Please wait a minute...
文章检索
预防医学  2023, Vol. 35 Issue (12): 1013-1017, 1023    DOI: 10.19485/j.cnki.issn2096-5087.2023.12.001
  论著 本期目录 | 过刊浏览 | 高级检索 |
成都市居民饮酒与高尿酸血症的关联研究
韩明明1, 吴昕钰2, 杨淑娟2, 肖雄2, 魏咏兰1, 陈恒3
1.成都市疾病预防控制中心慢性非传染性疾病防制科,四川 成都 610041;
2.四川大学,四川 成都 610041;
3.成都市疾病预防控制中心,四川 成都 610041
Association between alcohol consumption and hyperuricemia among residents in Chengdu City
HAN Mingming1, WU Xinyu2, YANG Shujuan2, XIAO Xiong2, WEI Yonglan1, CHEN Heng3
1. Department of Chronic Non-Communicable Disease Control and Prevention, Chengdu Center for Disease Control and Prevention, Chengdu, Sichuan 610041, China;
2. Sichuan University, Chengdu, Sichuan 610041, China;
3. Chengdu Center for Disease Control and Prevention, Chengdu, Sichuan 610041, China
全文: PDF(806 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 探讨成都市居民饮酒与高尿酸血症的关系, 为预防和控制高尿酸血症提供依据。方法 基于 “ 西南区域自然人群队列研究 ” 项目, 以2018年在成都市招募的30~79岁居民为调查对象。通过问卷调查收集人口学、吸烟、饮酒和饮食等资料, 测量身高、体重, 实验室检测血尿酸。调查对象根据饮酒情况纳入从不饮酒组、适量饮酒组和过量饮酒组, 采用多因素logistic回归模型分析饮酒与高尿酸血症的关联, 并按性别、现居住地、体力活动和体质指数(BMI)做亚组分析。结果 调查20 β 164人, 年龄为(51.22 ± 12.33)岁。男性8 β 776人, 占43.52%; 女性11 β 388人, 占56.48%。从不饮酒组9 β 769人, 占48.45%; 适量饮酒组8 β 310人, 占41.21%; 过量饮酒组2 β 085人, 占10.34%。检出高尿酸血症4 β 101例, 检出率为20.34%。多因素logistic回归分析结果显示, 适量饮酒(OR=1.122, 95%CI:1.031~1.222)、过量饮酒(OR=1.529, 95%CI:1.349~1.734)与高尿酸血症风险升高有关。在男性、现居住地为城市、高体力活动、BMI < 24 kg/m2的居民中, 适量和过量饮酒与高尿酸血症风险升高有关(均P < 0.05); 在现居住地为农村、低体力活动、BMI ≥ 24 kg/m2的居民中, 过量饮酒与高尿酸血症风险升高有关(均P < 0.05)。结论 适量和过量饮酒均与高尿酸血症风险升高有关。现居住地为农村、低体力活动、BMI ≥ 24 kg/m2的居民中, 适量饮酒与高尿酸血症不存在关联。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
韩明明
吴昕钰
杨淑娟
肖雄
魏咏兰
陈恒
关键词 饮酒高尿酸血症关联    
AbstractObjective To analyze the association between alcohol consumption and hyperuricemia among residents in Chengdu City, so as to provide the evidence for prevention and control of hyperuricemia. Methods Based on the Natural Cohort Study in Southwest Area, residents at ages of 30 to 79 years were recruited in Chengdu City in 2018. Information of demographics, smoking, alcohol consumption and diet were collected through a questionnaire survey. Blood uric acid was tested in the laboratory. Participants were divided into never, moderate and excessive drinking groups based on alcohol consumption. A multivariable logistic regression model was used to analyze the association between alcohol consumption and hyperuricemia, and subgroup analysis was conducted according to gender, current residence, physical activity and body mass index (BMI). Results A total of 20 164 residents were investigated, including 8 776 males (43.52%) and 11 388 females (56.48%), with a mean age of (51.22±12.33) years. There were 9 769 never-drinkers (48.45%), 8 310 moderate-drinkers (41.21%), and 2 085 excessive-drinkers (10.34%). Hyperuricemia was detected in 4 101 patients, with a detection rate of 20.34%. Multivariable logistic regression analysis showed that moderate drinking (OR=1.122, 95%CI: 1.031-1.222) and excessive drinking (OR=1.529, 95%CI: 1.349-1.734) were associated with an increased risk of hyperuricemia. Moderate and excessive drinking were associated with an increased risk of hyperuricemia among men, urban residents, residents with a high level of physical activity, and those with BMI less than 24 kg/m2 (all P<0.05). Excessive drinking were associated with an increased risk of hyperuricemia among rural residents, residents with a low level of physical activity and with BMI of 24 kg/m2 and higher (all P<0.05). Conclusions Both moderate and excessive drinking are associated with an increased risk of hyperuricemia. Moderate drinking is not associated with a higher risk of hyperuricemia among rural residents, residents with a low level of physical activity and with BMI of 24 kg/m2 and higher.
