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Dose-response relationship between higher serum calcium level and higher prevalence of hyperuricemia: A
Zhichen Liu1, Xiang Ding1, Jing Wu2
1Department of Orthopaedics, Xiangya Hospital.
Insights
Higher serum calcium levels are linked to an increased prevalence of hyperuricemia (HU) in a dose-response manner. This study highlights a significant association between calcium and HU risk.
Area of Science:
- Biochemistry
- Clinical Medicine
- Epidemiology
Background:
- Hyperuricemia (HU) is a metabolic condition associated with various health issues.
- Serum calcium (Ca) levels are crucial for numerous physiological processes.
- Understanding the relationship between serum Ca and HU is important for public health.
Purpose of the Study:
- To investigate the association between serum calcium levels and the prevalence of hyperuricemia.
- To determine if a dose-response relationship exists between serum Ca and HU.
- To analyze this relationship in a large population-based cohort.
Main Methods:
- Data from 6337 subjects at Xiangya Hospital Health Management Centre were analyzed.
- Serum Ca was measured using the Arsenazo III method.
- Logistic and spline regression models evaluated the association between serum Ca and HU prevalence.
Main Results:
- The overall prevalence of HU was 17.5%.
- A positive dose-response relationship was observed: higher serum Ca quintiles showed significantly increased odds of HU.
- Adjusted odds ratios for HU increased progressively with higher serum Ca levels (P for trend <.001).
Conclusions:
- Higher serum calcium levels are significantly associated with a higher prevalence of hyperuricemia.
- A clear dose-response relationship exists between serum Ca and HU.
- These findings suggest a potential link between calcium metabolism and uric acid levels.
Abstract:
The aim of the study was to examine the relationship between serum calcium (Ca) levels and the prevalence of hyperuricemia (HU).The data included in this analysis were extracted from a population-based study conducted at the Xiangya Hospital Health Management Centre. Serum Ca levels were measured using the Arsenazo III method. HU was defined as the uric acid ≥416 μmol/L for male subjects, and ≥360 μmol/L for female subjects. The association between serum Ca levels and the prevalence of HU was evaluated using logistic and spline regression.The present study included a total of 6337 subjects. The overall prevalence of HU for the target population was 17.5%. Compared with the lowest quintile, the odds ratios adjusted by age, sex, body mass index, smoking, and drinking for HU were 1.51 [95% confidence interval (CI): 1.20-1.91], 1.43 (95% CI: 1.13-1.82), 2.02 (95% CI: 1.61-2.54), and 2.54 (95% CI: 2.02-3.18) for the second, third, fourth, and fifth quintiles of serum Ca levels, respectively (P for trend <.001), and a positive dose-response relationship was observed. Similar results were observed for men and women, respectively. The findings were not materially altered by the adjustment for further potential confounders.Subjects with higher serum Ca levels are subject to a higher prevalence of HU in a dose-response relationship manner.
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