Relationship between uric acid, blood pressure and anthropometric indices in a healthy Ghanaian adult population

Authors

  • Perez Quartey Department of Medical Laboratory Technology, Garden City University College, Kenyase, Ghana
  • Bright Afriyie Owusu Department of Medical Laboratory Technology, Garden City University College, Kenyase, Ghana
  • Lawrence Marfo Department of Medical Laboratory Technology, Garden City University College, Kenyase, Ghana
  • Emmanuel Appiah Department of Medical Laboratory Technology, Garden City University College, Kenyase, Ghana

DOI:

https://doi.org/10.18203/2320-6012.ijrms20205286

Keywords:

Uric acid, Blood pressure, Body mass index, Waist circumference, Ghanaians, Adults

Abstract

Background: Age- and sex-dependent variations in the relationship between uric acid and blood pressure and anthropometric indices have been reported in some populations. However, this has not been studied in a Ghanaian adult population.

Methods: Body mass index, waist circumference, blood pressure and serum uric acid levels were measured. Categorical differences were analysed with chi-square. Differences between groups were assessed by t-test and one-way analysis of variance. Association between serum uric acid and baseline characteristics of age, body mass index, waist circumference and blood pressure was assessed by Pearson’s correlation. Statistical significance was pegged at p<0.05.

Results: Prevalence of hyperuricemia was 3.2%. There was no significant difference in prevalence of hypertension between males (28.6%) and females (28.9%). General obesity and central obesity prevalence were significantly higher among females. In males, serum uric acids levels had statistically non-significant positive correlations with age, blood pressure, waist circumference and body mass index. In females, the results showed that among women less than 45 years, serum uric acid had significant positive correlations with only body mass index and waist circumference. However, significant positive correlations were observed between all the baseline parameters and uric acid among women who are 45 years and above.

Conclusions: Increasing serum uric acid levels are significantly associated with higher blood pressure, body mass index and waist circumference. This relationship is stronger in females than in males, with the age group ≥45 years being the main determinant of this relationship.

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References

Chaudhary K, Malhotra K, Sowers J, Aroor A. Uric Acid - key ingredient in the recipe for cardiorenal metabolic syndrome. Cardiorenal Med. 2013;3(3):208-20.

Simao ANC, Dichi JB, Barbosa DS, Dichi I, Cecchini R. Influence of uric acid and gamma-glutamyl transferase on total antioxidant capacity and oxidative stress in patients with metabolic syndrome. Nutrition. 2008;24:675-81.

Sautin YY, Nakagawa T, Zharikov S, Johnson RJ. Adverse effects of the classic antioxidant UA in adipocytes: NADPH oxidase-mediated oxidative/nitrosative stress. Am J Physiol Cell Physiol. 2007;293:584-96.

Mohamed FA: On chronic Bright’s disease, and its essential symptoms. Lancet. 1879;1:399-401.

Huchard H. Arteriolosclerosis: Including its cardiac form. JAMA. 1909;53:1129-32.

Gertler MM, Garn SM, Levine SA. Serum uric acid in relation to age and physique in health and in coronary heart disease. Ann Intern Med. 1951;34:1421-31.

Brand FN, McGee DL, Kannel WB, Stokes J, Castelli WP. Hyperuricemia as a risk factor of coronary heart disease: The Framingham Study. Am J Epidemiol. 1985;121:11-8.

Facchini F, Chen I, Hollenbeck CB, Reaven GM. Relationship between resistance to insulin-mediated glucose uptake, urinary UA clearance, and plasma uric concentration. JAMA. 1991;266:3008-11.

Sundstrom J, Sullivan L, D‘Agostino RB, Levy D, Kannel WB, Vasan RS. Relations of serum uric acid to longitudinal blood pressure tracking and hypertension incidence. Hypertension. 2005;45:28-33.

Alper AB, Chen WC, Yau L, Sathanur RS, Berenson GS, Hamm LL. Childhood uric acid predicts adult blood pressure. The Bogalusa Heart Study. Hypertension. 2005;45:34-8.

Choi HK, Ford ES. Prevalence of the MS in individuals with hyperuricemia. Am J Med. 2007;120:442-7.

Lin KC, Tsao HM, Chen CH, Chou P. Hypertension was the major risk factor leading to development of cardiovascular diseases among men with hyperuricemia. J Rheumatol. 2004;31:1152-8.

Khosla UM, Zharikov S, Finch JL, Nakagawa T, Roncal C, Mu W, et al. Hyperuricemia induces endothelial dysfunction. Kidney Intern. 2005;67:1739-42.

Lu Z, Dong B, Wu H, Chen T, Zhang Y, Wu J, Xiao H. Serum uric acid level in primary hypertension among Chinese nonagenarians/centenarians. J Hum Hypertens. 2009;23:113-21.

Lee JJ, Ahn J, Hwang J, Han SW, Lee KN, Kim JB, et al. Relationship between uric acid and blood pressure in different age groups. Clin Hypertens. 2015;21:14.

Yokoi Y, Kondo T, Okumura N, Shimokata K, Osugi S, Maeda K, et al. Serum uric acid as a predictor of future hypertension: stratified analysis based on body mass index and age. Prev Med. 2016;90:201-6.

Cheng W, Wen S, Wang Y, Qian Z, Tan Y, Li H, et al. The association between serum uric acid and blood pressure in different age groups in a healthy Chinese cohort. Medicine. 2017;96(50):8953.

