The elevated visceral adiposity index increases the risk of hyperuricemia in Chinese hypertensive patients: A cross-sectional study

Front Endocrinol (Lausanne). 2022 Dec 15:13:1038971. doi: 10.3389/fendo.2022.1038971. eCollection 2022.

Abstract

Background: Uncertainty still remained about the relationship between visceral adiposity index (VAI) and hyperuricemia. The aim of this study was to investigate whether VAI was an independent risk factor for hyperuricemia in hypertensive Chinese patients.

Methods: A cross-sectional study including 13176 hypertensive participants (6478 males) recruited from Wuyuan County, Jiangxi province, was conducted. All patients received anthropometric measurements, completed questionnaires and provided blood samples for biochemical testing. VAI was calculated by waist circumference, BMI, triglyceride and high-density lipoprotein cholesterol. Hyperuricemia was defined as serum uric acid ≥ 7 mg/dL in men and ≥ 6 mg/dL in women.

Results: Overall, the average level of uric acid was 7.8 ± 2.0 mg/dL in males and 6.34 ± 1.78 in females and prevalence of hyperuricemia was 61.4% and 51.30%, respectively. In multivariate logistic regression analysis, the risk of hyperuricemia increased 1.77 times and 1.88 times with the increase of ln VAI in males (OR:1.77, 95% CI: 1.62, 1.94) and females (OR:1.88, 95% CI: 1.73, 2.04). For males, compared to quartile 1, the risk of hyperuricemia in the second, third and the forth quartile of visceral adiposity index were 1.34 (95% CI: 1.14, 1.57),1.82(95% CI: 1.54, 2.14) and 2.97 (95% CI: 2.48, 3.57). For females, compared to quartile 1, the risk of hyperuricemia in the second, third and the forth quartile of visceral adiposity index were 1.48 (95% CI: 1.28, 1.72), 1.99 (95% CI: 1.71, 2.32) and 2.92 (95% CI: 2.50, 3.42).

Conclusions: This study found that VAI was an independent risk factor for hyperuricemia among hypertensive patients, which may provide some strategies for reducing the level of uric acid.

Keywords: hypertension; hyperuricemia; obesity; uric acid; visceral adiposity index.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiposity
  • Cross-Sectional Studies
  • East Asian People
  • Female
  • Humans
  • Hypertension* / epidemiology
  • Hypertension* / etiology
  • Hyperuricemia* / complications
  • Hyperuricemia* / epidemiology
  • Male
  • Obesity, Abdominal / complications
  • Obesity, Abdominal / epidemiology
  • Uric Acid

Substances

  • Uric Acid

Grants and funding

This work was supported by the Jiangxi Science and Technology Innovation Platform Project (20165BCD41005), Jiangxi Provincial Natural Science Foundation (20212ACB206019), Science and Technology Innovation Base Construction Project (20221ZDG02010), Key R&D Projects, Jiangxi (20203BBGL73173), Jiangxi Provincial Health Commission Science and Technology Project (20204241,202130440,202210495,202310528), Jiangxi Provincial Drug Administration Science and Technology Project (2022JS41), Fund project of the Second Affiliated Hospital of Nanchang University (2016YNQN12034, 2019YNLZ12010, 2021efyA01, 2021YNFY2024.