The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016

ObjectivesTo access the dose-response relationship between sex hormones and hyperuricemia (HUA), and to find the cut-off value in different gender.Methods9,685 participants were derived from the database of National Health and Nutrition Examination Survey (NHANES). Restricted cubic spline (RCS) anal...

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Main Authors: Guo-yun Li, Xu-dong Qian, Chun-ming Ma, Fu-zai Yin
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.1035114/full
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author Guo-yun Li
Guo-yun Li
Guo-yun Li
Xu-dong Qian
Chun-ming Ma
Fu-zai Yin
Fu-zai Yin
author_facet Guo-yun Li
Guo-yun Li
Guo-yun Li
Xu-dong Qian
Chun-ming Ma
Fu-zai Yin
Fu-zai Yin
author_sort Guo-yun Li
collection DOAJ
description ObjectivesTo access the dose-response relationship between sex hormones and hyperuricemia (HUA), and to find the cut-off value in different gender.Methods9,685 participants were derived from the database of National Health and Nutrition Examination Survey (NHANES). Restricted cubic spline (RCS) analysis were applied to explore the relationship between sex hormones and HUA after adjusting for confounding factors by propensity score match (PSM). Logistic regression was used to estimate the odds ratio (OR) and 95% CI.ResultsThe prevalence of HUA was 15.13% in female participants and 22.30% in male participants. Logistic regression analysis showed that estradiol (E2) was independently associated with HUA for a P value of 0.003 and 0.01in female and male participants, respectively. Testosterone (T) was only independently associated with HUA in male participants (P<0.001) but not in female participants (P = 0.59). RCS analysis showed a dose-response relationship between sex hormones and HUA. The risk of HUA increased as E2 lower than 29.6pg/mL in female participants and T lower than 389.1ng/dL in male participants. E2 higher than 23.6pg/ml was an independent risk factor for HUA in male participants.ConclusionA dose-response relationship was found between sex hormones and HUA. The cut-off value of E2 in male and female participants was 29.6pg/mL and 23.6pg/mL, respectively, and the cut-off value of T in male participants was 389.1ng/dL. These results provide a reference for preventing HUA and hormone supplement therapy.
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spelling doaj.art-a23729f30dbb4496b6b9809be81efaf32022-12-22T03:28:15ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-11-011310.3389/fendo.2022.10351141035114The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016Guo-yun Li0Guo-yun Li1Guo-yun Li2Xu-dong Qian3Chun-ming Ma4Fu-zai Yin5Fu-zai Yin6Department of Internal Medicine, Hebei Medical University, Shijiazhuang, Hebei, ChinaDepartment of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei, ChinaDepartment of Endocrinology, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, ChinaDepartment of Neurology, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, ChinaDepartment of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei, ChinaDepartment of Internal Medicine, Hebei Medical University, Shijiazhuang, Hebei, ChinaDepartment of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei, ChinaObjectivesTo access the dose-response relationship between sex hormones and hyperuricemia (HUA), and to find the cut-off value in different gender.Methods9,685 participants were derived from the database of National Health and Nutrition Examination Survey (NHANES). Restricted cubic spline (RCS) analysis were applied to explore the relationship between sex hormones and HUA after adjusting for confounding factors by propensity score match (PSM). Logistic regression was used to estimate the odds ratio (OR) and 95% CI.ResultsThe prevalence of HUA was 15.13% in female participants and 22.30% in male participants. Logistic regression analysis showed that estradiol (E2) was independently associated with HUA for a P value of 0.003 and 0.01in female and male participants, respectively. Testosterone (T) was only independently associated with HUA in male participants (P<0.001) but not in female participants (P = 0.59). RCS analysis showed a dose-response relationship between sex hormones and HUA. The risk of HUA increased as E2 lower than 29.6pg/mL in female participants and T lower than 389.1ng/dL in male participants. E2 higher than 23.6pg/ml was an independent risk factor for HUA in male participants.ConclusionA dose-response relationship was found between sex hormones and HUA. The cut-off value of E2 in male and female participants was 29.6pg/mL and 23.6pg/mL, respectively, and the cut-off value of T in male participants was 389.1ng/dL. These results provide a reference for preventing HUA and hormone supplement therapy.https://www.frontiersin.org/articles/10.3389/fendo.2022.1035114/fullhyperuricemiaestradioltestosteroneNHANESdose-response
spellingShingle Guo-yun Li
Guo-yun Li
Guo-yun Li
Xu-dong Qian
Chun-ming Ma
Fu-zai Yin
Fu-zai Yin
The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016
Frontiers in Endocrinology
hyperuricemia
estradiol
testosterone
NHANES
dose-response
title The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016
title_full The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016
title_fullStr The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016
title_full_unstemmed The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016
title_short The dose-response relationship between sex hormones and hyperuricemia in different gender: NHANES 2013-2016
title_sort dose response relationship between sex hormones and hyperuricemia in different gender nhanes 2013 2016
topic hyperuricemia
estradiol
testosterone
NHANES
dose-response
url https://www.frontiersin.org/articles/10.3389/fendo.2022.1035114/full
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