Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults

Abstract Background and aims Chronic kidney disease (CKD) is a public health concern worldwide and has been recognized as a significant risk factor for cardiovascular disease. The elevated level of uric acid (hyperuricemia) has been suggested to be associated with obesity, hypertension, cardiovascul...

Full description

Bibliographic Details
Main Authors: Zitu Barman, Mahmudul Hasan, Rakib Miah, Ananya Dutta Mou, Jaasia Momtahena Hafsa, Aporajita Das Trisha, Firoz Mahmud, Nurshad Ali
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Endocrine Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12902-023-01304-7
_version_ 1797864506818297856
author Zitu Barman
Mahmudul Hasan
Rakib Miah
Ananya Dutta Mou
Jaasia Momtahena Hafsa
Aporajita Das Trisha
Firoz Mahmud
Nurshad Ali
author_facet Zitu Barman
Mahmudul Hasan
Rakib Miah
Ananya Dutta Mou
Jaasia Momtahena Hafsa
Aporajita Das Trisha
Firoz Mahmud
Nurshad Ali
author_sort Zitu Barman
collection DOAJ
description Abstract Background and aims Chronic kidney disease (CKD) is a public health concern worldwide and has been recognized as a significant risk factor for cardiovascular disease. The elevated level of uric acid (hyperuricemia) has been suggested to be associated with obesity, hypertension, cardiovascular disease and diabetes. However, there is limited information on the relationship between hyperuricemia and CKD. Therefore, this study aimed to estimate the prevalence of CKD and assess its relationship with hyperuricemia in Bangladeshi adults. Methods In this study, blood samples were collected from 545 participants (398 males and 147 females) aged ≥ 18 years. Biochemical parameters such as serum uric acid (SUA), lipid profile markers, glucose, creatinine and urea were measured by colorimetric methods. The estimated glomerular filtration rate (eGFR) and CKD were determined based on serum creatinine levels with existed formula. Multivariate logistic regression analysis was performed to evaluate the association between SUA and CKD. Results The overall prevalence of CKD was 5.9% with 6.1% in males and 5.2% in females. Hyperuricemia was prevalent in 18.7% of participants with 23.2% in males and 14.6% in females. An increasing trend of CKD prevalence was observed with increasing age in the groups. The mean eGFR level was significantly lower in male (95.1 ± 31.8 ml/min/1.73m2) than in female (109.3 ± 77.4 ml/min/1.73m2) subjects (p < 0.01). The mean level of SUA was significantly higher (p < 0.01) in participants having CKD (7.1 ± 1.9 mg/dL) than in participants without CKD (5.7 ± 1.6 mg/dL). A decreasing trend for eGFR concentration and an increasing trend for CKD prevalence was observed across the SUA quartiles (p < 0.001). In regression analysis, a significant positive association was found between hyperuricemia and CKD. Conclusion This study showed an independent association between hyperuricemia and CKD in Bangladeshi adults. Further mechanistic studies are needed to explore the potential link between hyperuricemia and CKD.
first_indexed 2024-04-09T22:53:00Z
format Article
id doaj.art-92c521cd4a08497cb3590fa0b2595c09
institution Directory Open Access Journal
issn 1472-6823
language English
last_indexed 2024-04-09T22:53:00Z
publishDate 2023-02-01
publisher BMC
record_format Article
series BMC Endocrine Disorders
spelling doaj.art-92c521cd4a08497cb3590fa0b2595c092023-03-22T11:33:33ZengBMCBMC Endocrine Disorders1472-68232023-02-012311810.1186/s12902-023-01304-7Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adultsZitu Barman0Mahmudul Hasan1Rakib Miah2Ananya Dutta Mou3Jaasia Momtahena Hafsa4Aporajita Das Trisha5Firoz Mahmud6Nurshad Ali7Department of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyAbstract Background and aims Chronic kidney disease (CKD) is a public health concern worldwide and has been recognized as a significant risk factor for cardiovascular disease. The elevated level of uric acid (hyperuricemia) has been suggested to be associated with obesity, hypertension, cardiovascular disease and diabetes. However, there is limited information on the relationship between hyperuricemia and CKD. Therefore, this study aimed to estimate the prevalence of CKD and assess its relationship with hyperuricemia in Bangladeshi adults. Methods In this study, blood samples were collected from 545 participants (398 males and 147 females) aged ≥ 18 years. Biochemical parameters such as serum uric acid (SUA), lipid profile markers, glucose, creatinine and urea were measured by colorimetric methods. The estimated glomerular filtration rate (eGFR) and CKD were determined based on serum creatinine levels with existed formula. Multivariate logistic regression analysis was performed to evaluate the association between SUA and CKD. Results The overall prevalence of CKD was 5.9% with 6.1% in males and 5.2% in females. Hyperuricemia was prevalent in 18.7% of participants with 23.2% in males and 14.6% in females. An increasing trend of CKD prevalence was observed with increasing age in the groups. The mean eGFR level was significantly lower in male (95.1 ± 31.8 ml/min/1.73m2) than in female (109.3 ± 77.4 ml/min/1.73m2) subjects (p < 0.01). The mean level of SUA was significantly higher (p < 0.01) in participants having CKD (7.1 ± 1.9 mg/dL) than in participants without CKD (5.7 ± 1.6 mg/dL). A decreasing trend for eGFR concentration and an increasing trend for CKD prevalence was observed across the SUA quartiles (p < 0.001). In regression analysis, a significant positive association was found between hyperuricemia and CKD. Conclusion This study showed an independent association between hyperuricemia and CKD in Bangladeshi adults. Further mechanistic studies are needed to explore the potential link between hyperuricemia and CKD.https://doi.org/10.1186/s12902-023-01304-7Chronic kidney diseaseHyperuricemiaeGFRSUABangladesh
spellingShingle Zitu Barman
Mahmudul Hasan
Rakib Miah
Ananya Dutta Mou
Jaasia Momtahena Hafsa
Aporajita Das Trisha
Firoz Mahmud
Nurshad Ali
Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults
BMC Endocrine Disorders
Chronic kidney disease
Hyperuricemia
eGFR
SUA
Bangladesh
title Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults
title_full Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults
title_fullStr Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults
title_full_unstemmed Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults
title_short Association between hyperuricemia and chronic kidney disease: a cross-sectional study in Bangladeshi adults
title_sort association between hyperuricemia and chronic kidney disease a cross sectional study in bangladeshi adults
topic Chronic kidney disease
Hyperuricemia
eGFR
SUA
Bangladesh
url https://doi.org/10.1186/s12902-023-01304-7
work_keys_str_mv AT zitubarman associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT mahmudulhasan associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT rakibmiah associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT ananyaduttamou associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT jaasiamomtahenahafsa associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT aporajitadastrisha associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT firozmahmud associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults
AT nurshadali associationbetweenhyperuricemiaandchronickidneydiseaseacrosssectionalstudyinbangladeshiadults