Key wordsalcohol consumption    hyperuricemia    association
收稿日期: 2023-07-21      修回日期: 2023-11-04     
中图分类号:  R589.7  
基金资助:国家重点研发计划项目(2017YFC0907303)
作者简介: 韩明明,硕士,主管医师,主要从事慢性病防制工作
通信作者: 陈恒,E-mail:99312400@qq.com   
引用本文:   
韩明明, 吴昕钰, 杨淑娟, 肖雄, 魏咏兰, 陈恒. 成都市居民饮酒与高尿酸血症的关联研究[J]. 预防医学, 2023, 35(12): 1013-1017, 1023.
HAN Mingming, WU Xinyu, YANG Shujuan, XIAO Xiong, WEI Yonglan, CHEN Heng. Association between alcohol consumption and hyperuricemia among residents in Chengdu City. Preventive Medicine, 2023, 35(12): 1013-1017, 1023.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.12.001      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I12/1013
[1] 沈益妹,章奇,朱新凤,等. 湖州市血压控制未达标高血压患者慢性病共病及影响因素分析[J]. 预防医学,2023,35(6):541-545,550.
[2] LIU R,HAN C,WU D,et al. Prevalence of hyperuricemia and gout in mainland China from2000 to 2014:a systematic review and meta-analysis[J/OL]. Biomed Res Int,2015 [2023-11-04]. https://doi.org/10.1155/2015/762820.
[3] 李萌,刘莹,王双,等.成都市体检人群连续8年血尿酸水平变化及高尿酸血症患病率分析[J].中医临床研究,2018,34(10):1-5.
[4] LIU X R,HUANG S S,XU W D,et al. Association of dietary patterns and hyperuricemia:a cross-sectional study of the Yi ethnic group in China[J/OL]. Food Nutr Res,2018 [2023-11-04]. https://doi.org/10.29219/fnr.v62.1380.
[5] 于莎莉,林晨,蒋志韬,等. 碱性饮用水预防小鼠高尿酸血症的作用研究[J]. 预防医学,2021,33(8):772-775,779.
[6] LI R R,YU K,LI C W .Dietary factors and risk of gout and hyperuricemia:a meta-analysis and systematic review[J]. Asia Pac J Clin Nutr,2018,27(6):1344-1356.
[7] LI Z,GUO X F,LIU Y M,et al. The relation of moderate alcohol consumption to hyperuricemia in a rural general population[J/OL]. Int J Environ Res Public Health,2016,13(7)[2023-11-04]. https://doi.org/10.3390/ijerph13070732.
[8] 尤莉莉,乌云高娃,吴和平,等.内蒙古某地区男性超重肥胖和饮酒对血尿酸的影响[J].中国慢性病预防与控制,2013,21(6):659-662.
[9] 中国营养学会. 中国居民膳食指南(2022)[M].北京:人民卫生出版社,2022.
[10] 中华医学会内分泌学分会. 高尿酸血症和痛风治疗的中国专家共识[J]. 中华内分泌代谢杂志,2013,29(11):913-920.
[11] DING X B,CHEN L L,TANG W G,et al.Interaction of harmful alcohol use and tea consumption on hyperuricemia among Han residents aged 30-79 in Chongqing,China[J]. Int J Gen Med,2023,16:973-981.
[12] 马玉柱. 上海市某综合医院职工患高尿酸血症的影响因素分析及风险预测模型构建[D]. 南昌:南昌大学,2023.
[13] 黄文,陈奇峰,李金,等. 越城区老年人饮酒及过量饮酒调查[J]. 预防医学,2021,33(10):1042-1045.
[14] 玛依娜·卡哈尔,陈邬锦,张蓓,等.巴里坤县体检人群血清尿酸检测结果分析[J].预防医学,2022,34(3):244-247.
