Startseite Elevated serum uric acid, hyperuricaemia and dietary patterns among adolescents in mainland China
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Elevated serum uric acid, hyperuricaemia and dietary patterns among adolescents in mainland China

  • Hang Zhou , Zheng Feei Ma ORCID logo , Yiming Lu , Yanyan Du , Jian Shao , Liya Wang , Qin Wu , Binyu Pan , Wenxi Zhu , Qihua Zhao EMAIL logo und Hua Wei ORCID logo EMAIL logo
Veröffentlicht/Copyright: 18. Februar 2020

Abstract

Background

Elevated serum uric acid concentrations have been associated with metabolic syndrome. However, only limited information is available on the prevalence of hyperuricaemia in adolescents. Therefore, the aim of our cross-sectional study was to study the prevalence of hyperuricaemia and dietary patterns in adolescents aged 13–16 years living in Yangzhou, China.

Methods

Adolescents were asked to complete a 20-item food frequency questionnaire (FFQ) and provide an overnight fasting finger-prick sample. Principal component analysis (PCA) with varimax rotation was used to derive the dietary patterns that might be associated with high uric acid concentrations.

Results

A total of 1070 adolescents were recruited. Of these, 53.6% (n = 574) were females, and 58.5% (n = 625) were within the normal body mass index (BMI) range. The males had a significantly higher serving size and frequency in their weekly food consumption, including meat, poultry, Chinese cereal staple foods and Western-style fast foods, than the females (all p < 0.02). The overall mean serum uric acid concentration and prevalence of hyperuricaemia were 368.6 ± 114.5 μmol/L and 37.9%, respectively. The prevalence of hyperuricaemia was 4.633 times greater among the participants who were overweight and obese than among those who were underweight. On the other hand, the prevalence of hyperuricaemia was 0.694 times lower among the participants who had normal weight than those who were underweight.

Conclusions

The prevalence of hyperuricaemia was relatively high in Chinese adolescents. The prevention of hyperuricaemia measures should be strengthened in adolescents to effectively control for obesity and gout, which tend to persist into adulthood.


Corresponding authors: Prof. Dr. Qihua Zhao and Prof. Dr. Hua Wei, Clinical Medical College, Yangzhou University, Yangzhou 225009, Jiangsu Province, China; and Department of Clinical Nutrition, Northern Jiangsu People’s Hospital, Yangzhou 225001, Jiangsu Province, China
aHang Zhou and Zheng Feei Ma contributed equally to this work.
  1. Author contributions: All authors were involved in the study design, recruitment, data analysis and interpretation. HZ and ZFM wrote the first draft of the manuscript. All authors have approved the final article.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organisation(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2019-06-12
Accepted: 2020-01-13
Published Online: 2020-02-18
Published in Print: 2020-04-28

©2020 Walter de Gruyter GmbH, Berlin/Boston

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