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성인의 고콜레스테롤혈증과 복부비만에 대한 고요산혈증과 고감도 C-반응단백의 관련성

The Correlation Between Adult Hypercholesterolemia, Abdominal Obesity, Hyperuricemia, and High-Sensitivity C-Reactive Protein

  • 김재중 (가톨릭대학교 대전성모병원 진단검사의학과)
  • Jae-Jung Kim (Department of Laboratory Medicine, St. Mary Hospital, Daejeon Catholic University)
  • 투고 : 2023.09.19
  • 심사 : 2023.10.19
  • 발행 : 2023.12.31

초록

이 연구는 제7기 국민건강영양조사를 활용하여 성인의 고콜레스테롤혈증과 복부비만에 대한 고요산혈증 과 hs-CRP의 관련성을 분석하고자 고콜레스테롤혈증과 복부비만을 4개 그룹으로 분류하여 이분형 로지스틱 회귀분석을 실시하였다. 고요산혈증과 hs-CRP의 관련성은 복부비만 그룹 OR 2.22배(CI 2.070-2.395), 두 질병 모두 그룹 OR 2.31배(95% CI 2.032-2.626)로 나타났고, 남성은 두 질병 모두 그룹 OR 2.29배(95% CI 1.911-2.748), 여성은 복부비만 그룹 OR 2.44배(95% CI 2.146-2.775)를 나타내며 성별 차이를 나타냈다. 결론적으로 성인의 고콜레스테롤혈증과 복부비만에서 고요산혈증과 hs-CRP는 염증반응의 예측인자로서 관련성이 높았다.

This study aimed to analyze the association between hyperuricemia and hs-CRP in adults with hypercholesterolemia and abdominal obesity, utilizing data from the 7th Korea National Health and Nutrition Examination Survey. The subjects were classified into fourgroups based on hypercholesterolemia and abdominal obesity, and binary logistic regression analysis was conducted. The association between hyperuricemia and hs-CRP wasevident in the abdominal obesity group, with an OR 2.22 (95% CI 2.070-2.395). In thegroup with both conditions, the OR was 2.31 (95% CI 2.032-2.626). Stratified by gender, both conditions showed a higher OR in males 2.29 (95% CI 1.911-2.748), while in females, the abdominal obesity group exhibited a higher OR of 2.44 (95% CI 2.146-2.775), indicating a gender-specific difference. In conclusion, hyperuricemia and hs-CRP in adults with hypercholesterolemia and abdominal obesity demonstrated a significant association, suggesting their role as predictive factors for inflammatory responses.

