PMID- 29266345 OWN - NLM STAT- MEDLINE DCOM- 20190916 LR - 20221207 IS - 1440-1681 (Electronic) IS - 0305-1870 (Linking) VI - 45 IP - 6 DP - 2018 Jun TI - Hyperuricaemia and development of type 2 diabetes mellitus in Asian population. PG - 499-506 LID - 10.1111/1440-1681.12911 [doi] AB - Recently, meta-analysis studies reported that hyperuricaemia is associated with higher incidence of type 2 diabetes mellitus (T2DM), however, there are limited data on the Asian population. The aim of this observational study is to estimate the long-term impact of hyperuricaemia on the new-onset T2DM and cardiovascular events. This study is based on a single-centre, all-comers, and large retrospective cohort. Subjects that visited from January 2004 to February 2014 were enrolled using the electronic database of Korea University Guro Hospital. A total of 10 505 patients without a history of T2DM were analyzed for uric acid, fasting glucose and haemoglobin (Hb) A1c level. Inclusion criteria included both Hb A1c <5.7% and fasting glucose level <100 mg/dL without T2DM. Hyperuricaemia was defined as a uric acid level >/=7.0 mg/dL in men, and >/=6.5 mg/dL in women. To adjust baseline confounders, a propensity score matching (PSM) analysis was performed. The impact of hyperuricaemia on the new-onset T2DM and cardiovascular events were compared with the non-hyperuricaemia during the 5-year clinical follow-up. After PSM, baseline characteristics of both groups were balanced. In a 5-year follow-up, the hyperuricaemia itself was a strong independent predictor of the incidence of new-onset T2DM (HR, 1.78; 95% CI, 1.12 to 2.8). Hyperuricaemia was a strong independent predictor of new-onset T2DM, which suggests a substantial implication for a correlation between uric acid concentration and insulin resistance (or insulin sensitivity). Also, hyperuricaemia is substantially implicated in cardiovascular risks and the further long-term cardiovascular events in the crude population, but it is not an independent predictor of long-term cardiovascular mortality in the matched population. CI - (c) 2017 John Wiley & Sons Australia, Ltd. FAU - Choi, Byoung Geol AU - Choi BG AD - Department of Medicine, Korea University Graduate School, Seoul, Korea. FAU - Kim, Dae Jin AU - Kim DJ AD - Department of Integrated Biomedical and Life Sciences, Korea University Graduate School, Seoul, Korea. FAU - Baek, Man Jong AU - Baek MJ AD - Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Seoul, Korea. FAU - Ryu, Yang Gi AU - Ryu YG AD - Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Seoul, Korea. FAU - Kim, Suhng Wook AU - Kim SW AD - Department of Integrated Biomedical and Life Sciences, Korea University Graduate School, Seoul, Korea. FAU - Lee, Min Woo AU - Lee MW AD - Department of Integrated Biomedical and Life Sciences, Korea University Graduate School, Seoul, Korea. FAU - Park, Ji Young AU - Park JY AD - Division of Cardiology, Nown Eulji Hospital, Eulji University, Seoul, Korea. FAU - Noh, Yung-Kyun AU - Noh YK AD - School of Mechanical & Aerospace Engineering, Seoul National University, Seoul, Korea. FAU - Choi, Se Yeon AU - Choi SY AD - Department of Medicine, Korea University Graduate School, Seoul, Korea. FAU - Byun, Jae Kyeong AU - Byun JK AD - Department of Medicine, Korea University Graduate School, Seoul, Korea. FAU - Shim, Min Suk AU - Shim MS AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Mashaly, Ahmed AU - Mashaly A AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Li, Hu AU - Li H AD - Department of Medicine, Korea University Graduate School, Seoul, Korea. FAU - Park, Yoonjee AU - Park Y AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Jang, Won Young AU - Jang WY AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Kim, Woohyeun AU - Kim W AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Kang, Jun Hyuk AU - Kang JH AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Choi, Jah Yeon AU - Choi JY AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Park, Eun Jin AU - Park EJ AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Park, Sung-Hun AU - Park SH AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Lee, Sunki AU - Lee S AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Na, Jin Oh AU - Na JO AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Choi, Cheol Ung AU - Choi CU AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Kim, Eung Ju AU - Kim EJ AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Park, Chang Gyu AU - Park CG AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Seo, Hong Seog AU - Seo HS AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Oh, Dong Joo AU - Oh DJ AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. FAU - Rha, Seung-Woon AU - Rha SW AUID- ORCID: 0000-0001-9456-9852 AD - Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. LA - eng PT - Journal Article DEP - 20180204 PL - Australia TA - Clin Exp Pharmacol Physiol JT - Clinical and experimental pharmacology & physiology JID - 0425076 SB - IM CIN - Clin Exp Pharmacol Physiol. 2018 Aug;45(8):870. PMID: 29570819 MH - Aged MH - Asian People/*statistics & numerical data MH - Diabetes Mellitus, Type 2/*complications/epidemiology MH - Female MH - Follow-Up Studies MH - Humans MH - Hyperuricemia/*complications MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged OTO - NOTNLM OT - diabetes mellitus OT - hyperuricaemia OT - risk factors OT - uric acid EDAT- 2017/12/22 06:00 MHDA- 2019/09/17 06:00 CRDT- 2017/12/22 06:00 PHST- 2017/03/13 00:00 [received] PHST- 2017/12/04 00:00 [revised] PHST- 2017/12/06 00:00 [accepted] PHST- 2017/12/22 06:00 [pubmed] PHST- 2019/09/17 06:00 [medline] PHST- 2017/12/22 06:00 [entrez] AID - 10.1111/1440-1681.12911 [doi] PST - ppublish SO - Clin Exp Pharmacol Physiol. 2018 Jun;45(6):499-506. doi: 10.1111/1440-1681.12911. Epub 2018 Feb 4.