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The relationship of hyperuricemia and blood pressure in the Thai army population
S Ouppatham1, S Bancha, P Choovichian
1Division of Nephrology, Department of Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
Insights
This study found a positive correlation between serum uric acid levels and blood pressure in a large population. Higher uric acid may be linked to elevated systolic and diastolic blood pressure, suggesting a potential role in hypertension.
Area of Science:
- Cardiovascular Medicine
- Nephrology
- Metabolic Disorders
Background:
- Hypertension and renal disease are linked to gout.
- The role of serum uric acid as an independent factor in hypertension is debated.
Purpose of the Study:
- To investigate the association between systolic blood pressure (SBP) and diastolic blood pressure (DBP) and serum uric acid levels.
- To explore the relationship between serum uric acid and blood pressure in a general population.
Main Methods:
- Observational study design.
- Inclusion of 5,564 subjects from the Armed Forces Research Institute of Medical Sciences.
- Statistical analyses including ANOVA, Chi-square, correlation coefficients, and multiple regression.
Main Results:
- A significant positive correlation was observed between serum uric acid and SBP (r=0.186, P < 0.001).
- A significant positive correlation was also found between serum uric acid and DBP (r=0.157, P < 0.001).
- Higher serum uric acid levels were associated with increased SBP and DBP.
Conclusions:
- Serum uric acid levels correlate with blood pressure in the general population.
- Further research is needed to determine hyperuricemia treatment in hypertensive patients.
Background:
Previous studies have demonstrated a strong association of hypertension and renal disease with gout. Nevertheless, controversy remains concerning serum uric acid concentration as an independent factor of hypertension.
Aim:
To explore the relationship between systolic blood pressure (SBP) and diastolic blood pressure (DBP) with serum uric acid levels.
Settings And Design:
An observational study.
Materials And Methods:
A total of 5,564 subjects from the Armed Forces Research Institute of Medical Sciences were included in the study.
Statistical Analysis:
ANOVA tests, Chi-square test, correlation coefficients, and multiple regression analysis were performed.
Results:
Of the total subjects, 4,099 (73.7%) were male. Mean SBP and DBP were 128.73+/-17.06 and 81.62 +/- 11.58 mm Hg, respectively. The mean serum uric acid level was 6.54 +/- 1.71 mg/dL. A significant and positive correlation was found both between serum uric acid and SBP (r=0.186, P P CONCLUSIONS: In this study, we suggest that serum uric acid be used to correlate with levels of blood pressure in the general population. Further investigation is required to establish the treatment for hyperuricemia in hypertensive patients.
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Factors affecting Blood pressure
Physiological Factors:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Blood Pressure
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...