Cited by 172Gout, Hyperuricemia, Uric AcidDiet, Metabolism, and DiseaseAdipokines, Inflammation, and Metabolic Diseases

Plasma uric acid and the risk of type 2 diabetes in a Chinese community

Chien, Kuo-Liong, Chen, Ming-Fong, Hsu, Hsiu-Ching, Chang, Wei-Tien, Su, Ta-Chen, Lee, Yuan-Teh, Hu, Frank B·2008·Clinical Chemistry

Abstract

BACKGROUND: Previous cross-sectional studies have shown hyperuricemia to be prevalent among individuals with metabolic syndrome, but the evidence from prospective studies of an association between uric acid and diabetes risk is limited. We prospectively investigated the association between plasma concentrations of uric acid and the incidence of type 2 diabetes in Chinese individuals. METHODS: We conducted a community-based prospective cohort study of 2690 participants (age range, 35-97 years) in the Chin-Shan Community Cardiovascular Cohort Study, who were found to be free of diabetes and cardiovascular disease during baseline assessment at study entry in 1990. During a median 9.0-year follow-up, 548 participants developed type 2 diabetes. RESULTS: High plasma uric acid concentrations were associated with a higher prevalence of metabolic syndrome. After adjustment for age, sex, body mass index, and other covariates, the relative risks (RR) of diabetes according to uric acid quintile were 1.11, 1.29, 1.40, and 1.63 [95% confidence interval (CI), 1.20-2.23; P for trend <0.001]. After additional adjustment for metabolic syndrome, the RR for comparing the participants in the fifth and first uric acid quintiles was 1.40 (95% CI, 1.02-1.92; P for trend = 0.027). In joint analyses, participants who were in the highest uric acid quintile and also had metabolic syndrome had a 3.3-fold greater risk of diabetes (95% CI, 2.27-4.94) than those in the lowest uric acid quintile and without metabolic syndrome. CONCLUSIONS: These findings suggest a modest positive association between plasma uric acid concentration and the incidence of type 2 diabetes in Chinese individuals. The association between hyperuricemia and diabetes was partly mediated through the metabolic syndrome.

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Crossref · 10.1373/clinchem.2007.095190

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Authors
Chien, K.-L., Chen, M.-F., Hsu, H.-C., Chang, W.-T., Su, T.-C., Lee, Y.-T., & Hu, F. B.
Affiliations
  • Harvard University (US)
  • National Taiwan University Hospital (TW)
Corresponding author
  • Lee, Yuan-Teh
  • Hu, Frank B
Venue
Clinical Chemistry
Published
2008-02-01
Volume
54
Issue
2
Pages
310-316
ISSN
  • 0009-9147 (ISSN-L)
  • 1530-8561
OpenAlex
W2149640217
Cited by
172
References
40
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 9 · 2021: 5 · 2020: 11 · 2019: 6 · 2018: 13 · 2017: 13 · 2016: 13 · 2015: 6 · 2014: 11 · 2013: 14 · 2012: 13
FWCI
7.54
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Chemistry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Science Council
  • American Heart Association
Topics
  • Health Sciences › Medicine › Nephrology › Gout, Hyperuricemia, Uric Acid
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
plasma uric acid, hyperuricemia, type 2 diabetes, diabetes incidence, metabolic syndrome, Chinese population, prospective cohort
MeSH terms
Adult, Aged, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Taiwan, Uric Acid, Biomarkers, Multivariate Analysis, Asian People

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