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The impact of serum uric acid level on arterial stiffness and carotid atherosclerosis: The Korean Multi-Rural Communities Cohort study

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Author(s)
신동훈
Alternative Author(s)
Shin, Dong Hoon
Publication Year
2013
Abstract
Objective: Serum uric acid level has been found to be associated with a risk factor for cardiovascular
diseases. However, the topic has not been explored in the general population, especially in Korea. This
study was designed to determine whether serum uric acid is associated with carotid atherosclerosis and
arterial stiffness in the Korean Multi-Rural Communities Cohort study.
Methods: A total of 5568 participants from the Korean Multi-Rural Communities Cohort were evaluated
for the risk of hyperuricemia in cardiovascular atherosclerosis. Important surrogates for cardiovascular
atherosclerosis such as intimaemedia thickness (IMT) and brachial-ankle pulse wave velocity (baPWV)
were assessed. We evaluated the association between these atherosclerosis indices and serum uric acid
level or hyperuricemia through multivariate-adjusted logistic and linear regression analyses.
Results: There was a significant difference of carotid IMT and baPWV between males and females
(p < 0.0001, respectively). Both male and female subjects with hyperuricemia showed higher baPWV
than subjects without hyperuricemia (p ¼ 0.0004 for males; p ¼ 0.001 for females). Serum uric acid level
was positively correlated with baPWV in males (b ¼ 0.0006, p < 0.0001) and in females (b ¼ 0.0001,
p ¼ 0.04), whereas no association between serum uric acid and carotid IMT was found in either gender. A
linear relationship of baPWV with increasing serum uric acid level was observed in males (p ¼ 0.0005)
and in females (p ¼ 0.004).
Conclusion: Serum uric acid level could be considered an important risk factor for arterial stiffness in
Korean population, whereas carotid IMT is not associated with serum uric acid in either gender when
using data from the Korean Multi-Rural Communities Cohort study.
2013 Elsevier Ireland Ltd. All rights reserved.
Department
Dept. of Preventive Medicine (예방의학)
Publisher
School of Medicine
Citation
Atherosclerosis, Vol.231(1) : 145-151, 2013
Type
Article
ISSN
0021-9150
DOI
10.1016/j.atherosclerosis.2013.08.017
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35136
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