PMID- 35768559 OWN - NLM STAT- MEDLINE DCOM- 20220701 LR - 20220906 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 12 IP - 1 DP - 2022 Jun 29 TI - Concurrent presence of high serum uric acid and inflammation is associated with increased incidence of type 2 diabetes mellitus in Korean adult population. PG - 11000 LID - 10.1038/s41598-022-15176-9 [doi] LID - 11000 AB - Although serum uric acid level and systemic inflammation have been highlighted as risk factors for type 2 diabetes mellitus (T2DM), little is known about these associations in the Korean population. Thus, we examined the individual and combined associations of serum uric acid and systemic inflammation (evaluated using high-sensitivity C-reactive protein [hs-CRP] measurement) with the future risk of T2DM. A total of 4152 Korean adults aged 45-76 years without T2DM, cancer, or gout at baseline in 2007-2008 from the Korean Genome and Epidemiology Study were followed up until 2016. Cox proportional hazard models were used to estimate the multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) of T2DM according to sex-specific tertiles of serum uric acid and hs-CRP levels after adjustment for confounders. During the mean follow-up of 7.3 years, 548 participants developed T2DM. High serum uric acid and hs-CRP levels were independently associated with an increased incidence of T2DM. The multivariable-adjusted HRs (95% CIs) for the incidence of T2DM in the highest tertiles of serum uric acid and hs-CRP were 1.54 (1.24-1.93) and 1.90 (1.48-2.43), respectively. High levels of serum uric acid and hs-CRP in combination were associated with an increased incidence of T2DM (HR: 4.69; 95% CI: 2.81-7.84) compared to low levels of serum uric acid and hs-CRP. These findings suggest that the combination of high serum uric acid and hs-CRP levels was significantly associated with an elevated incidence of T2DM; however, their synergistic effects were not observed in middle-aged and elderly Korean adults. CI - (c) 2022. The Author(s). FAU - Lee, Kyung Won AU - Lee KW AD - Department of Home Economics Education, Korea National University of Education, Cheongju, 28173, Republic of Korea. FAU - Shin, Dayeon AU - Shin D AD - Department of Food and Nutrition, Inha University, 100 Inha-ro, Michuhol-gu, Incheon, 22212, Republic of Korea. dyshin@inha.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220629 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 268B43MJ25 (Uric Acid) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Aged MH - C-Reactive Protein/metabolism MH - *Diabetes Mellitus, Type 2/blood/epidemiology MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Republic of Korea/epidemiology MH - Risk Factors MH - *Uric Acid/blood PMC - PMC9243007 COIS- The authors declare no competing interests. EDAT- 2022/06/30 06:00 MHDA- 2022/07/02 06:00 PMCR- 2022/06/29 CRDT- 2022/06/29 23:26 PHST- 2021/12/14 00:00 [received] PHST- 2022/06/20 00:00 [accepted] PHST- 2022/06/29 23:26 [entrez] PHST- 2022/06/30 06:00 [pubmed] PHST- 2022/07/02 06:00 [medline] PHST- 2022/06/29 00:00 [pmc-release] AID - 10.1038/s41598-022-15176-9 [pii] AID - 15176 [pii] AID - 10.1038/s41598-022-15176-9 [doi] PST - epublish SO - Sci Rep. 2022 Jun 29;12(1):11000. doi: 10.1038/s41598-022-15176-9.