Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study

Abstract Background Gout, the most common inflammatory arthritis disease, and hyperuricaemia onset are influenced by environmental and genetic factors. We sought to investigate these factors in an Indigenous community in Guam. Methods In this feasibility study, the University of Guam led the qualita...

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Main Authors: Yvette C. Paulino, Frank Camacho, Tristan VC Paulino, Delores J. Lee, Lisa Linda Natividad, Elizabeth Matisoo-Smith, Tony R. Merriman, Anna L. Gosling
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21643-5
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author Yvette C. Paulino
Frank Camacho
Tristan VC Paulino
Delores J. Lee
Lisa Linda Natividad
Elizabeth Matisoo-Smith
Tony R. Merriman
Anna L. Gosling
author_facet Yvette C. Paulino
Frank Camacho
Tristan VC Paulino
Delores J. Lee
Lisa Linda Natividad
Elizabeth Matisoo-Smith
Tony R. Merriman
Anna L. Gosling
author_sort Yvette C. Paulino
collection DOAJ
description Abstract Background Gout, the most common inflammatory arthritis disease, and hyperuricaemia onset are influenced by environmental and genetic factors. We sought to investigate these factors in an Indigenous community in Guam. Methods In this feasibility study, the University of Guam led the qualitative inquiry with the native community, training (pre-screening of participants, data collection methods, and biospecimen handling), study implementation (outreach and recruitment, data collection, and DNA extraction and quantification), and qualitative and epidemiologic data analyses. Recruitment targets were based on demographic representation in current census data. The University of Otago collaborated on ethics guidance, working with Indigenous communities, and led the genetic sequencing and genetic data analysis. Participants were recruited in Guam from Fall 2019 to Spring 2022. Results Of the 359 participants, most self-identified as Native CHamorus (61.6%) followed by Other Micronesians (22.0%), and Filipinos (15.6%). The prevalence of metabolic conditions from highest to lowest were obesity (55.6%), hyperuricaemia (36.0%), hypertension (27.8%), gout (23.0%), diabetes (14.9%), cardiovascular disease (8.4%), kidney disease (7.3%), and liver disease (3.4%). There was variation in the prevalence of metabolic conditions among the major ethnic groups in this study. Conclusions We estimated the prevalence of metabolic conditions, especially gout and hyperuricaemia, and found variation among ethnic groups, all while obtaining the Indigenous community’s feedback on the genetic study and building gout research capacity. The results of ongoing genetic sequencing will be used to understand molecular causes of gout in Guam.
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spelling doaj-art-db068fe4b2e9450abbc5dd73f104143d2025-02-09T12:58:19ZengBMCBMC Public Health1471-24582025-02-012511910.1186/s12889-025-21643-5Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility studyYvette C. Paulino0Frank Camacho1Tristan VC Paulino2Delores J. Lee3Lisa Linda Natividad4Elizabeth Matisoo-Smith5Tony R. Merriman6Anna L. Gosling7University of Guam - School of Health MangilaoUniversity of Guam - College of Natural and Applied Sciences MangilaoUniversity of Guam - College of Natural and Applied Sciences MangilaoUniversity of Guam - School of Health MangilaoUniversity of Guam - School of Health MangilaoSchool of Biomedical Sciences Anatomy Department, University of OtagoUniversity of Birmingham at Alabama - Immunology and Rheumatology BirminghamSchool of Biomedical Sciences Anatomy Department, University of OtagoAbstract Background Gout, the most common inflammatory arthritis disease, and hyperuricaemia onset are influenced by environmental and genetic factors. We sought to investigate these factors in an Indigenous community in Guam. Methods In this feasibility study, the University of Guam led the qualitative inquiry with the native community, training (pre-screening of participants, data collection methods, and biospecimen handling), study implementation (outreach and recruitment, data collection, and DNA extraction and quantification), and qualitative and epidemiologic data analyses. Recruitment targets were based on demographic representation in current census data. The University of Otago collaborated on ethics guidance, working with Indigenous communities, and led the genetic sequencing and genetic data analysis. Participants were recruited in Guam from Fall 2019 to Spring 2022. Results Of the 359 participants, most self-identified as Native CHamorus (61.6%) followed by Other Micronesians (22.0%), and Filipinos (15.6%). The prevalence of metabolic conditions from highest to lowest were obesity (55.6%), hyperuricaemia (36.0%), hypertension (27.8%), gout (23.0%), diabetes (14.9%), cardiovascular disease (8.4%), kidney disease (7.3%), and liver disease (3.4%). There was variation in the prevalence of metabolic conditions among the major ethnic groups in this study. Conclusions We estimated the prevalence of metabolic conditions, especially gout and hyperuricaemia, and found variation among ethnic groups, all while obtaining the Indigenous community’s feedback on the genetic study and building gout research capacity. The results of ongoing genetic sequencing will be used to understand molecular causes of gout in Guam.https://doi.org/10.1186/s12889-025-21643-5GoutHyperuricemiaPacific IslanderGeneticsMinority health
spellingShingle Yvette C. Paulino
Frank Camacho
Tristan VC Paulino
Delores J. Lee
Lisa Linda Natividad
Elizabeth Matisoo-Smith
Tony R. Merriman
Anna L. Gosling
Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study
BMC Public Health
Gout
Hyperuricemia
Pacific Islander
Genetics
Minority health
title Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study
title_full Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study
title_fullStr Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study
title_full_unstemmed Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study
title_short Conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in Guam - a feasibility study
title_sort conducting genetic epidemiology research on hyperuricaemia and gout in an indigenous community in guam a feasibility study
topic Gout
Hyperuricemia
Pacific Islander
Genetics
Minority health
url https://doi.org/10.1186/s12889-025-21643-5
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