The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences

Introduction: It is unclear whether hyperuricemia can be considered as an independent risk factor or just as a marker to represent the correlation between uric acid levels and other risk factors of MetS. In this work, we intend to study the correlation between serum uric acid (SUA) and the cardiomet...

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Main Authors: Mohammadhossein Somi, Negin Frounchi, Seyed Sina Zakavi, Alireza Ostadrahimi, Neda Gilani, Elnaz Faramarzi, Sarvin Sanaie
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2025-03-01
Series:Journal of Cardiovascular and Thoracic Research
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Online Access:https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-17-40.pdf
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author Mohammadhossein Somi
Negin Frounchi
Seyed Sina Zakavi
Alireza Ostadrahimi
Neda Gilani
Elnaz Faramarzi
Sarvin Sanaie
author_facet Mohammadhossein Somi
Negin Frounchi
Seyed Sina Zakavi
Alireza Ostadrahimi
Neda Gilani
Elnaz Faramarzi
Sarvin Sanaie
author_sort Mohammadhossein Somi
collection DOAJ
description Introduction: It is unclear whether hyperuricemia can be considered as an independent risk factor or just as a marker to represent the correlation between uric acid levels and other risk factors of MetS. In this work, we intend to study the correlation between serum uric acid (SUA) and the cardiometabolic phenotype among Tabriz University of Medical Science healthcare workers. Methods: In this cross-sectional study, anthropometric measurements, serum fasting blood sugar (FBS), triglyceride (TG), cholesterol, high-density lipoprotein (HDL), liver enzymes, blood urea nitrogen (BUN), SUA, creatinine (Cr), and blood pressures of 1,451 healthcare workers were evaluated. MetS was diagnosed based on ATP III. We classified the participants into four cardiometabolic phenotypes: metabolically-healthy lean (MHL), metabolically-unhealthy lean (MUHL), metabolically-healthy obese (MHO), and metabolically-unhealthy obese (MUHO). Results: MHL (26.6%) and MHO (65.8 %) had the highest prevalence rates in the first and second SUA categories, respectively (P≤0.001). Compared to the lowest SUA category, the odds of MHO and MUHO increased by 3.13 (95% CI 2.21–4.44) and 5.50 (95%CI 3.53–8.57) in the highest category, respectively. This trend was not observed regarding the association between MUHL and the SUA classification. Conclusion: We propose using the easily-measured SUA level as a marker for early diagnosis of at-risk MUHL and MHO individuals to administer proper interventions. Further prospective studies are needed to identify the effects of SUA on the progression of MetS in various body-size subgroups.
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publishDate 2025-03-01
publisher Tabriz University of Medical Sciences
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spelling doaj-art-ac4aaf53d3ae45ccaa958c73586d771a2025-08-20T02:57:12ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302025-03-01171404810.34172/jcvtr.32902jcvtr-32902The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical SciencesMohammadhossein Somi0Negin Frounchi1Seyed Sina Zakavi2Alireza Ostadrahimi3Neda Gilani4Elnaz Faramarzi5Sarvin Sanaie6Liver and Gastrointestinal Diseases Research Center of Tabriz University of Medical Sciences, Tabriz, IranStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, IranStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, IranNutrition Research Center, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, IranLiver and Gastrointestinal Diseases Research Center of Tabriz University of Medical Sciences, Tabriz, IranNeurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: It is unclear whether hyperuricemia can be considered as an independent risk factor or just as a marker to represent the correlation between uric acid levels and other risk factors of MetS. In this work, we intend to study the correlation between serum uric acid (SUA) and the cardiometabolic phenotype among Tabriz University of Medical Science healthcare workers. Methods: In this cross-sectional study, anthropometric measurements, serum fasting blood sugar (FBS), triglyceride (TG), cholesterol, high-density lipoprotein (HDL), liver enzymes, blood urea nitrogen (BUN), SUA, creatinine (Cr), and blood pressures of 1,451 healthcare workers were evaluated. MetS was diagnosed based on ATP III. We classified the participants into four cardiometabolic phenotypes: metabolically-healthy lean (MHL), metabolically-unhealthy lean (MUHL), metabolically-healthy obese (MHO), and metabolically-unhealthy obese (MUHO). Results: MHL (26.6%) and MHO (65.8 %) had the highest prevalence rates in the first and second SUA categories, respectively (P≤0.001). Compared to the lowest SUA category, the odds of MHO and MUHO increased by 3.13 (95% CI 2.21–4.44) and 5.50 (95%CI 3.53–8.57) in the highest category, respectively. This trend was not observed regarding the association between MUHL and the SUA classification. Conclusion: We propose using the easily-measured SUA level as a marker for early diagnosis of at-risk MUHL and MHO individuals to administer proper interventions. Further prospective studies are needed to identify the effects of SUA on the progression of MetS in various body-size subgroups.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-17-40.pdfabdominal obesityuric acidmetabolic syndromebody mass index
spellingShingle Mohammadhossein Somi
Negin Frounchi
Seyed Sina Zakavi
Alireza Ostadrahimi
Neda Gilani
Elnaz Faramarzi
Sarvin Sanaie
The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences
Journal of Cardiovascular and Thoracic Research
abdominal obesity
uric acid
metabolic syndrome
body mass index
title The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences
title_full The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences
title_fullStr The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences
title_full_unstemmed The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences
title_short The association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of Tabriz University of Medical Sciences
title_sort association between serum uric acid levels and the cardiometabolic phenotype among healthcare workers of tabriz university of medical sciences
topic abdominal obesity
uric acid
metabolic syndrome
body mass index
url https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-17-40.pdf
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