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预防医学  2023, Vol. 35 Issue (12): 1013-1017, 1023    DOI: 10.19485/j.cnki.issn2096-5087.2023.12.001
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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
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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。
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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:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.12.001      或      https://www.zjyfyxzz.com/CN/Y2023/V35/I12/1013
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