Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study

This study aimed to investigate the relationship between visceral fat area (VFA) and hyperuricemia (HUA) among non-obese adults. We extracted data from 6224 US adults aged 20–59 years from the National Health and Nutrition Examination Survey (NHANES) from 2011–2018. The VFA was divided into four qua...

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Main Authors: Zhiying Li, Lijie Gao, Xiaoqing Zhong, Guanrui Feng, Fengqiu Huang, Sujian Xia
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/19/3992
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author Zhiying Li
Lijie Gao
Xiaoqing Zhong
Guanrui Feng
Fengqiu Huang
Sujian Xia
author_facet Zhiying Li
Lijie Gao
Xiaoqing Zhong
Guanrui Feng
Fengqiu Huang
Sujian Xia
author_sort Zhiying Li
collection DOAJ
description This study aimed to investigate the relationship between visceral fat area (VFA) and hyperuricemia (HUA) among non-obese adults. We extracted data from 6224 US adults aged 20–59 years from the National Health and Nutrition Examination Survey (NHANES) from 2011–2018. The VFA was divided into four quartiles (Q1–Q4). We used multivariable logistic regression models to control for known confounders. A generalized additive model (GAM) and restricted cubic spines were used to examine the association between VFA and HUA stratified by sex, and a two-piecewise linear regression model was used to calculate the threshold effect among males. The results revealed that the prevalence of HUA was 11.8% (men 15.8%, women 7.2%). In the fully adjusted model, there was a positive association between VFA and HUA [as a quartile variable, Q4 vs. Q1, odds ratio (OR): 3.77 and 95% confidence interval (CI): (2.47~5.75), <i>p</i> < 0.001, <i>p</i> for trend < 0.001; as a continuous variable, per 10 cm<sup>2</sup> increment, OR (95%CI):1.10(1.07,1.14), <i>p</i> < 0.001]. Besides, this positive association remained significantly stratified by sex. Interestingly, we observed a nonlinear dose-response relationship between VFA and HUA in males (inflection point: 107.46 cm<sup>2</sup>). In conclusion, our study confirmed a significant positive relationship between VFA and HUA among non-obese adults and remained statistically significant when stratified by sex.
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spelling doaj.art-2a9a7aff7044464293c5a4130429cd592023-11-23T21:23:45ZengMDPI AGNutrients2072-66432022-09-011419399210.3390/nu14193992Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional StudyZhiying Li0Lijie Gao1Xiaoqing Zhong2Guanrui Feng3Fengqiu Huang4Sujian Xia5Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, ChinaDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou 510632, ChinaThis study aimed to investigate the relationship between visceral fat area (VFA) and hyperuricemia (HUA) among non-obese adults. We extracted data from 6224 US adults aged 20–59 years from the National Health and Nutrition Examination Survey (NHANES) from 2011–2018. The VFA was divided into four quartiles (Q1–Q4). We used multivariable logistic regression models to control for known confounders. A generalized additive model (GAM) and restricted cubic spines were used to examine the association between VFA and HUA stratified by sex, and a two-piecewise linear regression model was used to calculate the threshold effect among males. The results revealed that the prevalence of HUA was 11.8% (men 15.8%, women 7.2%). In the fully adjusted model, there was a positive association between VFA and HUA [as a quartile variable, Q4 vs. Q1, odds ratio (OR): 3.77 and 95% confidence interval (CI): (2.47~5.75), <i>p</i> < 0.001, <i>p</i> for trend < 0.001; as a continuous variable, per 10 cm<sup>2</sup> increment, OR (95%CI):1.10(1.07,1.14), <i>p</i> < 0.001]. Besides, this positive association remained significantly stratified by sex. Interestingly, we observed a nonlinear dose-response relationship between VFA and HUA in males (inflection point: 107.46 cm<sup>2</sup>). In conclusion, our study confirmed a significant positive relationship between VFA and HUA among non-obese adults and remained statistically significant when stratified by sex.https://www.mdpi.com/2072-6643/14/19/3992hyperuricemiavisceral fat areauric acidNHANES
spellingShingle Zhiying Li
Lijie Gao
Xiaoqing Zhong
Guanrui Feng
Fengqiu Huang
Sujian Xia
Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study
Nutrients
hyperuricemia
visceral fat area
uric acid
NHANES
title Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study
title_full Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study
title_fullStr Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study
title_full_unstemmed Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study
title_short Association of Visceral Fat Area and Hyperuricemia in Non-Obese US Adults: A Cross-Sectional Study
title_sort association of visceral fat area and hyperuricemia in non obese us adults a cross sectional study
topic hyperuricemia
visceral fat area
uric acid
NHANES
url https://www.mdpi.com/2072-6643/14/19/3992
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AT guanruifeng associationofvisceralfatareaandhyperuricemiainnonobeseusadultsacrosssectionalstudy
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