Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence

Abstract Objective Previous studies have found the potential role of gout or hyperuricemia in subsequent development of Alzheimer's disease (AD) but reported inconsistent results. We conducted the current meta‐analysis to evaluate whether an association exists between gout/ hyperuricemia and AD...

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Main Authors: Long Wang, Zheng Tan, Fu‐Yu Wang, Wen‐Pei Wu, Jun‐Cang Wu
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3207
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author Long Wang
Zheng Tan
Fu‐Yu Wang
Wen‐Pei Wu
Jun‐Cang Wu
author_facet Long Wang
Zheng Tan
Fu‐Yu Wang
Wen‐Pei Wu
Jun‐Cang Wu
author_sort Long Wang
collection DOAJ
description Abstract Objective Previous studies have found the potential role of gout or hyperuricemia in subsequent development of Alzheimer's disease (AD) but reported inconsistent results. We conducted the current meta‐analysis to evaluate whether an association exists between gout/ hyperuricemia and AD. Methods We systematically searched PubMed and EMBASE for the published cohort studies that measured the risk of AD in subject with gout/ hyperuricemia up to May 20, 2023. Data extraction was employed by two authors independently. Rev Man 5.3 and Stata 15.0 software were used to calculate the relative ratio (RR) or hazard ratio (HR) for including studies. Subgroup analysis was performed to assess the sources of heterogeneity. A random‐effects model was adopted when heterogeneity was present. The funnel plot, Begg's test, and and Egger's test were used to assess publication bias. Results After rigorous screening, seven eligible studies were included in the final analyses. Pooled results indicated that gout or hyperuricemia decreases the risk of AD (RR: 0.69, 95% CI: 0.64∼0.72), with a high heterogeneity of 93%. Subgroup analyses showed that regional distribution was the source of heterogeneity. Egger's and Begg's tests as well as visual inspection of funnel plot suggested no publication bias in the studies. Conclusion The findings suggested that gout or hyperuricemia might have a protective effect against AD. This negative correlation should be verified by more cohort studies due to the existence of substantial heterogeneity.
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spelling doaj.art-626dedb8537d46e5bc50935f92dd1a1c2023-10-13T04:20:53ZengWileyBrain and Behavior2162-32792023-10-011310n/an/a10.1002/brb3.3207Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidenceLong Wang0Zheng Tan1Fu‐Yu Wang2Wen‐Pei Wu3Jun‐Cang Wu4Department of Neurology Hefei Hospital Affiliated to Anhui Medical University (The Second People's Hospital of Hefei) HefeiAnhuiChinaDepartment of Neurology Hefei Hospital Affiliated to Anhui Medical University (The Second People's Hospital of Hefei) HefeiAnhuiChinaDepartment of Pharmacy The Second People's Hospital of Hefei HefeiAnhuiChinaDepartment of Neurology Hefei Hospital Affiliated to Anhui Medical University (The Second People's Hospital of Hefei) HefeiAnhuiChinaDepartment of Neurology Hefei Hospital Affiliated to Anhui Medical University (The Second People's Hospital of Hefei) HefeiAnhuiChinaAbstract Objective Previous studies have found the potential role of gout or hyperuricemia in subsequent development of Alzheimer's disease (AD) but reported inconsistent results. We conducted the current meta‐analysis to evaluate whether an association exists between gout/ hyperuricemia and AD. Methods We systematically searched PubMed and EMBASE for the published cohort studies that measured the risk of AD in subject with gout/ hyperuricemia up to May 20, 2023. Data extraction was employed by two authors independently. Rev Man 5.3 and Stata 15.0 software were used to calculate the relative ratio (RR) or hazard ratio (HR) for including studies. Subgroup analysis was performed to assess the sources of heterogeneity. A random‐effects model was adopted when heterogeneity was present. The funnel plot, Begg's test, and and Egger's test were used to assess publication bias. Results After rigorous screening, seven eligible studies were included in the final analyses. Pooled results indicated that gout or hyperuricemia decreases the risk of AD (RR: 0.69, 95% CI: 0.64∼0.72), with a high heterogeneity of 93%. Subgroup analyses showed that regional distribution was the source of heterogeneity. Egger's and Begg's tests as well as visual inspection of funnel plot suggested no publication bias in the studies. Conclusion The findings suggested that gout or hyperuricemia might have a protective effect against AD. This negative correlation should be verified by more cohort studies due to the existence of substantial heterogeneity.https://doi.org/10.1002/brb3.3207Alzheimer's diseaseassociationgouthyperuricemiarisk
spellingShingle Long Wang
Zheng Tan
Fu‐Yu Wang
Wen‐Pei Wu
Jun‐Cang Wu
Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence
Brain and Behavior
Alzheimer's disease
association
gout
hyperuricemia
risk
title Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence
title_full Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence
title_fullStr Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence
title_full_unstemmed Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence
title_short Gout/hyperuricemia reduces the risk of Alzheimer's disease: A meta‐analysis based on latest evidence
title_sort gout hyperuricemia reduces the risk of alzheimer s disease a meta analysis based on latest evidence
topic Alzheimer's disease
association
gout
hyperuricemia
risk
url https://doi.org/10.1002/brb3.3207
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