上海某社区老年人血尿酸与部分健康指标关系研究

Study on relationship between blood uric acid and some health indexes of the elderly in a community of Shanghai

目的:了解老年人高尿酸血症(HUA)的发病率及血尿酸水平与体重指数(BMI)、甘油三酯(TG)、糖化血红蛋白(HbA_(1c))和高血压的关系。方法:分析3 279例65岁以上老人的血尿酸、BMI、TG、HbA_(1c)和血压,探讨血尿酸水平与体质指数、BMI、TG、HbA_(1c)和高血压的关系。结果:血尿酸异常率19.8%,超重肥胖率39.3%,血压异常率21.6%,HbA_(1c)异常率24.3%,TG异常率32.8%。与血尿酸正常组相比,高尿酸血症组血压、TG、HbA_(1c)和BMI异常的检出率明显升高,差异具有统计学意义(P<0.001)。结论:高尿酸血症在老年人群中患病率高。老年人的高尿酸血症与肥胖、高血脂、高血糖和高血压关系密切。

Objective:To understand the incidence of hyperuricemia (HUA) and the relationship between blood uric acid levelsand body mass index (BMI),triglyceride (TG),glycosylated hemoglobin (HbA1c) and hypertension.Methods:The blood uric acid,BMI,TG,HbA1c and blood pressure of 3 279 cases of elderly aged over 65 years old were analyzed and the relationship between blooduric acid levels and BMI,TG,glycosylated hemoglobin,hypertension were investigated.Results:The abnormal rate of blood uric acidwas 19.8% ;the rate of overweight and obesity was 39.3% ;the abnormal rate of blood pressure was 21.6% ;the abnormal rate ofHbA1c was 24.3%;the abnormal rate of TG was 32.8%.Compared with the normal boold uric acid group,the abnormal detectionrate of blood pressure,glycosylated hemoglobin,triglyceride and BMI in the hyperuricemia group were significantly increased,andthe differences were statistically significant(P<0.001).Conclusion:The prevalence rate of hyperuricemia in the elderly was high.The relationship between hyperuricemia and obesity,hyperlipidemia,hyperglycemiaand hypertension in the elderly were closely.