Ishizaka N, Ishizaka Y, Toda A, Tani M, Kokoike K, Yamakado M, Nagai R. Changes in Waist Circumference and Body Mass Index in Relation to Changes in Serum Uric Acid in Japanese Individuals. Rheumatol. 2010;37:410-6.

Ali N, Mahmood S, Islam F, Rahman S, Haque T, Islam S, et al. Relationship between serum uric acid and hypertension: a crosssectional study in Bangladeshi adults. Sci Rep. 2019;9:9061.

Stockl D, Doring A, Thorand B, Heier M, Belcredi P, et al. Reproductive Factors and Serum Uric Acid Levels in Females from the General Population: The KORA F4 Study. PLoS one. 2012;7(3):e32668.

Sui X, Church TS, Meriwether RA, Lobelo F, Blair SN. Uric acid and the development of metabolic syndrome in women and men. Metabolism. 2008;57(6):845-52.

Canepa M, Viazzi F, Strait JB, Ameri P, Pontremoli R, Brunelli C, et al. Longitudinal Association Between Serum Uric Acid and Arterial Stiffness Results From the Baltimore Longitudinal Study of Aging. Hypertension. 2017;69:228-35.

Conen D, Wietlisbach V, Bovet P, Shamlaye C, Riesen W, Paccaud F, Burnier M. Prevalence of hyperuricemia and relation of serum uric acid with cardiovascular risk factors in a developing country. BMC Public Health. 2004;4:9.

Micah FB, Nkum BC, Yeboah FA, Timmy-Donkoh E. Factors Associated with Hyperuricaemia in a Tertiary Care Center in Ghana. Int J Appl Sci Tech. 2015;5:5.

Kadiri S, Salako B. Cardiovascular risk factors in middle aged Nigerians. East Afr Med J. 1997;74(5):303-6.

Loeffler LF, Navas-Acien A, Brady TM, Miller ER, Fadrowski JJ. Uric acid level and elevated blood pressure in US adolescents: National Health and Nutrition Examination Survey, 1999–2006. Hypertension. 2012;59:811-7.

Tian S, Liu Y, Xu Y, Feng A. Does obesity modify the epidemiological association between hyperuricemia and the prevalence of hypertension among Northern Chinese community- dwelling people? A Chinese population- based study. BMJ Open. 2019;9:031803.

Sima C, Alysson M, Lozovoy B, Dichi I. The uric acid metabolism pathway as a therapeutic target in hyperuricemia related to metabolic syndrome. Expert Opin Ther Targets. 2012;16(12):1175-8.

Tsushima Y, Nishizawa H, Tochino Y, Nakatsuji H, Sekimoto R, Nagao H, et al. Uric Acid Secretion from Adipose Tissue and Its Increase in Obesity. J Biol Chem. 2013;288(38):27138-49.

Yamashita S, Matsuzawa Y, Tokunaga K, Fujioka S, Tarui S. Studies on the impaired metabolism of uric acid in obese subjects: marked reduction of renal urate excretion and its improvement by a low-calorie diet. Int J Obes. 1986;10:255-64.

Matsuura F, Yamashita S, Nakamura T, Nishida M, Nozaki S, Funahashi S, Matsuzawa Y. Effect of visceral fat accumulation on uric acid metabolism in male obese subjects: visceral fat obesity is linked more closely to overproduction of uric acid than subcutaneous fat obesity. Metabolism. 1998;47:929-33.

Kanaya AM, Harris T, Goodpaster BH, Tylavsky F, Cummings SR. Adipocytokines attenuate the association between visceral adiposity and diabetes in older adults. Diabetes Care. 2004;27:1375-80.

Ichida K, Matsuo H, Takada T, Nakayama A, Murakami K, Shimuzi T, et al. Decreased extra- renal urate excretion is a common cause of hyperuricemia. Nat Commun. 2012;3:764.

Yatagai T, Nagasaka S, Taniguchi A, Fukushima M, Nakamura T. Kuroe A, et al. Hypoadiponectinemia is associated with visceral fat accumulation and insulin resistance in Japanese men with type 2 diabetes mellitus. Metabolism. 2003;52:1274-8.

Han GM, Gonzalez S, De Vries D. Combined effect of hyperuricemia and overweight/obesity on the prevalence of hypertension among US adults: result from the National Health and Nutrition Examination survey. J Hum Hypertens. 2014;28:579-86.

Norvik JV, Storhaug HM, Ytrehus K, Jennsen TG, Zykova S, eriksen BO, Solbu MD. Overweight modifies the longitudinal association between uric acid and some components of the metabolic syndrome: The Tromsø study. BMC Cardiovasc Disord. 2016;16:85.

Sumino H, Ichikawa S, Kanda T, Nakamura T, Sakamaki T. Reduction of serum uric acid by hormone replacement therapy in postmenopausal women with hyperuricaemia. Lancet. 1999;354:650.

Koga M, Saito H, Mukai M, Kasayama S, Yamamoto T. Factors contributing to increased serum urate in postmenopausal Japanese females. Climacteric. 2009;12:146-52.

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Published

2020-11-27

How to Cite

Quartey, P., Owusu, B. A., Marfo, L., & Appiah, E. (2020). Relationship between uric acid, blood pressure and anthropometric indices in a healthy Ghanaian adult population. International Journal of Research in Medical Sciences, 8(12), 4185–4190. https://doi.org/10.18203/2320-6012.ijrms20205286

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Original Research Articles