高尿酸血症
医学
痛风
尿酸
内科学
老年学
内分泌学
物理疗法
人口学
生理学
社会学
作者
Bettina Engel,Falk Hoffmann,M. Freitag,Hannes Jacobs
出处
期刊:Maturitas
[Elsevier]
日期:2021-11-01
卷期号:153: 33-40
被引量:5
标识
DOI:10.1016/j.maturitas.2021.08.002
摘要
While gout is a well-known entity, little research has been conducted on its pathophysiology. There is growing evidence that women with hyperuricemia are at higher cardiovascular risk than men with hyperuricemia. We aim to evaluate whether gender-specific cut-offs should be considered.Cross-sectional study (the German Health Interview and Examination Survey for Adults; DEGS1).Self-reported gout or hyperuricemia and uric acid level.Of 6,918 participants (mean age 47.2 years; 50.5% females), 9.7% had had a diagnosis of hyperuricemia or gout at least once in their lifetime. Men were nearly twice as often affected as women (12.9 vs. 6.5%). In women, the prevalence of cardiovascular and renal diseases increased with higher uric acid level to a much greater extent than in men. This association remained in multivariate analyses.No commonly accepted cut-off value for uric acid has been established. Overall, women were at lower risk of hyperuricemia. However, women were at higher risk of having cardiovascular and renal comorbidities, even at lower uric acid levels. Our results are in line with the accumulating evidence that we should consider gender in gout and hyperuricemia.
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