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Uric acid levels in metabolically healthy and unhealthy obese patients

Year 2014, Volume: 41 Issue: 4, 676 - 680, 01.12.2014
https://doi.org/10.5798/diclemedj.0921.2014.04.0498

Abstract

Objective: In this study, we aimed to investigate the difference of uric acid levels between metabolically healthy and unhealthy obese individuals. Methods: Patients of internal medicine and endocrinology outpatient clinics who admitted with the complaint of overweight were separated into two groups, by diagnostic criteria for metabolic syndrome, as metabolically healthy obese and metabolically unhealthy obese individuals. Total of 193 women aged between 18 to 70 years were enrolled into study. Results: Statistically significant differences were determined regarding waist circumference (p=0.038), HOMA-IR (p0.05) were not differ between these groups. When patients were separated into two groups according to uric acid median, the rate of metabolic syndrome found to be increased in high uric acid group (p=0.021). A correlation analysis showed that uric acid was significantly associated with number of metabolic syndrome parameters (r=0.270, p

References

  • Karelis AD. Metabolically healthy but obese individuals. Lancet 2008;372:1281-1283.
  • Yoo HK, Choi EY, Park EW, et al. Comparison of metabolic characteristics of metabolically healthy but obese (mho) middle-aged men according to different criteria. Korean J Fam Med 2013;34:19-26.
  • Ciarla S, Struglia M, Giorgini P, et al. Serum uric acid levels and metabolic syndrome. Arch Physiol Biochem 2014;120:119-122.
  • Li Y, Chen S, Shao X, et al. Association of uric acid with metabolic syndrome in men, premenopausal women and postmenopausal women. Int J Environ Res Public Health 2014;11:2899-2910.
  • Ndrepepa G, Braun S, King L, et al. Uric acid and prognosis in angiography-proven coronary artery disease. Eur J Clin Invest 2013;43:256-266.
  • Deveci O, Kabakci G, Okutucu S, et al. The association be- tween serum uric acid level and coronary artery disease. Int J Clin Pract 2010;64:900-907.
  • Matthews DR, Hosker JP, Rudenski AS, et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985;28:412-419.
  • Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Insti- tute Scientific Statement. Circulation 2005;112:2735-2752.
  • Bhurosy T, Jeewon R. Overweight and obesity epidemic in developing countries: A problem with diet, physical ac- tivity, or socioeconomic status? Sci World J 2014;2014: 964236.
  • Primeau V, Coderre L, Karelis AD, et al. Characterizing the profile of obese patients who are metabolically healthy. Int J Obes (Lond) 2011; 35: 971-981.
  • Taksali SE, Caprio S, Dziura J, et al. High visceral and low abdominal subcutaneous fat stores in the obese adolescent: a determinant of an adverse metabolic phenotype. Diabetes 2008;57:367-371.
  • Pajunen P, Kotronen A, Korpi-Hyovalti E, et al. Metaboli- cally healthy and unhealthy obesity phenotypes in the gen- eral population: the FIN-D2D Survey. BMC Public Health 2011;11:754.
  • Shiina Y, Homma Y. Relationships between the visceral fat area on CT and coronary risk factor markers. Intern Med 2013; 52: 1775-1780.
  • Roriz AK, Mello AL, Guimaraes JF, et al. Imaging assess- ment of visceral adipose tissue area and its correlations with metabolic alterations. Arq Bras Cardiol 2010;95:698-704.
  • Bedir A, Topbas M, Tanyeri F, et al. Leptin might be a regulator of serum uric acid concentrations in humans. Jpn Heart J 2003;44:527-536.
  • Choi HK, Mount DB, Reginato AM, American College of P and American Physiological S. Pathogenesis of gout. Ann Intern Med 2005;143:499-516.
  • Dessein PH, Shipton EA, Stanwix AE, Joffe BI, Ramokgadi J. Beneficial effects of weight loss associated with moder- ate calorie/carbohydrate restriction, and increased propor- tional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study. Ann Rheum Dis 2000;59:539-543.
  • Facchini F, Chen YD, Hollenbeck CB and Reaven GM. Re- lationship between resistance to insulin-mediated glucose uptake, urinary uric acid clearance, and plasma uric acid concentration. JAMA 1991;266:3008-3011.
  • Heinig M, Johnson RJ. Role of uric acid in hypertension, renal disease, and metabolic syndrome. Cleve Clin J Med 2006; 73: 1059-1064.
  • Muscelli E, Natali A, Bianchi S, et al. Effect of insulin on renal sodium and uric acid handling in essential hyperten- sion. Am J Hypertens 1996;9:746-752.
  • Ter Maaten JC, Voorburg A, Heine RJ, et al. Renal handling of urate and sodium during acute physiological hyperinsu- linaemia in healthy subjects. Clin Sci (Lond) 1997;92:51- 58.
  • Nakamura K, Sakurai M, Miura K, et al. HOMA-IR and the risk of hyperuricemia: A prospective study in non-diabetic Japanese men. Diabetes Res Clin Pract 2014;106:154-160.
  • Tinahones FJ, Soriguer FJ, Collantes E, Perez-Lindon G, Sanchez Guijo P and Lillo JA. Decreased triglyceride lev- els with low calorie diet and increased renal excretion of uric acid in hyperuricaemic-hyperlipidaemic patients. Ann Rheum Dis 1995;54:609-610.
  • Li LJ, Chen H, Ren JY, Wang L and Luo Y. [Effects of mi- cronized fenofibrate on lipid and uric acid metabolism in patients with hyperlipidemia]. Beijing Da Xue Xue Bao 2009;41:541-544.
  • Conen D, Wietlisbach V, Bovet P, et al. Prevalence of hyper- uricemia and relation of serum uric acid with cardiovascu- lar risk factors in a developing country. BMC Public Health 2004; 4: 9.
  • Adiels M, Olofsson SO, Taskinen MR, Boren J. Overpro- duction of very low-density lipoproteins is the hallmark of the dyslipidemia in the metabolic syndrome. Arterioscler Thromb Vasc Biol 2008;28:1225-1236.
  • Zhu Y, Hu Y, Huang T, et al. High uric acid directly inhibits insulin signalling and induces insulin resistance. Biochem Biophys Res Commun 2014;447:707-714.
  • Mangge H, Zelzer S, Puerstner P, et al. Uric acid best predicts metabolically unhealthy obesity with increased cardiovascular risk in youth and adults. Obesity (Silver Spring) 2013;21:E71-77.
  • de Ferranti SD, Rifai N. C-reactive protein: a nontraditional serum marker of cardiovascular risk. Cardiovasc Pathol 2007; 16: 14-21.
  • Kannel WB. Overview of hemostatic factors involved in atherosclerotic cardiovascular disease. Lipids 2005; 40: 1215-1220.
  • Ridker PM. C-reactive protein and the prediction of cardio- vascular events among those at intermediate risk: moving an inflammatory hypothesis toward consensus. J Am Coll Cardiol 2007;49:2129-2138.
  • Rifai N, Ridker PM. High-sensitivity C-reactive protein: a novel and promising marker of coronary heart disease. Clin Chem 2001;47:403-411.

Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri

Year 2014, Volume: 41 Issue: 4, 676 - 680, 01.12.2014
https://doi.org/10.5798/diclemedj.0921.2014.04.0498

Abstract

Amaç: Çalışmamızda, metabolik olarak sağlıklı ve sağlıksız obez bireyler arasında serum ürik asit seviyelerindeki farkların araştırılması amaçlanmıştır. Yöntemler: Çalışmamızda; hastanemiz iç hastalıkları ve endokrinoloji polikliniklerine kilo fazlalığı şikayeti ile başvuran hastalarda, metabolik sendrom tanı kriterleri araştırılarak, metabolik olarak sağlıklı obezler ve sağlıksız obezler olarak iki grup oluşturuldu. Çalışmaya yaşları 18 ile 70 arasında değişen, toplam 193 kadın katılımcı alındı. Bulgular: Metabolik olarak sağlıklı obezler ve metabolik olarak sağlıksız obezler arasında bel çevresi (p=0,038), HOMA-IR (p0,05). Hastalar ürik asit median değerine göre iki gruba ayrıldığında, ürik asit yüksek grupta, metabolik sendrom rastlanma oranının arttığı tespit edildi (p=0,021). Metabolik sendrom ile ilişkisinin yanında, ürik asidin, korelasyon analizinde, metabolik sendrom kriterlerinin sayısı ile de anlamlı ilişki tespit edildi (r=0,270, p

