We
investigated
the
longitudinal
association
between
Serum
Urate
(SU)
level
and
Acute
Myocardial
Infarction
(AMI),
Stroke,
End
Stage
Renal
Failure
(ESRF)
all-cause
mortality.
conducted
a
retrospective
hospital-based
cohort
study
of
individuals
with
gout
managed
in
specialist
outpatient
clinics.
Cox
proportional
hazards
regression
was
used
to
estimate
HR
95%
CI,
adjustments
for
potential
confounders.
Where
hazard
assumption
violated,
stratified
applied
instead.
An
acute
care
tertiary
hospital
Singapore.
Individuals
first
diagnosis
2007–2017,
identified
through
(i)
primary
discharge
diagnosis,
(ii)
from
Rheumatology
SOC
(iii)
patient
history
clinical
encounter
at
plus
use
urate-lowering
therapy/colchicine.
All-cause
mortality,
AMI,
Stroke
ESRF
ascertained
data
linkage
National
Registry
Diseases
Office.
The
final
comprised
2,866
individuals.
Post
follow-up,
there
were
800
deaths
362,
218
191
occurrences
stroke
respectively.
Compared
reference
(second-lowest)
SU
quartile,
being
highest
quartile
associated
significantly
increased
mortality
(HR:1.66,
CI:1.36–2.03),
incident
(HR:3.02,
CI:2.00-4.56),
AMI
(HR:1.42,
CI:1.06–1.91).
p-trend
all
3
outcomes
significant.
No
significant
found
stroke.
This
that
who
had
higher
baseline
levels
an
ESRF,
AMI.
Not
applicable.
Frontiers in Public Health,
Год журнала:
2025,
Номер
13
Опубликована: Фев. 6, 2025
Gout
is
a
significant
global
health
issue,
particularly
among
adults
aged
70
and
above.
Understanding
its
epidemiological
evolution
associated
factors
crucial
for
guiding
interventions
improving
management.
This
study
analyzed
data
from
the
Global
Burden
of
Disease
to
assess
prevalence
trends
gout
above
1990
2019.
We
evaluated
temporal
regional
disparities
by
calculating
estimated
annual
percentage
change
(EAPCs).
Globally,
number
older
individuals
affected
increased
5,316,210
cases
in
15,666,063
It
noteworthy
that
burden
continued
rise
2019,
with
an
EAPC
1.17
(95%
CI:
1.02
1.32).
In
rates
70-74,
75-79,
80-84,
85
were
3,121.31
per
100,000,
3,437.17
3,592.38
3,726.91
respectively.
The
regions
highest
2019
Australasia,
High-income
North
America,
Southern
Latin
8,500.73,
8,351.33,
4,666.87
At
national
level,
some
developed
countries
such
as
New
Zealand,
United
States
Australia
had
rates,
reaching
8,893.74,
8,508.06,
8,427.94
higher
levels
Socio-Demographic
Index
tended
have
relatively
adults,
varied
across
different
age
groups.
underscores
persistent
emphasizing
need
targeted
address
this
issue
improve
public
outcomes
demographic.
Journal of Inflammation Research,
Год журнала:
2025,
Номер
Volume 18, С. 3217 - 3226
Опубликована: Март 1, 2025
Uric
acid
(UA)
to
high-density
lipoprotein
cholesterol
(HDL-C)
ratio
(UHR)
has
been
recognized
as
a
novel
biomarker
for
evaluating
inflammatory
and
anti-inflammatory
interaction.
However,
it
is
not
known
whether
UHR
related
abdominal
aortic
aneurysm
(AAA).
The
current
research
aims
explore
the
potential
role
of
in
predicting
AAA.
In
this
study,
303
AAA
patients
408
normal
subjects
were
retrospectively
analyzed.
relationship
between
was
evaluated
using
Logistic
regression
models.
Receiver
operating
characteristic
(ROC)
curves
restricted
cubic
spline
(RCS)
analysis
employed
elucidate
detailed
association
value
group
significantly
higher
than
that
group,
UHA
an
independent
risk
factor
After
adjusting
covariates,
each
1-unit
increase
associated
with
12%
rise
(OR:
1.12,
95%
CI:
1.03,
1.21).
