The association of uric acid with leukoaraiosis

J Int Med Res. 2017 Feb;45(1):75-81. doi: 10.1177/0300060516674353. Epub 2016 Dec 7.

Abstract

Objective To explore the possible correlation between uric acid levels and leukoaraiosis (LA). Methods This cross-sectional study enrolled patients who presented with some neurological discomfort (e.g. dizziness, headache, mild cognitive impairment). Potential demographic and clinical risk factors associated with LA, including sex, age, hypertension, diabetes mellitus, smoking, alcohol consumption, dyslipidaemia, plasma fibrinogen, D-dimer, uric acid, and homocysteine, were investigated using univariate and multivariate logistic regression analyses. Results A total of 268 patients were enrolled in the study and divided into the LA group ( n = 164) and the non-LA group ( n = 104). Compared with the non-LA group, uric acid was significantly higher in the LA group (mean ± SD: 356.49 ± 121.85 µmol/l versus 289.96 ± 102.98 µmol/l). Multivariate logistic regression analyses showed that uric acid was an independent risk factor for LA (odds ratio 1.285; 95% confidence interval 1.062, 1.556). Conclusion Hyperuricaemia was an independent risk factor for leukoaraiosis in Chinese patients.

Keywords: Uric acid; leukoaraiosis.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alcohol Drinking / physiopathology
  • Asian People
  • Cognitive Dysfunction / physiopathology
  • Cross-Sectional Studies
  • Diabetes Mellitus / physiopathology
  • Dizziness / physiopathology
  • Dyslipidemias / physiopathology
  • Female
  • Fibrin Fibrinogen Degradation Products / metabolism
  • Fibrinogen / metabolism
  • Headache / physiopathology
  • Homocysteine / blood
  • Humans
  • Hypertension / physiopathology
  • Hyperuricemia / blood
  • Hyperuricemia / complications
  • Hyperuricemia / diagnosis*
  • Hyperuricemia / ethnology
  • Leukoaraiosis / blood
  • Leukoaraiosis / complications
  • Leukoaraiosis / diagnosis*
  • Leukoaraiosis / ethnology
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Risk Factors
  • Smoking / physiopathology
  • Uric Acid / blood*

Substances

  • Fibrin Fibrinogen Degradation Products
  • fibrin fragment D
  • Homocysteine
  • Uric Acid
  • Fibrinogen