References

  • Karelis AD. Metabolically healthy but obese individuals. Lancet 2008;372:1281-1283.
  • Yoo HK, Choi EY, Park EW, et al. Comparison of metabolic characteristics of metabolically healthy but obese (mho) middle-aged men according to different criteria. Korean J Fam Med 2013;34:19-26.
  • Ciarla S, Struglia M, Giorgini P, et al. Serum uric acid levels and metabolic syndrome. Arch Physiol Biochem 2014;120:119-122.
  • Li Y, Chen S, Shao X, et al. Association of uric acid with metabolic syndrome in men, premenopausal women and postmenopausal women. Int J Environ Res Public Health 2014;11:2899-2910.
  • Ndrepepa G, Braun S, King L, et al. Uric acid and prognosis in angiography-proven coronary artery disease. Eur J Clin Invest 2013;43:256-266.
  • Deveci O, Kabakci G, Okutucu S, et al. The association be- tween serum uric acid level and coronary artery disease. Int J Clin Pract 2010;64:900-907.
  • Matthews DR, Hosker JP, Rudenski AS, et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985;28:412-419.
  • Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Insti- tute Scientific Statement. Circulation 2005;112:2735-2752.
  • Bhurosy T, Jeewon R. Overweight and obesity epidemic in developing countries: A problem with diet, physical ac- tivity, or socioeconomic status? Sci World J 2014;2014: 964236.
  • Primeau V, Coderre L, Karelis AD, et al. Characterizing the profile of obese patients who are metabolically healthy. Int J Obes (Lond) 2011; 35: 971-981.
  • Taksali SE, Caprio S, Dziura J, et al. High visceral and low abdominal subcutaneous fat stores in the obese adolescent: a determinant of an adverse metabolic phenotype. Diabetes 2008;57:367-371.
  • Pajunen P, Kotronen A, Korpi-Hyovalti E, et al. Metaboli- cally healthy and unhealthy obesity phenotypes in the gen- eral population: the FIN-D2D Survey. BMC Public Health 2011;11:754.
  • Shiina Y, Homma Y. Relationships between the visceral fat area on CT and coronary risk factor markers. Intern Med 2013; 52: 1775-1780.
  • Roriz AK, Mello AL, Guimaraes JF, et al. Imaging assess- ment of visceral adipose tissue area and its correlations with metabolic alterations. Arq Bras Cardiol 2010;95:698-704.
  • Bedir A, Topbas M, Tanyeri F, et al. Leptin might be a regulator of serum uric acid concentrations in humans. Jpn Heart J 2003;44:527-536.
  • Choi HK, Mount DB, Reginato AM, American College of P and American Physiological S. Pathogenesis of gout. Ann Intern Med 2005;143:499-516.
  • Dessein PH, Shipton EA, Stanwix AE, Joffe BI, Ramokgadi J. Beneficial effects of weight loss associated with moder- ate calorie/carbohydrate restriction, and increased propor- tional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study. Ann Rheum Dis 2000;59:539-543.
  • Facchini F, Chen YD, Hollenbeck CB and Reaven GM. Re- lationship between resistance to insulin-mediated glucose uptake, urinary uric acid clearance, and plasma uric acid concentration. JAMA 1991;266:3008-3011.
  • Heinig M, Johnson RJ. Role of uric acid in hypertension, renal disease, and metabolic syndrome. Cleve Clin J Med 2006; 73: 1059-1064.
  • Muscelli E, Natali A, Bianchi S, et al. Effect of insulin on renal sodium and uric acid handling in essential hyperten- sion. Am J Hypertens 1996;9:746-752.
  • Ter Maaten JC, Voorburg A, Heine RJ, et al. Renal handling of urate and sodium during acute physiological hyperinsu- linaemia in healthy subjects. Clin Sci (Lond) 1997;92:51- 58.
  • Nakamura K, Sakurai M, Miura K, et al. HOMA-IR and the risk of hyperuricemia: A prospective study in non-diabetic Japanese men. Diabetes Res Clin Pract 2014;106:154-160.
  • Tinahones FJ, Soriguer FJ, Collantes E, Perez-Lindon G, Sanchez Guijo P and Lillo JA. Decreased triglyceride lev- els with low calorie diet and increased renal excretion of uric acid in hyperuricaemic-hyperlipidaemic patients. Ann Rheum Dis 1995;54:609-610.
  • Li LJ, Chen H, Ren JY, Wang L and Luo Y. [Effects of mi- cronized fenofibrate on lipid and uric acid metabolism in patients with hyperlipidemia]. Beijing Da Xue Xue Bao 2009;41:541-544.
  • Conen D, Wietlisbach V, Bovet P, et al. Prevalence of hyper- uricemia and relation of serum uric acid with cardiovascu- lar risk factors in a developing country. BMC Public Health 2004; 4: 9.
  • Adiels M, Olofsson SO, Taskinen MR, Boren J. Overpro- duction of very low-density lipoproteins is the hallmark of the dyslipidemia in the metabolic syndrome. Arterioscler Thromb Vasc Biol 2008;28:1225-1236.
  • Zhu Y, Hu Y, Huang T, et al. High uric acid directly inhibits insulin signalling and induces insulin resistance. Biochem Biophys Res Commun 2014;447:707-714.
  • Mangge H, Zelzer S, Puerstner P, et al. Uric acid best predicts metabolically unhealthy obesity with increased cardiovascular risk in youth and adults. Obesity (Silver Spring) 2013;21:E71-77.
  • de Ferranti SD, Rifai N. C-reactive protein: a nontraditional serum marker of cardiovascular risk. Cardiovasc Pathol 2007; 16: 14-21.
  • Kannel WB. Overview of hemostatic factors involved in atherosclerotic cardiovascular disease. Lipids 2005; 40: 1215-1220.
  • Ridker PM. C-reactive protein and the prediction of cardio- vascular events among those at intermediate risk: moving an inflammatory hypothesis toward consensus. J Am Coll Cardiol 2007;49:2129-2138.
  • Rifai N, Ridker PM. High-sensitivity C-reactive protein: a novel and promising marker of coronary heart disease. Clin Chem 2001;47:403-411.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Emin Murat Akbaş This is me

