PMID- 24682912 OWN - NLM STAT- MEDLINE DCOM- 20150622 LR - 20211021 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 37 IP - 5 DP - 2014 May TI - Serum uric acid is associated with arterial stiffness in men with newly diagnosed type 2 diabetes mellitus. PG - 441-7 LID - 10.1007/s40618-013-0034-9 [doi] AB - BACKGROUND: Increased serum uric acid levels and vascular atherosclerosis are very common in diabetes. However, few studies focused on the relationship between serum uric acid and aortic or peripheral arterial stiffness in newly diagnosed diabetic patients. This study investigated the association between serum uric acid levels and carotid-femoral pulse wave velocity (cfPWV) or carotid-radial (cr) PWV in male patients with newly diagnosed type 2 diabetes mellitus (T2DM). METHODS: 106 male patients with newly diagnosed T2DM were recruited. cfPWV and crPWV as well as anthropometric parameters, blood pressure, serum uric acid, blood glucose, fasting insulin, C-reactive protein and blood lipids were measured. RESULTS: The subjects were divided into low uric acid (UA) subgroup and high UA subgroup according to uric acid median. cfPWV and crPWV were significantly higher in high UA subgroup. Serum uric acid significantly correlated with cfPWV (r = 0.533, P < 0.001), crPWV (r = 0.334, P = 0.001), waist circumference (r = 0.350, P < 0.001), waist-to-hip ratio (r = 0.254, P = 0.009), fasting insulin (r = 0.432, P < 0.001), HOMA-IR (r = 0.173, P = 0.042), fasting blood glucose (r = -0.271, P = 0.005), haemoglobin A1c (r = -0.202, P = 0.038), and HDL-cholesterol (r = -0.267, P = 0.006) after correction for age. Stepwise multiple regressions showed that the independent determinants of cfPWV were serum uric acid, age, C-reactive protein, HDL-cholesterol, and smoking status. And the independent determinants of crPWV were serum uric acid, age, diastolic blood pressure, and HDL-cholesterol. CONCLUSIONS: Serum uric acid is significantly associated with increased aortic and peripheral arterial stiffness in men with T2DM at the early stage. FAU - Zhang, J AU - Zhang J AD - Department of Endocrinology, Wuhan General Hospital of Guangzhou Command, Wuluo Road 627, Wuhan, 430070, Hubei, People's Republic of China, zhangjx666@gmail.com. FAU - Xiang, G AU - Xiang G FAU - Xiang, L AU - Xiang L FAU - Sun, H AU - Sun H LA - eng PT - Journal Article DEP - 20140109 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 268B43MJ25 (Uric Acid) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Age Factors MH - Atherosclerosis/complications/*diagnosis/epidemiology MH - C-Reactive Protein/analysis MH - Carotid Arteries/physiopathology MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/*complications/immunology/physiopathology MH - Diabetic Angiopathies/complications/*diagnosis/epidemiology MH - Early Diagnosis MH - Femoral Artery/physiopathology MH - Humans MH - Hyperuricemia/*complications/diagnosis MH - Insulin Resistance MH - Male MH - Middle Aged MH - Pulse Wave Analysis MH - Radial Artery/physiopathology MH - Risk Factors MH - Smoking/adverse effects MH - Uric Acid/*blood MH - *Vascular Stiffness EDAT- 2014/04/01 06:00 MHDA- 2015/06/24 06:00 CRDT- 2014/04/01 06:00 PHST- 2013/03/16 00:00 [received] PHST- 2013/11/17 00:00 [accepted] PHST- 2014/04/01 06:00 [entrez] PHST- 2014/04/01 06:00 [pubmed] PHST- 2015/06/24 06:00 [medline] AID - 10.1007/s40618-013-0034-9 [doi] PST - ppublish SO - J Endocrinol Invest. 2014 May;37(5):441-7. doi: 10.1007/s40618-013-0034-9. Epub 2014 Jan 9.