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...
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Format: | Article |
Language: | English |
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BMC
2023-02-01
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Series: | BMC Endocrine Disorders |
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Online Access: | https://doi.org/10.1186/s12902-023-01304-7 |
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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 |
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