Table 1. Clinical Characteristics and Laboratory Parameters of Study Participants.

From: Serum Uric Acid as a Potential Risk Marker for Atherosclerotic Cardiovascular Disease in Japanese Adults: Using the Hisayama Study-based Prediction Model

Overall Male Female p
n=5,984 n=3,285 n=2,699 male vs female
Age, years 56.0 ± 10.6 56.6 ± 10.8 55.3 ± 10.4 <0.001
BMI, kg/m2 22.9 ± 3.7 23.6 ± 3.5 22.0 ± 3.8 <0.001
Waist circumference, cm 82.0 ± 10.1 84.6 ± 9.5 78.7 ± 9.9 <0.001
Current drinker, % 3,083 (54.8%) 1,229 (37.4%) 1,854 (68.6%) <0.001
Current smoker, % 1,007 (16.8%) 867 (26.4%) 140 (5.2%) <0.001
Regular exercise, % 1,840 (30.7%) 1,180 (35.9%) 660 (24.5%) <0.001
Systolic BP, mmHg 124.3 ± 14.9 126.4 ± 14.0 121.8 ± 15.5 <0.001
Hemoglobin, g/dL 14.0 ±1.5 14.8 ± 1.2 12.9 ± 1.2 <0.001
Total cholesterol, mg/dL 207.2 ± 33.7 202.1 ± 32.2 213.5 ± 34.5 <0.001
Triglyceride, mg/dL 101.0 ± 74.1 113.8 ± 75.2 85.4 ± 69.7 <0.001
HDL cholesterol, mg/dL 63.9 ± 16.0 58.5 ± 14.5 70.4 ± 15.4 <0.001
LDL cholesterol, mg/dL 122.5 ± 29.5 122.3 ± 29.6 122.8 ± 29.5 0.518
Serum creatinine, mg/dL 0.82 ± 0.33 0.93 ± 0.40 0.68 ± 0.14 <0.001
eGFR, mL/min/1.73m2 70.1 ± 12.7 69.2 ± 12.8 71.3 ± 12.5 <0.001
Uric acid, mg/dL 5.4 ± 1.3 6.0 ± 1.2 4.7 ± 1.1 <0.001
Proteinuria, % 78 (1.3%) 57 (1.8%) 17 (0.8%) <0.001
Fasting blood glucose, mg/dL 103.4 ± 18.4 106.3 ± 19.6 99.8 ± 16.2 <0.001
HbA1c, % 5.8 ± 0.6 5.8 ± 0.7 5.7 ± 0.5 <0.001
10-year ASCVD risk, % 3.4 ± 4.3 5.0 ± 5.1 1.4 ± 1.5 <0.001
Table 2. Clinical Characteristics and 10-Year ASCVD Risk Profiles Stratified by Serum Uric Acid Quartiles.

From: Serum Uric Acid as a Potential Risk Marker for Atherosclerotic Cardiovascular Disease in Japanese Adults: Using the Hisayama Study-based Prediction Model

