PMID- 20450721 OWN - NLM STAT- MEDLINE DCOM- 20100909 LR - 20131121 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 90 IP - 10 DP - 2010 Mar 16 TI - [Association between serum uric acid level and peripheral vascular disease of lower extremities in type 2 diabetes mellitus subjects]. PG - 653-7 AB - OBJECTIVE: To investigate the relationship between serum uric acid (UA) level and lower extremity arterial disease (LEAD) in type 2 diabetes mellitus (T2DM) subjects. METHODS: A total of 2174 T2DM individuals (1228 males, 946 females) were investigated. The case history, physical examination and biochemical tests were conducted. And LEAD was diagnosed by high-resolution ultrasound. RESULTS: In women, the serum UA levels with LEAD was significantly higher than that without LEAD [(304 +/- 76) micromol/L vs (287 +/- 71) micromol/L, P < 0.01], but not in men [(332 +/- 76) micromol/L vs (328 +/- 77) micromol/L, P = 0.45]. The subjects were divided into 4 groups (groups A, B, C, D) according to sex-specific quartiles of serum UA levels (< 240 micromol/L, 240 - 284 micromol/L, 285 - 340 micromol/L and >or= 341 micromol/L in women and< 275 micromol/L, 275 - 322 micromol/L, 323 - 377 micromol/L and >or= 378 micromol/L in men). In women, the prevalence of LEAD of 4 groups were 38.56%, 44.02%, 47.54% and 50.00% respectively (P < 0.01). And the prevalence of LEAD in groups C and D was significantly higher than that in group A (P < 0.05). But in men there was no significant difference between 4 groups. After adjusting for age, duration of diabetes mellitus, smoking status, systolic blood pressure, body mass index, total cholesterol, triglyceride and C reactive protein, the serum UA levels in women was an independent risk factor associated with the prevalence of LEAD. And the odds ratios (95%CI) of sex-specific quartiles of serum UA were 1.0, 1.25 (0.87 to 1.81), 1.44 (1.01 to 2.08) and 1.59 (1.10 to 2.30) respectively. CONCLUSION: The increase of serum UA levels is associated with LEAD in women, in addition to age, duration of diabetes mellitus, smoking status, systolic blood pressure, body mass index, total cholesterol, triglyceride and C reactive protein. Serum UA levels is an independent risk factor of LEAD in women diabetics. FAU - Zhang, Lei AU - Zhang L AD - Shanghai Clinical Center for Diabetes, Department of Endocrinology & Metabolism, Sixth People's Hospital Affiliated to Jiaotong University, Shanghai Diabetes Institute, Shanghai 200233, China. FAU - Zhou, Jian AU - Zhou J FAU - Li, Qing AU - Li Q FAU - Yu, Hao-yong AU - Yu HY FAU - Li, Ming AU - Li M FAU - Zhang, Feng AU - Zhang F FAU - Bao, Yu-qian AU - Bao YQ FAU - Jia, Wei-ping AU - Jia WP LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 268B43MJ25 (Uric Acid) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Humans MH - Lower Extremity/blood supply MH - Male MH - Middle Aged MH - Peripheral Vascular Diseases/*etiology MH - Sex Factors MH - Uric Acid/*blood EDAT- 2010/05/11 06:00 MHDA- 2010/09/10 06:00 CRDT- 2010/05/11 06:00 PHST- 2010/05/11 06:00 [entrez] PHST- 2010/05/11 06:00 [pubmed] PHST- 2010/09/10 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2010 Mar 16;90(10):653-7.