PMID- 36456492 OWN - NLM STAT- MEDLINE DCOM- 20221205 LR - 20221207 IS - 0254-6450 (Print) IS - 0254-6450 (Linking) VI - 43 IP - 10 DP - 2022 Oct 10 TI - [Relationship of serum uric acid with prediabetes and newly detected type 2 diabetes mellitus]. PG - 1603-1610 LID - 10.3760/cma.j.cn112338-20220117-00041 [doi] AB - Objective: To evaluate the relationship of serum uric acid with prediabetes and newly detected type 2 diabetes mellitus (T2DM) in adults. Methods: Data were obtained from the baseline investigation of Songjiang Peak-Plan cohort. According to the baseline fasting plasma glucose and glycosylated hemoglobin, the eligible subjects were divided into normal blood sugar group, prediabetes group, and newly detected T2DM group. Unconditional logistic regression model was used to explore the effect of serum uric acid level on prediabetes and newly detected T2DM, and restricted cubic spline (RCS) function was used to explore the nonlinear dose-response relationship of serum uric acid level with the prevalence of prediabetes and newly detected T2DM. Results: A total of 30 375 subjects were included in the analysis, with an average age of (55.36+/-11.52) years, and 60.2% (18 299) of them were women. The baseline survey found that the prevalence of prediabetes was 38.6% (11 739 cases), and the prevalence of newly detected T2DM was 6.6% (1 992 cases). Logistic regression analysis showed that, in women, for every 10micromol/L increase in serum uric acid, the risk of developing prediabetes and T2DM s increased by 2.4% (OR=1.024, 95%CI: 1.018-1.030), and 1.5% (OR=1.015, 95%CI: 1.005-1.025), respectively; in men, for every 10 micromol/L increase in serum uric acid, the risk of developing prediabetes and T2DM decreased by 0.8% (OR=0.992, 95%CI: 0.987-0.998) and 5.0% (OR=0.950, 95%CI: 0.939-0.960), respectively. The RCS function showed that the serum uric acid level showed a nonlinear dose-response relationship with newly detected T2DM (P=0.017), but not with prediabetes (P=0.670) in women and showed a nonlinear dose-response relationship with both prediabetes (P=0.040) and newly detected T2DM (P<0.001) in men. Conclusions: Adult women are at increased risk of prediabetes and newly detected T2DM with increase of serum uric acid level, and adult men are at decreased risk of newly diagnosed T2DM with the increase of serum uric acid level. There was no significant relationship between serum uric acid level and prediabetes in men. FAU - Wu, Q AU - Wu Q AD - School of Public Health, Fudan University, Shanghai 200032, China. FAU - Guan, Y AU - Guan Y AD - Songjiang District Center for Disease Control and Prevention of Shanghai, Shanghai 201620, China. FAU - Xu, C Z AU - Xu CZ AD - Songjiang District Center for Disease Control and Prevention of Shanghai, Shanghai 201620, China. FAU - Wang, N AU - Wang N AD - School of Public Health, Fudan University, Shanghai 200032, China. FAU - Liu, X AU - Liu X AD - School of Public Health, Fudan University, Shanghai 200032, China. FAU - Jiang, F AU - Jiang F AD - School of Public Health, Fudan University, Shanghai 200032, China. FAU - Zhao, Q AU - Zhao Q AD - School of Public Health, Fudan University, Shanghai 200032, China. FAU - Sun, Y G AU - Sun YG AD - Songjiang District Center for Disease Control and Prevention of Shanghai, Shanghai 201620, China. FAU - Zhao, Genming AU - Zhao G AD - School of Public Health, Fudan University, Shanghai 200032, China. FAU - Jiang, Yonggen AU - Jiang Y AD - Songjiang District Center for Disease Control and Prevention of Shanghai, Shanghai 201620, China. LA - chi GR - 2017YFC0907000/Shanghai Local High-level Discipline Construction Project/ GR - National Key Research and Development Program of China, "Precision Medicine Research" Program/ PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Liu Xing Bing Xue Za Zhi JT - Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi JID - 8208604 RN - 268B43MJ25 (Uric Acid) RN - 0 (Glycated Hemoglobin A) SB - IM MH - Adult MH - Male MH - Female MH - Humans MH - Middle Aged MH - Aged MH - *Prediabetic State/epidemiology MH - Uric Acid MH - *Diabetes Mellitus, Type 2/epidemiology MH - Glycated Hemoglobin MH - Fasting EDAT- 2022/12/02 06:00 MHDA- 2022/12/06 06:00 CRDT- 2022/12/01 22:22 PHST- 2022/12/01 22:22 [entrez] PHST- 2022/12/02 06:00 [pubmed] PHST- 2022/12/06 06:00 [medline] AID - 10.3760/cma.j.cn112338-20220117-00041 [doi] PST - ppublish SO - Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Oct 10;43(10):1603-1610. doi: 10.3760/cma.j.cn112338-20220117-00041.