[15] 黄佳乐,王新月,李红卫.厦门市居民高尿酸血症与膳食嘌呤摄入的相关性研究[J].营养学报,2019,41(1):20-23,29.
[16] 唐国华,廖晓阳,袁波,等.成都地区无症状高尿酸血症伴心血管危险因素的城乡流行病学调查[J].中国循证医学杂志,2013,13(7):789-792.
[17] ANGULO J,EL ASSAR M,ÁLVAREZ-BUSTOS A,et al.Physical activity and exercise:strategies to manage frailty [J/OL].Redox Biol,2020,35(8)[2023-11-04]. https://doi.org/10.1016/j.redox.2020.101513.
[18] ALATALO P I,KOIVISTO H M,HIETALA J P,et al.Gender-dependent impacts of body mass index and moderate alcohol consumption on serum uric acid-an index of oxidant stress status?[J]. Free Radic Biol Med,2009,46(8):1233-1238.
[1] 刘溦, 宋杰, 陈伟伟, 叶丁, 毛盈颖. 硒水平与慢性肾脏病关联的Meta分析[J]. 预防医学, 2023, 35(8): 669-676.
[2] 任首泽, 李泽光, 李林蔚, 夏凯雨, 梁华. 自身免疫性疾病与甲状腺功能障碍的孟德尔随机化研究[J]. 预防医学, 2023, 35(12): 1024-1028.
[3] 古雪, 李傅冬, 徐乐, 章涛, 翟羽佳, 何凡. KLB基因与肌少症的关联研究[J]. 预防医学, 2023, 35(10): 890-894.
[4] 关云琦, 梁明斌, 潘劲, 龚巍巍, 王浩, 周晓燕, 戴品远, 李娜, 钟节鸣, 胡如英. 浙江省成年人睡眠时间与高血压的关联研究[J]. 预防医学, 2022, 34(7): 681-686.
[5] 玛依娜·卡哈尔, 陈邬锦, 张蓓, 梁美婷, 贺怡, 李瑞, 孙玉萍. 巴里坤县体检人群血清尿酸检测结果分析[J]. 预防医学, 2022, 34(3): 244-247.
[6] 薛潘琪, 张译心, 周莉芳, 魏芳, 方兴林, 邹华. 快递从业人员职业紧张、生活满意度与抑郁症状的关联研究[J]. 预防医学, 2022, 34(12): 1201-1206,1211.
[7] 关云琦, 梁明斌, 何青芳, 潘劲, 龚巍巍, 王浩, 钟节鸣, 俞敏, 胡如英. 浙江省成年居民饮酒与高血压的关联研究[J]. 预防医学, 2021, 33(9): 877-883.
[8] 苏彦萍, 王鹏, 江南, 高静, 王双, 王艳春, 张国峰. 通州区中小学生饮酒行为调查[J]. 预防医学, 2021, 33(9): 958-960.
[9] 于莎莉, 林晨, 蒋志韬, 朱超, 赵新元. 碱性饮用水预防小鼠高尿酸血症的作用研究[J]. 预防医学, 2021, 33(8): 772-775,779.
[10] 张丽, 姚英, 胡锦峰, 潘忠廉, 宋姝娟, 黄春萍. 上城区VCT门诊求询者梅毒与HIV感染的关联分析[J]. 预防医学, 2021, 33(6): 583-585.
[11] 谢飞, 胡培英, 费敏, 季淑静, 毛润越, 王颖. 血红蛋白与血尿酸的相关性研究[J]. 预防医学, 2021, 33(4): 358-363.
[12] 林秀琴, 徐健, 许树红, 马岩, 方益荣. ADH、ALDH基因多态性与饮酒的交互作用对肺癌的影响研究[J]. 预防医学, 2021, 33(10): 1022-1025,1029.
[13] 黄文, 陈奇峰, 李金, 汤佳良. 越城区老年人饮酒及过量饮酒调查[J]. 预防医学, 2021, 33(10): 1042-1045.
[14] 于宏杰, 钟培松, 袁红, 邵月琴, 彭谦, 赵琦, 赵根明. 肥胖指标预测高尿酸血症风险研究[J]. 预防医学, 2020, 32(8): 846-850.
[15] 褚光萍, 王瑛, 沈蕙, 胡佳. 苏州市中学生抑郁与血压的关联分析[J]. 预防医学, 2020, 32(6): 608-611.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed