分析[J]. 中华全科医学, 2022, 20(10): 1715-1717, 1785. doi: 10.16766/j.cnki.issn.1674-4152.002687

    TAN S F, SHEN H W, LI T, et al. Healthy examination results and 5-year follow-up analysis of the elderly in a community of Pudong New Area, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(10): 1715-1717, 1785. doi: 10.16766/j.cnki.issn.1674-4152.002687
    [14]
    莫文秋, 李双蕾, 陈文辉, 等. 无症状高尿酸血症危险因素的调查与研究[J]. 医学综述, 2020, 26(23): 4745-4748, 4753. doi: 10.3969/j.issn.1006-2084.2020.23.031

    MO W Q, LI S L, CHEN W H, et al. Investigation and Study of Risk Factors of Asymptomatic Hyperuricemia[J]. Medical Recapitulate, 2020, 26(23): 4745-4748, 4753. doi: 10.3969/j.issn.1006-2084.2020.23.031
    [15]
    刘甜, 王禹川, 刘梅林. 高尿酸血症与高血压关系的研究进展[J]. 中国医药, 2021, 16(6): 935-938. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202106033.htm

    LIU T, WANG Y C, LIU H L. Research progress on the relationship between hyperuricemia and hypertension[J]. China Medicine, 2021, 16(6): 935-938. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202106033.htm
    [16]
    扎米热·库尔班, 徐菲莉, 范朋凯, 等. 新疆地区人群高尿酸血症与糖脂代谢相关疾病的关联性研究[J]. 国际检验医学杂志, 2019, 40(7): 778-782. https://www.cnki.com.cn/Article/CJFDTOTAL-GWSQ201907004.htm

    ZAMIRE K E B, XU F L, FAN P K, et al. Relationship between hyperuricemia and related diseases of glucose and lipid metabolism in Xinjiang population[J]. International Journal of Laboratory Medicine, 2019, 40(7): 778-782. https://www.cnki.com.cn/Article/CJFDTOTAL-GWSQ201907004.htm
    [17]
    ALI N, PERVEEN R, RAHMAN S, et al. Prevalence of hyperuricemia and the relationship between serum uric acid and obesity: a study on Bangladeshi adults[J]. PLoS One, 2018, 13(11): e0206850. DOI: 10.1371/journal.pone.0206850.
    [18]
    HUANG Z P, HUANG B X, ZHANG H, et al. Waist-to-height ratio is a better pedictor of hyperuricemia than body mass index and waist circumference in Chinese[J]. Ann Nutr Metab, 2019, 75(3): 187-194.
    [19]
    丁存涛, 李静, 诸国华, 等. 老年原发性高血压患者血尿酸与代谢综合征各组分相关关系研究[J]. 中华老年心脑血管病杂志, 2018, 20(1): 20-23. https://www.cnki.com.cn/Article/CJFDTOTAL-LNXG201801007.htm

    DING C T, LI J, ZHU G H, et al. Relationship between serum level of uric acid and components of metabolic syndrome in elderly essential hypertensive patients[J]. Chinese Journal of Geriatric Heart Brain and Vessel Diseases, 2018, 20(1): 20-23. https://www.cnki.com.cn/Article/CJFDTOTAL-LNXG201801007.htm
    [20]
    吴子瑜, 郭太林, 何岩燕. 老年人群体重指数、血清尿酸水平与高尿酸血症的相关性研究[J]. 现代医药卫生, 2022, 38(23): 3997-4000, 4005. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202223007.htm

    WU Z Y, GUO T L, HE Y Y. Correlation between body mass index, serum uric acid level and hyperuricemia in the elderly[J]. Journal of Modern Medicine & Health, 2022, 38(23): 3997-4000, 4005. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202223007.htm
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