Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018.
<h4>Introduction</h4>Studies in recent years have shown that high uric acid causes harm to the human body, which has become a serious public health problem. Elevated serum uric acid has been shown to be associated with obesity, but the relationship between BMI and uric acid (UA) remains...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0306383 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850199590830080000 |
|---|---|
| author | Yue Chen Jing Luo Xiao-Man Ma Xiang-Ping He Wan-Lin Zhang Shao-Yong Wu Xiao-Chun Mo Wei-Chao Huang Xu-Guang Guo |
| author_facet | Yue Chen Jing Luo Xiao-Man Ma Xiang-Ping He Wan-Lin Zhang Shao-Yong Wu Xiao-Chun Mo Wei-Chao Huang Xu-Guang Guo |
| author_sort | Yue Chen |
| collection | DOAJ |
| description | <h4>Introduction</h4>Studies in recent years have shown that high uric acid causes harm to the human body, which has become a serious public health problem. Elevated serum uric acid has been shown to be associated with obesity, but the relationship between BMI and uric acid (UA) remains controversial. Although the association between BMI and UA has been well studied, the effect of phosphorus levels in vivo on this association remains unclear. This study aimed to determine the relationship between BMI and serum uric acid and the effect of phosphorus on the relationship between the two.<h4>Research design and methods</h4>The present study analyzed data from the National Health and Nutrition Examination Survey (NHANES) continuous 2007-2018 cycle. We included 10786 participants aged 20 years and over. Multivariable linear regression was performed to assess the association between BMI and serum uric acid. phosphorus was stratified into low phosphorus (<3.3 mg/dl), middle phosphorus (3.3-3.9 mg/dl) and high phosphorus (>3.9 mg/dl). Correction of the effect of phosphorus was assessed by testing the interaction between BMI and UA in multivariate linear regression.<h4>Results</h4>In this cross-sectional study, we found that BMI was positively associated with UA in the female population but not significantly in the male population or in the total population. In multiple regression analysis, UA was 0.51 higher in the highest female BMI group than in the lowest group (p = 0.0001). The relationship between BMI and UA differed significantly by gender under the influence of phosphorus, with men and women in Model II having a greater elevation of UA in men than in women within most groups. (BMI >30, phosphorus >3.9 mg/dl, β:0.83 95% CI: 0.43, 1.23 vs β: 0.79 95% CI: 0.30, 1.29). In addition, phosphorus significantly altered the positive association between BMI and UA in most models.<h4>Conclusion</h4>Our results indicate significant associations between BMI and uric acid in women, with higher BMI values likely to be associated with a higher risk of hyperuricemia, suggesting that uric acid levels in obese people should be closely monitored in clinical practice. Phosphorus and BMI have an interactive effect in elevating UA and should be noted as indicators of phosphorus in clinical practice. |
| format | Article |
| id | doaj-art-c7961a4762744f3fbb833511fa3d831e |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-c7961a4762744f3fbb833511fa3d831e2025-08-20T02:12:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011910e030638310.1371/journal.pone.0306383Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018.Yue ChenJing LuoXiao-Man MaXiang-Ping HeWan-Lin ZhangShao-Yong WuXiao-Chun MoWei-Chao HuangXu-Guang Guo<h4>Introduction</h4>Studies in recent years have shown that high uric acid causes harm to the human body, which has become a serious public health problem. Elevated serum uric acid has been shown to be associated with obesity, but the relationship between BMI and uric acid (UA) remains controversial. Although the association between BMI and UA has been well studied, the effect of phosphorus levels in vivo on this association remains unclear. This study aimed to determine the relationship between BMI and serum uric acid and the effect of phosphorus on the relationship between the two.<h4>Research design and methods</h4>The present study analyzed data from the National Health and Nutrition Examination Survey (NHANES) continuous 2007-2018 cycle. We included 10786 participants aged 20 years and over. Multivariable linear regression was performed to assess the association between BMI and serum uric acid. phosphorus was stratified into low phosphorus (<3.3 mg/dl), middle phosphorus (3.3-3.9 mg/dl) and high phosphorus (>3.9 mg/dl). Correction of the effect of phosphorus was assessed by testing the interaction between BMI and UA in multivariate linear regression.<h4>Results</h4>In this cross-sectional study, we found that BMI was positively associated with UA in the female population but not significantly in the male population or in the total population. In multiple regression analysis, UA was 0.51 higher in the highest female BMI group than in the lowest group (p = 0.0001). The relationship between BMI and UA differed significantly by gender under the influence of phosphorus, with men and women in Model II having a greater elevation of UA in men than in women within most groups. (BMI >30, phosphorus >3.9 mg/dl, β:0.83 95% CI: 0.43, 1.23 vs β: 0.79 95% CI: 0.30, 1.29). In addition, phosphorus significantly altered the positive association between BMI and UA in most models.<h4>Conclusion</h4>Our results indicate significant associations between BMI and uric acid in women, with higher BMI values likely to be associated with a higher risk of hyperuricemia, suggesting that uric acid levels in obese people should be closely monitored in clinical practice. Phosphorus and BMI have an interactive effect in elevating UA and should be noted as indicators of phosphorus in clinical practice.https://doi.org/10.1371/journal.pone.0306383 |
| spellingShingle | Yue Chen Jing Luo Xiao-Man Ma Xiang-Ping He Wan-Lin Zhang Shao-Yong Wu Xiao-Chun Mo Wei-Chao Huang Xu-Guang Guo Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018. PLoS ONE |
| title | Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018. |
| title_full | Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018. |
| title_fullStr | Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018. |
| title_full_unstemmed | Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018. |
| title_short | Phosphorus modifies the association between body mass index and uric acid: Results from NHANES 2007-2018. |
| title_sort | phosphorus modifies the association between body mass index and uric acid results from nhanes 2007 2018 |
| url | https://doi.org/10.1371/journal.pone.0306383 |
| work_keys_str_mv | AT yuechen phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT jingluo phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT xiaomanma phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT xiangpinghe phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT wanlinzhang phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT shaoyongwu phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT xiaochunmo phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT weichaohuang phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 AT xuguangguo phosphorusmodifiestheassociationbetweenbodymassindexanduricacidresultsfromnhanes20072018 |