Association of serum uric acid levels with blood pressure and the incidence of hypertension in the middle-aged and elderly populations

Author:

Sasaki Nobuo12,Ueno Yoshitaka1,Ozono Ryoji3,Yoshimura Kenichi4,Nakano Yukiko5,Higashi Yukihito2

Affiliation:

1. Health Management and Promotion Center, Hiroshima Atomic Bomb Casualty Council

2. Department of Regenerative Medicine, Research Institute for Radiation Biology and Medicine, Hiroshima University

3. Department of General Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences

4. Department of Biostatistics, Medical Center for Translational and Clinical Research, Hiroshima University Hospital

5. Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan

Abstract

Objective: This study aimed to investigate the relationship between serum uric acid (SUA) levels and hypertension in the middle-aged and elderly populations. Methods: The cross-sectional analysis included 13 349 middle-aged and elderly general health checkup examinees without cardiovascular disease. The retrospective cohort analysis included 6659 normotensive participants (mean age: 64.6 years). Participants were divided into three groups based on their SBP/DBP levels: normal (<120/<80 mmHg), high normal (120–129/<80 mmHg), and elevated (130–139/80–89 mmHg), and were classified into three groups based on the results of 75 g oral glucose tolerance test: normoglycemia, prediabetes, and diabetes. Results: SUA levels were significantly associated with SBP and DBP in this cross-sectional study. Over a mean 6.5-year follow-up period, 2038 participants developed hypertension. According to the SUA quartiles, the incidence of hypertension increased [26.1% in quartile (Q1) (≤4.1 mg/dl), 28.6% in Q2 (4.2–4.9 mg/dl), 32.6% in Q3 (5.0–5.8 mg/dl), 34.9% in Q4 (≥5.9 mg/dl); P for trend <0.001]. In multivariable analyses, SUA levels were positively associated with hypertension incidence only in the normal BP group [Q4 vs. Q1 odds ratio (OR): 1.64, 95% confidence intervals (CIs): 1.11–2.44; Q3 vs. Q1 OR: 1.69, 95% CI: 1.19–2.42] and in the normoglycemic group (Q4 vs. Q1 OR: 1.34, 95% CI: 1.02–1.76; Q3 vs. Q1 OR: 1.36, 95% CI: 1.07–1.74). Conclusion: In the middle-aged and elderly populations, normotensive or normoglycemic individuals with SUA levels at least 5 mg/dl may be potential targets for SUA management to prevent hypertension.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cardiology and Cardiovascular Medicine,Physiology,Internal Medicine

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