키워드

참고문헌

  1. M-L Heo, H-D Kim. An analysis of hypertension status and related factors in Korean early adults. Korean J Food Nutr, vol.31, no.5, pp.720-728, 2018.
  2. S. Kim, C. Sohn, W-Y Chung. Effects of medical nutrition therapy on food habits and serum lipid levels of hypercholesterolemic patients. J Korean Diet Assoc, vol.11, no.1, pp.125-132, 2005.
  3. W-Y Lee, J-S Park, S-Y Noh, E-J Rhee, S-W Kim, Zimmet PZ. Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects. Diabetes Res Clin Pract, vol.65, pp.143-149, 2004.
  4. T-S Han, EM. van Leer, JC. Seidell, ME. Lean. Waist circumference as a screening tool for cardiovascular risk factors: evaluation of receiver operating characteristics (ROC). Obes Res, vol.4, pp.533-547, 1996.
  5. E-T Yeh. CRP as a mediator of disease. Circulation, vol.109, no.21 Suppl 1, pp.II11-4, 2004.
  6. K-H Kim. The role of chronic infection and inflammation in Korean patients with coronary artery disease. Korean Circ J, vol.30, pp.1107-16, 2000.
  7. D. Dayal, H. Jain, SV. Attri, B. Bharti, AK. Bhalla. Relationship of high sensitivity c-reactive protein levels to anthropometric and other metabolic parameters in indian children with simple overweight and obesity. J Clin Diagn Res, vol.8, pp.PC05-PC08,2014
  8. T. McLaughlin, F. Abbasi, C. Lamendola, L. Liang, G. Reaven, P. Schaaf, et al. Differentiation between obesity and insulin resistance in the association with c-reactive protein. Circulation, vol.106, pp.2908-2912, 2002.
  9. M. Son, J. Seo, S. Yang. Association between dyslipidemia and serum uric acid levels in Korean adults: Korea National Health and Nutrition Examination Survey 2016-2017. PLoS One, vol.15, no.e0228684, 2020.
  10. T. Shirasawa, H. Ochiai, T. Yoshimoto, S. Nagahama, A. Watanabe, Yoshida R, et al. Cross-sectional study of associations between normal body weight with central obesity and hyperuricemia in japan. BMC Endocrine Disorders, vol.20, no.2, 2020.
  11. CS. Mantzoros, EI. Georgiadis, R. Young, C. Evagelopoulou, S. Khoury, N. Katsilambros, JR. Sowers. Relative androgenicity, blood pressure levels, and cardiovascular risk factors in young healthy women. Am J Hypertens, vol.8, pp.606-614, 1995.
  12. A. Wasilewska, E. Tenderenda, K. Taranta-Janusz, J. Tobolczyk, J. Stypulkowska. Markers of systemic inflammation in children with hyperuricemia. Acta Paediatr, vol.101, pp.497-500, 2012.
  13. T. Yang, X. Ding, YL. Wang, C. Zeng, J. Wei, H. Li, et al. Association between high-sensitivity C-reactive protein and hyperuricemia. Rheumatol Int, vol.36, pp.561-6, 2016.
  14. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation, vol.106, no.25, pp.3143-421, 2002.
  15. TP. Gill. Cardiovascular risk in the Asia-Pacific region from a nutrition and metabolic point of view: abdominal obesity. Asia Pac J Clin Nutr, vol.10, pp.85-89, 2001.
  16. T. Bardin, P. Richette. Definition of hyperuricemia and gouty conditions. Curr Opin Rheumatol, vol.26, pp.186-91, 2014.
  17. L. Li, C. Yang, Y. Zhao, X. Zeng, F. Liu, P. Fu. Is hyperuricemia an independent risk factor for new-onset chronic kidney disease?: a systematic review and meta-analysis based on observational cohort studies. BMC Nephrol, vol.15, no.122, 2014.
  18. GL. Myers, N. Rifai, RP. Tracy, WL. Roberts, RW. Alexander, LM. Biasucci, et al. CDC/AHA workshop on markers of inflammation and cardiovascular disease: application to clinical and public health practice: report from the laboratory science discussion group. Circulation, vol.110, pp.e545-9, 2004.
  19. J. Dawson, KR. Lees, CJ. Weir, T. Quinn, M. Ali, MG. Hennerici, et al. Baseline serum urate and 90day functional outcomes following acute ischemic stroke. Cerebrovasc Dis, vol.28, no.202203, 2009.
  20. M. Frohlich, A. Imhof, G. Berg, WL. Hutchinson, MB. Pepys, H. Boeing, et al. Association between C-reactive protein and features of the metabolic syndrome: a population-based study. Diabetes Care, vol.23, no.12, pp.1835-9, 2000.
  21. NJ. Timpson, BG. Nordestgaard, RM. Harbord, J. Zacho, TM. Frayling, A. Tybjaerg-Hansen and G Davey Smith, C-reactive protein levels and body mass index: elucidating direction of causation through reciprocal Mendelian randomization, Int J Obes (Lond), vol.35, pp.300-8, 2011.
  22. RW. Grant, VD. Dixit. Adipose tissue as an immunological organ. Obesity (Silver Spring), vol.23, pp.512-518, 2015. https://doi.org/10.1002/oby.21003
  23. Y. Tsushima, H. Nishizawa, Y. Tochino, H. Nakatsuji, R. Sekimoto, H. Nagao, et al. Uric acid secretion from adipose tissue and its increase in obesity. J Biol Chem, vol.288, pp.27138-27149, 2013.
  24. DG. Cook, MA. Mendall, PH. Whincup, IM. Carey, L. Ballam, JE. Morris, GJ. Miller, DP. Strachan: C-reactive protein concentration in children: relationship to adiposity and other cardiovascular risk factors. Atherosclerosis, vol.149, pp.139-50, 2000.
  25. TM. Palmer, BG. Nordestgaard, M. Benn, A. Tybjaerg-Hansen, G. Davey Smith, DA. Lawlor, et al. Association of plasma uric acid with ischaemic heart disease and blood pressure: mendelian randomisation analysis of two large cohorts. BMJ, vol.347, no.f4262, 2013.
  26. SK. Sah, S. Khatiwada, S. Pandey, R. Kc, BK. Das, N. Baral, et al. Association of high-sensitivity C-reactive protein and uric acid with the metabolic syndrome components. Springerplus, vol.5, no.269, 2016.
  27. E. Alpizar, LJ. Spicer. Effects of interleukin-6 on proliferation and follicle stimulating hormone induced estradiol production by bovine granulosa cells in vitro: dependence on size of follicle. Biol Reprod, vol.50, pp.38-43, 1994.
  28. S. Kono, K. Shinchi, K. Imanishi, S. Honjo, I. Todoroki. Behavioural and biological correlates of serum uric acid: a study of self-defence officials in Japan. Int J Epidemiol, vol.23, no.3, pp.517-22, 1994.
  29. W. Rathmann, H. Hauner, K. Dannehl, FA. Gries: Association of elevated serum uric acid with coronary heart disease in diabetes mellitus. Diabete Metab, vol.19, pp.159-166, 1993.
  30. J. Dawson, M. Walters. Uric acid and xanthine oxidase: future therapeutic targets in the prevention of cardiovascular disease?, Br J Clin Pharmacol, vol.62, pp.633-44, 2006.