Serum Uric Acid Concentrations Can Predict Hypertension: A Longitudinal Population-Based Epidemiological Study
Rongjiong Zheng1,2, Tianmeng Yang1,2, Qingmei Chen1,2
1Department of Endocrinology, The Affiliated Hospital of Ningbo University School of Medicine, Ningbo, China.
Insights
High serum uric acid levels significantly increase the risk of developing hypertension (high blood pressure) in the Chinese population. This longitudinal study confirms a direct link between elevated uric acid and hypertension incidence.
Area of Science:
- Cardiovascular Health
- Metabolic Syndrome
- Epidemiology
Background:
- Hypertension is a leading global cause of mortality.
- The relationship between elevated serum uric acid and hypertension in Chinese individuals requires clarification.
- Understanding this link is crucial for public health strategies.
Purpose of the Study:
- To investigate the longitudinal association between serum uric acid concentrations and the development of hypertension.
- To determine if elevated uric acid is a predictor of incident hypertension in a Chinese cohort.
Main Methods:
- A 9-year longitudinal study involving 5105 Chinese individuals initially without hypertension.
- Subjects were stratified into four groups based on serum uric acid quartiles.
- Cox proportional hazard models were employed to analyze risk factors for hypertension.
Main Results:
- Over 9 years, 2259 participants (44.3%) developed hypertension.
- Hypertension incidence increased progressively with higher serum uric acid quartiles (p for trend<0.001).
- Serum uric acid concentrations were independently and positively associated with incident hypertension risk.
Conclusions:
- Elevated serum uric acid is an independent risk factor for developing hypertension in the Chinese population.
- High uric acid levels predict an increased likelihood of incident hypertension.
- Findings highlight the potential role of uric acid management in hypertension prevention.
Abstract:
An elevated serum uric acid concentration may be associated with hypertension, which is the leading cause of death worldwide. However, whether the elevation is causal or a consequence of hypertension among the Chinese population remains unclear. This study was designed to investigate the longitudinal relationship between the serum uric acid concentrations and hypertension among Chinese individuals. This study included 5105 subjects, initially without hypertension, who were followed up for 9 years. The subjects were divided into four groups based on the serum uric acid quartile. Cox proportional hazard models were used to analyse the risk factors for hypertension development. Over the 9 years, 2259 of the subjects developed hypertension. The overall 9-year cumulative incidence of hypertension was 44.3%, ranging from 36.3% in quartile 1 to 42.4%, 44.1%, and 54.5% in quartiles 2, 3, and 4, respectively (p for trend<0.001). The Cox regression analyses indicated that the serum uric acid concentrations were independently and positively associated with the risk of incident hypertension. This longitudinal study demonstrated that high serum uric acid concentrations increase the risk of hypertension among the Chinese population.
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