Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study

Background: Non-alcoholic fatty liver disease (NAFLD) is one of the important health issues with high prevalence worldwide. However, there is no approved medication for that. As one of the indicators of metabolic syndrome, uric acid might play a role in the pathogenesis of NAFLD. In this study, we...

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Main Authors: Elnaz Khani, Manouchehr Khoshbaten, Fariba Pourkarim, Mohammad Asghari Jafarabadi, Elnaz Shaseb
Format: Article
Language:English
Published: Research Center for Rational Use of Drugs (RCRUD) 2022-12-01
Series:Journal of Pharmaceutical Care
Subjects:
Online Access:https://jpc.tums.ac.ir/index.php/jpc/article/view/543
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author Elnaz Khani
Manouchehr Khoshbaten
Fariba Pourkarim
Mohammad Asghari Jafarabadi
Elnaz Shaseb
author_facet Elnaz Khani
Manouchehr Khoshbaten
Fariba Pourkarim
Mohammad Asghari Jafarabadi
Elnaz Shaseb
author_sort Elnaz Khani
collection DOAJ
description Background: Non-alcoholic fatty liver disease (NAFLD) is one of the important health issues with high prevalence worldwide. However, there is no approved medication for that. As one of the indicators of metabolic syndrome, uric acid might play a role in the pathogenesis of NAFLD. In this study, we aimed to determine the correlation between serum uric acid level, liver enzymes, and ultrasonographic grading of NAFLD. Methods: This cross-sectional study included patients aged 18-65 with NAFLD. Patients with other metabolic disorders and a history of using alcohol or medications that alter uric acid levels were excluded. The patients' serum uric acid, alanine aminotransferase (ALT), aspartate aminotransferase (AST) levels, and ultrasonographic grading of NAFLD at baseline, third month, and sixth month were collected. Results:  Of the 3000 patients, 500 patients met the eligibility criteria. The results showed that there is a significant positive relationship between ALT and serum uric acid level at the first (P = .01), third (P = .01), and sixth month (P = .01). Furthermore, there was a significant positive correlation between AST and serum uric acid level at the sixth month (P = 0.001). The comparison of 249 patients' ultrasonographic grading showed no significant correlation with serum uric acid levels. Conclusion: To conclude, the serum uric acid level significantly correlates with ALT and AST over six months but not with the ultrasonographic grading. Further studies are required to determine the role of uric acid-lowering agents in the treatment of NAFLD.
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spelling doaj.art-658c3d3adf25411ba82e241c1ee2dd9c2023-01-25T07:55:20ZengResearch Center for Rational Use of Drugs (RCRUD)Journal of Pharmaceutical Care2322-46302322-45092022-12-0110410.18502/jpc.v10i4.11582Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional StudyElnaz Khani0Manouchehr Khoshbaten1Fariba Pourkarim2Mohammad Asghari Jafarabadi3Elnaz Shaseb4Department of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, IranDrug Applied Research Center, Tabriz University of Medical Science, Tabriz, IranDepartment of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, IranDepartment of Clinical Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran Background: Non-alcoholic fatty liver disease (NAFLD) is one of the important health issues with high prevalence worldwide. However, there is no approved medication for that. As one of the indicators of metabolic syndrome, uric acid might play a role in the pathogenesis of NAFLD. In this study, we aimed to determine the correlation between serum uric acid level, liver enzymes, and ultrasonographic grading of NAFLD. Methods: This cross-sectional study included patients aged 18-65 with NAFLD. Patients with other metabolic disorders and a history of using alcohol or medications that alter uric acid levels were excluded. The patients' serum uric acid, alanine aminotransferase (ALT), aspartate aminotransferase (AST) levels, and ultrasonographic grading of NAFLD at baseline, third month, and sixth month were collected. Results:  Of the 3000 patients, 500 patients met the eligibility criteria. The results showed that there is a significant positive relationship between ALT and serum uric acid level at the first (P = .01), third (P = .01), and sixth month (P = .01). Furthermore, there was a significant positive correlation between AST and serum uric acid level at the sixth month (P = 0.001). The comparison of 249 patients' ultrasonographic grading showed no significant correlation with serum uric acid levels. Conclusion: To conclude, the serum uric acid level significantly correlates with ALT and AST over six months but not with the ultrasonographic grading. Further studies are required to determine the role of uric acid-lowering agents in the treatment of NAFLD. https://jpc.tums.ac.ir/index.php/jpc/article/view/543Alanine transaminaseAspartate aminotransferaseGastroenterologyLiver diseasesTherapeuticsUltrasonography
spellingShingle Elnaz Khani
Manouchehr Khoshbaten
Fariba Pourkarim
Mohammad Asghari Jafarabadi
Elnaz Shaseb
Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
Journal of Pharmaceutical Care
Alanine transaminase
Aspartate aminotransferase
Gastroenterology
Liver diseases
Therapeutics
Ultrasonography
title Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
title_full Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
title_fullStr Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
title_full_unstemmed Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
title_short Correlation between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
title_sort correlation between serum uric acid and non alcoholic fatty liver disease a cross sectional study
topic Alanine transaminase
Aspartate aminotransferase
Gastroenterology
Liver diseases
Therapeutics
Ultrasonography
url https://jpc.tums.ac.ir/index.php/jpc/article/view/543
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AT faribapourkarim correlationbetweenserumuricacidandnonalcoholicfattyliverdiseaseacrosssectionalstudy
AT mohammadasgharijafarabadi correlationbetweenserumuricacidandnonalcoholicfattyliverdiseaseacrosssectionalstudy
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