Elevated serum uric acid (SUA) is associated with the incidence of hypertension, but whether relevant metabolic factors have mediating effects is not certain. Our study was based on a functional community cohort established in Beijing. In 2015, a total of 7482 individuals without hypertension were recruited and followed up until 2019. Multivariate logistic regression analysis was used to investigate the association between SUA and hypertension. Cross-lagged panel analysis and mediation analysis were used to explore the effects of metabolic factors on the association between SUA and incident hypertension. During the average 4-year follow-up, the cumulative incidence of hypertension was 10.9% (n = 580). SUA was an independent risk factor for hypertension, and the RRs (95% CI) for subjects with baseline SUA levels in quartile 2, quartile 3 and quartile 4 were 1.20 (0.88-1.63), 1.50 (1.10-2.05), and 1.57 (1.11-2.22) compared to those in quartile 1, respectively. The cross-lagged panel analysis showed that the increases in Cr, TG, LDL, ALT, AST and WBC occurred after SUA increased (P < 0.001). Among these factors, TG, WBC and ALT played an intermediary role in both men (TG: 14.76%; WBC: 11.61%; ALT: 15.93%) and women (TG: 14.55%; WBC: 8.55%; ALT: 6.89%). The elevated SUA concentration was an independent risk factor for hypertension in the Chinese population, and TG, WBC and ALT had important mediating effects on the association between SUA and hypertension.
基金:
National Natural Science Foundation of China [81773511, 81573214]
第一作者机构:[1]Capital Med Univ, Xuanwu Hosp, Hlth Management Ctr, Beijing, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[2]Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing, Peoples R China[3]Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Dong Jing,Hu Li-Kun,Lu Ya-Ke,et al.Association of serum uric acid with the risk of developing hypertension: A prospective cohort study with mediation analysis[J].HYPERTENSION RESEARCH.2023,46(2):345-356.doi:10.1038/s41440-022-01081-1.
APA:
Dong, Jing,Hu, Li-Kun,Lu, Ya-Ke,Liu, Yu-Hong,Chu, Xi&Yan, Yu-Xiang.(2023).Association of serum uric acid with the risk of developing hypertension: A prospective cohort study with mediation analysis.HYPERTENSION RESEARCH,46,(2)
MLA:
Dong, Jing,et al."Association of serum uric acid with the risk of developing hypertension: A prospective cohort study with mediation analysis".HYPERTENSION RESEARCH 46..2(2023):345-356