ROC
0.847
(95%
CI,
0.811~0.887,
P
<
0.05),
optimal
critical
17.2%.
incidence
UHR≥17.2%
17.2%
group.
RCS
revealed
significant
nonlinear
events
(p-value
0.001,
p-nonlinear
=
0.002).
This
study
demonstrates
levels
are
linked
increased
risk,
which
can
be
widely
used
indicator
dynamic
screening
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(23), С. 12690 - 12690
Опубликована: Ноя. 26, 2024
Insulin
resistance
is
a
major
indicator
of
cardiovascular
diseases,
including
hypertension.
The
Metabolic
Score
for
Resistance
(METS-IR)
offers
simplified
and
cost-effective
way
to
evaluate
insulin
resistance.
This
study
aimed
identify
genetic
variants
associated
with
the
prevalence
hypertension
stratified
by
METS-IR
score
levels.
Data
from
Korean
Genome
Epidemiology
Study
(KoGES)
were
analyzed.
was
calculated
using
following
formula:
ln
[(2
×
fasting
blood
glucose
(FBG)
+
triglycerides
(TG))
body
mass
index
(BMI)]/
[high-density
lipoprotein
cholesterol
(HDL-C)].
participants
divided
into
tertiles
1
(T1)
3
(T3)
based
on
their
scores.
Genome-wide
association
studies
(GWAS)
performed
hypertensive
cases
non-hypertensive
controls
within
these
tertile
groups
logistic
regression
adjusted
age,
sex,
lifestyle
factors.
Among
groups,
3517
19,774
(17.8%)
at
T1
had
hypertension,
whereas
8653
20,374
(42.5%)
T3
A
total
113
single-nucleotide
polymorphisms
(SNPs)
reached
GWAS
significance
threshold
(
Journal of Personalized Medicine,
Год журнала:
2024,
Номер
14(6), С. 649 - 649
Опубликована: Июнь 18, 2024
Cohort
studies
have
identified
several
genetic
determinants
that
could
predict
the
clinical
response
to
allopurinol.
However,
they
not
been
commonly
used
for
genome-wide
investigations
identify
on
allopurinol
metabolism
and
concentrations.
We
conducted
a
association
study
of
prior
cross-sectional
investigation
patients
from
Montreal
Heart
Institute
Biobank
undergoing
therapy.
Four
endpoints
were
investigated,
namely
plasma
concentrations
oxypurinol,
active
metabolite
allopurinol,
allopurinol-riboside,
as
well
daily
dosing.
A
total
439
participants
(mean
age
69.4
years;
86.4%
male)
taking
dose
194.5
mg)
who
had
quantifiable
oxypurinol
included
in
analyses.
Participants
presented
with
multiple
comorbidities
received
concomitant
cardiovascular
medications.
No
achieved
predefined
threshold
values
any
(all
p
>
5
×
10−8).
Our
results
are
consistent
findings
regarding
difficulty
identifying
drug
or
pharmacokinetics
its
metabolites,
Given
size
this
study,
collaborative
involving
larger
diverse
cohorts
may
be
required
further
pharmacogenomic
measure
their
relevance
personalize
Exploration of Medicine,
Год журнала:
2024,
Номер
unknown, С. 732 - 749
Опубликована: Окт. 31, 2024
Hyperuricemia
(HUA),
defined
by
elevated
serum
uric
acid
levels,
is
well-established
in
its
association
with
systemic
conditions
like
gout
and
cardiovascular
diseases.
Recently,
however,
emerging
research
has
revealed
a
potential
connection
between
HUA
ocular
disorders,
particularly
epiretinal
pathologies.
This
review
investigates
the
pathophysiological
mechanisms
linking
to
conditions,
including
membrane
formation,
macular
edema,
retinal
vascular
By
thoroughly
analyzing
current
literature,
this
seeks
deepen
understanding
of
relationship
aim
informing
new
therapeutic
strategies
enhancing
patient
outcomes.