Quartile 1 Quartile 2 Quartile 3 Quartile 4 p for Trend
UA ≤ 4.5 mg/dL UA 4.6-5.3 mg/dL UA 5.4-6.3 mg/dL UA ≥ 6.4 mg/dL
n=1,626 n=1,408 n=1,503 n=1,447
Age, years 54.5 ± 10.5 56.9 ± 10.5 57.2 ± 10.8 55.7 ± 10.6*#† <0.001
Males, % 343 (21.1%) 606 (43.0%) 1,068 (71.1%) 1,268 (87.6%)*#† <0.001
BMI, kg/m2 21.4 ± 3.22 22.3 ± 3.4 23.5 ± 3.6 24.5 ± 3.8*#† <0.001
Waist circumference, cm 77.6 ± 9.3 80.3 ± 9.5 83.6 ± 9.4 86.8 ± 9.6*#† <0.001
Current drinker, % 560 (34.4%) 614 (43.6%) 801 (53.3%) 926 (64.0%)*#† <0.001
Current smoker, % 155 (9.5%) 196 (13.9%) 310 (20.6%) 346 (23.9%)*#† <0.001
Regular exercise, % 386 (23.7%) 447 (31.7%) 504 (33.5%) 503 (34.8%)*# <0.001
Systric BP, mmHg 120.6 ± 15.4 123.6 ± 15.1 125.5 ± 13.9 127.9 ± 13.8*#† <0.001
Hemoglobin, g/dL 13.1 ± 1.5 13.8 ± 1.4 14.3 ± 1.3 14.8 ± 1.3*#† <0.001
Total cholesterol, mg/dL 206.3 ± 34.3 207.9 ± 33.1 205.8 ± 33.3 209.0 ± 34.0 0.141
Triglyceride, mg/dL 80.0 ± 47.4 91.9 ± 54.8 102.4 ± 60.0 132.0 ± 109.5*#† <0.001
HDL cholesterol, mg/dL 69.5 ± 15.3 66.4 ± 16.0 61.4 ± 15.3 57.6 ± 14.9*#† <0.001
LDL cholesterol, mg/dL 118.4 ± 28.3 121.4 ± 28.9 123.8 ± 29.8 126.9 ± 30.6*#† <0.001
Serum creatinine, mg/dL 0.70 ± 0.22 0.77 ± 0.15 0.86 ± 0.26 0.95 ± 0.53*#† <0.001
eGFR, mL/min/1.73m2 74.8 ± 12.6 70.7 ± 12.3 68.3 ± 11.9 66.3 ± 12.4*#† <0.001
Uric acid, mg/dL 3.8 ± 0.6 5.0 ± 0.2 5.8 ± 0.3 7.2 ± 0.7*#† <0.001
Proteinuria, % 13 (0.8%) 18 (1.3%) 20 (1.3%) 27 (1.9%)* 0.012
Fasting blood glucose, mg/dL 101.2 ± 21.1 103.1 ± 19.4 104.4 ± 16.4 104.9 ± 15.9*# <0.001
HbA1c, % 5.7 ± 0.7 5.8 ± 0.7 5.8 ± 0.5 5.8 ± 0.5 <0.001
10-year ASCVD risk, % 2.1 ± 3.2 3.1 ± 4.0 4.1 ± 4.7 4.3 ± 4.6*#† <0.001
Table 3. Clinical Characteristics and ASCVD Risk Profiles Stratified by Serum Uric Acid Thresholds (5.0, 6.0, and 7.0 mg/dL).

From: Serum Uric Acid as a Potential Risk Marker for Atherosclerotic Cardiovascular Disease in Japanese Adults: Using the Hisayama Study-based Prediction Model

