Hypouricemia is a risk factor for diabetes in Chinese adults

Journal Publication ResearchOnline@JCU
Wang, Yutang;Shao, Yanan;Qian, Tingting;Sun, Hui;Xu, Qun;Hou, Xujuan;Hu, Wenqi;Zhang, Guang;Song, David;Fang, Yan;Magliano, Dianna J.;Witting, Paul K.;Golledge, Jonathan;Yang, Guang
Abstract

Aims: It is unknown whether low serum uric acid (hypouricemia) is associated with diabetes diagnosis. This study aimed to investigate this association in Chinese adults. Methods: This cross-sectional study included 22,546 Chinese adults. The reference interval for serum uric acid was determined in a sub-group of healthy individuals. The association between hypouricemia and diabetes was analyzed using binary logistic regression. Results: The serum uric acid reference intervals were 3.78–8.31 mg/dL for males and 2.76–6.24 mg/dL for females. Hypouricemia was defined as serum uric acid concentration <3.78 mg/dL for males and <2.76 mg/dL for females. Hypouricemia was associated with an increased likelihood of diabetes diagnosis in both unadjusted (odds ratio [OR], 2.23; 95% confidence interval [CI], 1.78–2.79) and risk factor adjusted (OR, 2.67; 95% CI, 2.08–3.43) analyses. In a sub-group analysis, hypouricemia was significantly independently associated with an increased likelihood of diabetes diagnosis in males but not females. Conclusion: This study suggests that hypouricemia is independently associated with an increased risk of diabetes diagnosis. The findings should be validated in prospective cohort studies.

Journal

Obesity Medicine

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31

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2451-8476

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Pages Count

7

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Publisher

Elsevier

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DOI

10.1016/j.obmed.2022.100405