Triglycerides and Total Cholesterol Concentrations in Association with Hyperuricemia in Chinese Adults in Qingdao, China

Abstract

Objective

To assess the association between triglycerides (TG), total cholesterol (TC) and hyperuricemia (HUA) in the general Chinese population.

Methods

A population-based cross-sectional survey included 9680 participants aged 35–74 years in 2006 and 2009 in Qingdao, China. TG, TC and uric acid (UA) were measured. The logistic regression model was performed to estimate the association between TG, TC, and HUA with an odds ratio (OR) and 95% confidence intervals (CI). Meanwhile, age stratification analysis (<55 years group and ≥55 years group) was performed to evaluate whether age potentially affects the association between TG, TC and HUA using multivariable logistic regression.

Results

Higher TG and TC showed significantly increased HUA prevalence in both men and women (P_trend all <0.05). Multivariate logistic regression indicated that borderline high TG (OR: 1.68, 95% CI: 1.31, 2.15 and HTG (OR: 2.98, 95% CI: 2.39, 3.72) indicated increased risk for HUA in men, and borderline high TG (OR: 2.09; 95% CI: 1.68,2.62); HTG (OR: 3.62; 95% CI: 2.90,4.51), borderline high TC (OR: 2.09, 95% CI: 1.68, 2.62) and HTC (OR: 3.62, 95% CI: 2.90, 4.51) showed significant association with HUA in women after adjusted age, school years, marital status, geographic division, personal monthly income, BMI and HDL-C. Age stratification analyses demonstrated that the association between TG and HUA was stronger in males aged ≥55 years and female aged <55 years, and the association between TC and HUA was stronger in both gender aged <55 years.

Conclusion

This large cross-sectional study focusing on the association between single indictor of blood lipid as exposure and HUA as outcome on the east coast of China for the first time. From a sample of Chinese adults, this study demonstrated that elevated TG in men and women and TC in women were associated with increased HUA prevalence.

Keywords:

• triglycerides
• total cholesterol
• hyperuricemia
• Qingdao
• Chinese population

Acknowledgments

We also thank the participants, primary care doctors, and nurses who participated in this survey.

Abbreviations

BMI, body mass index; CI, confidence intervals; HUA, hyperuricemia; OR, odds ratio; TC, total cholesterol; TG, triglycerides; UA, uric acid.

Author Contributions

Dr. Zulqarnain Baloch, Hai Gu and Jianping Sun designed the research and supervised the whole process. All authors contributed to data analysis, drafting or revising the article, gave final approval of the version to be published, and agree to be accountable for all aspects of the work.

Disclosure

The authors declare that they have no conflicts of interest.

Additional information

Funding

This work was supported by grants from Qingdao Diabetes Prevention Program and World Diabetes Foundation (WDF05–108 and WDF07–308), Qingdao Science & Technology department program (19-6-1-5-nsh) and Qingdao Outstanding Health Professional Development Fund.