Group 1 Group 2 Group 3 Group 4 p for trend
UA ≤ 4.9 mg/dL UA 5.0-5.9 mg/dL UA 6.0-6.9 mg/dL UA ≥ 7.0 mg/dL
n=2,295 n=1,716 n=1,234 n=739
Age, years 55.1 ± 10.5 57.2 ± 10.7 56.7 ± 10.9 55.2 ± 10.6#† 0.003
Males, % 569 (24.8%) 1,308 (60.5%) 1,009 (81.9%) 668 (90.4%)*#† <0.001
BMI, kg/m2 21.6 ± 3.3 23.0 ± 3.5 24.0 ± 3.6 25.0 ± 4.0*#† <0.001
Waist circumference, cm 78.1 ± 9.2 82.0 ± 9.6 85.2 ± 9.4 88.1 ± 9.9*#† <0.001
Current drinker, % 830 (36.2%) 844 (49.2%) 741 (60.1%) 486 (65.8%)*#† <0.001
Current smoker, % 234 (10.2%) 324 (18.9%) 256 (20.8%) 193 (26.1%)*#† <0.001
Regular exercise, % 593 (25.8%) 573 (33.4%) 429 (34.8%) 245 (33.1%)* <0.001
Systric BP, mmHg 121.3 ± 15.4 124.8 ± 14.7 126.8 ± 13.4 128.6 ± 13.9*#† <0.001
Hemoglobin, g/dL 13.3 ± 1.5 14.1 ± 1.3 14.6 ± 1.3 14.8 ± 1.3*#† <0.001
Total cholesterol, mg/dL 207.0 ± 34.0 206.7 ± 33.1 206.2 ± 33.1 210.9 ± 35.3*#† 0.125
Triglyceride, mg/dL 82.7 ± 50.8 96.7 ± 53.2 115.6 ± 84.5 143.5 ± 121.5 <0.001
HDL cholesterol, mg/dL 69.0 ± 15.6 63.7 ± 15.8 59.3 ± 14.6 56.3 ± 14.8*#† <0.001
LDL cholesterol, mg/dL 119.0 ± 28.4 122.9 ± 29.3 124.7 ± 30.0 129.0 ± 31.3*#† <0.001
Serum creatinine, mg/dL 0.71 ± 0.20 0.83 ± 0.25 0.90 ± 0.19 1.00 ± 0.72*#† <0.001
eGFR, mL/min/1.73m2 73.8 ± 12.4 69.1 ± 12.5 67.7 ± 11.8 65.2 ± 12.9*#† <0.001
Uric acid, mg/dL 4.1 ± 0.7 5.4 ± 0.3 6.4 ± 0.3 7.7 ± 0.7*#† <0.001
Proteinuria, % 17 (0.7%) 25 (1.5%) 16 (1.3%) 20 (2.7%)*#† <0.001
Fasting blood glucose, mg/dL 101.5 ± 20.4 103.6 ± 17.6 104.8 ± 16.4 105.9 ± 16.6*# <0.001
HbA1c, % 5.7 ± 0.7 5.8 ± 0.6 5.8 ± 0.5 5.8 ± 0.6 <0.001
10-year ASCVD risk, % 2.3 ± 3.3 3.7 ± 4.6 4.3 ± 4.8 4.4 ± 4.4*# <0.001
Table 4. Correlation Analysis between 10-Year ASCVD Risk and Clinical Parameters.

From: Serum Uric Acid as a Potential Risk Marker for Atherosclerotic Cardiovascular Disease in Japanese Adults: Using the Hisayama Study-based Prediction Model

r p
Age 0.76 <0.001
BMI 0.24 <0.001
Waist circumference 0.37 <0.001
Systolic BP 0.47 <0.001
Hemoglobin 0.40 <0.001
Total cholesterol -0.01 0.406
Triglyceride 0.25 <0.001
HDL cholesterol -0.39 <0.001
LDL cholesterol 0.13 <0.001
Serum creatinine 0.27 <0.001
eGFR -0.32 <0.001
Uric Acid 0.34 <0.001
Fasting blood glucose 0.40 <0.001
HbA1c 0.38 <0.001
Table 5. Multivariable Linear Regression Analysis of Serum Uric Acid Association with 10-Year ASCVD Risk.

From: Serum Uric Acid as a Potential Risk Marker for Atherosclerotic Cardiovascular Disease in Japanese Adults: Using the Hisayama Study-based Prediction Model

Overall Male Female
r = 0.97 p < 0.001 r = 0.96 p < 0.001 r = 0.96 p < 0.001
β p β p β p
Uric acid, mg/dL 0.02 <0.001 0.02 0.006 0.03 <0.001
Age, years 0.67 <0.001 0.86 <0.001 0.79 <0.001
Sex, male -0.47 <0.001
Current drinker -0.03 <0.001 -0.04 <0.001 -0.03 <0.001
Current smoker 0.13 <0.001 0.19 <0.001 0.08 <0.001
Systolic BP, mmHg 0.15 <0.001 0.17 <0.001 0.19 <0.001
Hemoglobin, g/dL 0.01 0.016 0.03 <0.001 -0.01 0.195
LDL cholesterol, mg/dL 0.14 <0.001 0.16 <0.001 0.18 <0.001
eGFR, mL/min/1.73m2 -0.01 0.151 -0.02 <0.001 0.02 <0.001
HbA1c, % 0.12 <0.001 0.15 <0.001 0.11 <0.001
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