Adalet Özçiçek This is me

Fatih Özçiçek This is me

Levent Demirtaş This is me

Aysu Timuroğlu This is me

Adem Güngör This is me

Nergis Akbaş This is me

Publication Date December 1, 2014
Submission Date March 1, 2015
Published in Issue Year 2014 Volume: 41 Issue: 4

Cite

APA Akbaş, E. M., Özçiçek, A., Özçiçek, F., Demirtaş, L., et al. (2014). Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri. Dicle Tıp Dergisi, 41(4), 676-680. https://doi.org/10.5798/diclemedj.0921.2014.04.0498
AMA Akbaş EM, Özçiçek A, Özçiçek F, Demirtaş L, Timuroğlu A, Güngör A, Akbaş N. Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri. diclemedj. December 2014;41(4):676-680. doi:10.5798/diclemedj.0921.2014.04.0498
Chicago Akbaş, Emin Murat, Adalet Özçiçek, Fatih Özçiçek, Levent Demirtaş, Aysu Timuroğlu, Adem Güngör, and Nergis Akbaş. “Metabolik Olarak sağlıklı Ve sağlıksız Obez Hastalarda ürik Asit Seviyeleri”. Dicle Tıp Dergisi 41, no. 4 (December 2014): 676-80. https://doi.org/10.5798/diclemedj.0921.2014.04.0498.
EndNote Akbaş EM, Özçiçek A, Özçiçek F, Demirtaş L, Timuroğlu A, Güngör A, Akbaş N (December 1, 2014) Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri. Dicle Tıp Dergisi 41 4 676–680.
IEEE E. M. Akbaş, “Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri”, diclemedj, vol. 41, no. 4, pp. 676–680, 2014, doi: 10.5798/diclemedj.0921.2014.04.0498.
ISNAD Akbaş, Emin Murat et al. “Metabolik Olarak sağlıklı Ve sağlıksız Obez Hastalarda ürik Asit Seviyeleri”. Dicle Tıp Dergisi 41/4 (December 2014), 676-680. https://doi.org/10.5798/diclemedj.0921.2014.04.0498.
JAMA Akbaş EM, Özçiçek A, Özçiçek F, Demirtaş L, Timuroğlu A, Güngör A, Akbaş N. Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri. diclemedj. 2014;41:676–680.
MLA Akbaş, Emin Murat et al. “Metabolik Olarak sağlıklı Ve sağlıksız Obez Hastalarda ürik Asit Seviyeleri”. Dicle Tıp Dergisi, vol. 41, no. 4, 2014, pp. 676-80, doi:10.5798/diclemedj.0921.2014.04.0498.
Vancouver Akbaş EM, Özçiçek A, Özçiçek F, Demirtaş L, Timuroğlu A, Güngör A, Akbaş N. Metabolik olarak sağlıklı ve sağlıksız obez hastalarda ürik asit seviyeleri. diclemedj. 2014;41(4):676-80.