Excess serum uric acid is associated with metabolic syndrome in obese adolescent patients.

Adolescents Hyperuricemia Inflammation Metabolic syndrome Obesity

Journal

Journal of diabetes and metabolic disorders
ISSN: 2251-6581
Titre abrégé: J Diabetes Metab Disord
Pays: Switzerland
ID NLM: 101590741

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 15 07 2019
accepted: 06 02 2020
entrez: 18 6 2020
pubmed: 18 6 2020
medline: 18 6 2020
Statut: epublish

Résumé

Obesity is a significant cause of morbidity in adolescents. Excess serum uric acid (SUA) has been associated with metabolic syndrome (MS) among adults. We evaluated the relationship among SUA and markers of insulin resistance (IR) and low-grade inflammation in obese adolescents with and without MS. The study was a retrospective chart review of obese patients seen in the LeBonheur Endocrine clinic seen in clinic between September 2016 and December 2017. MS was defined as according to the International Diabetes Federation. Body mass index standard deviation score (BMI SDS), systolic blood pressure (SBP), diastolic blood pressure (DBP), body composition, fasting lipids, glucose, high sensitivity c-reactive protein (hs-CRP), serum uric acid (SUA), HbA1c, alanine transferase (ALT), aspartate transferase (AST), insulin and homeostatic model assessment for insulin resistance (HOMA-IR) were extracted from the charts of the 100 obese adolescents (57% female). Hyperuricemia (SUA >357 umol/L) was present in 41.8% of entire cohort without significant ethnic/racial and/or gender differences. Adolescents with HUA had higher FM, SBP, HbA1c, insulin and HOMA-IR ( In our study, those with hyperuricemia (HUA) showed elevated markers of metabolic syndrome including BP, serum glucoses, IR and triglycerides. In our cohort, SUA appears to correlate with MS comorbidities.

Identifiants

pubmed: 32548073
doi: 10.1007/s40200-020-00507-2
pii: 507
pmc: PMC7270295
doi:

Types de publication

Journal Article

Langues

eng

Pagination

535-543

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Conflict of interestThe authors have no conflict of interest to disclose.

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Auteurs

Christy Foster (C)

Division of Endocrinology, Department of Pediatrics, University of Alabama at Birmingham, 1601 4th Avenue South, Birmingham, AL USA.

Loretta Smith (L)

Division of Endocrinology, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN USA.

Ramin Alemzadeh (R)

Division of Endocrinology, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN USA.

Classifications MeSH