血清尿酸水平与骨质疏松症风险之间的关联:来自横截面研究和孟德尔随机化分析的证据
Qi-Pei Liu1, Lei-Xiao Zhang1, Jie-Hua Luo1
1Guangzhou University of Chinese Medicine, Guangzhou, 510405, China.
Clinical rheumatology
|February 14, 2026
概括
血清尿酸 (SUA) 水平较高与骨质疏松症 (OP) 的风险较低有关. 这种反向关系表明,SUA可能在骨健康中起着保护作用,这对预防策略有潜在的影响.
科学领域:
- 骨代谢和内分泌学 骨代谢和内分泌学
- 流行病学和公共卫生.
背景情况:
- 血清尿酸 (SUA) 在骨代谢中的作用尚不清楚.
- 骨质疏松症 (OP) 是一个重要的公共卫生问题,具有复杂的风险因素.
研究的目的:
- 调查血清尿酸 (SUA) 水平与骨质疏松症 (OP) 风险之间的关联.
- 使用孟德尔随机化 (MR) 探索SUA和OP之间的潜在因果关系.
主要方法:
- 从国家健康和营养检查调查 (2015-2020) 中对6020名参与者的横截面分析.
- 使用了后勤回归,受限立方线 (RCS) 建模和子组分析.
- 使用逆方差加权 (IVW) 方法进行门德尔随机化 (MR) 分析.
主要成果:
- 较高的SUA水平 (Q3和Q4) 与骨质疏松症的几率显著降低相关 (分别为OR=0.622和OR=0.513).
- RCS分析表明L形反向关联,转折点约为5.3mg/dL.
- MR分析证实了SUA对OP的显著因果保护作用 (OR=0.870).
结论:
- 血清尿酸水平升高与骨质疏松症风险降低独立相关.
- 性别,种族,糖尿病和胆固醇水平等因素可能会改变这种关联.
- 门德尔的随机化分析提供了证据,证明SUA在骨质疏松症中的因果保护作用.
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