Association Between Vitamin D and Asymptomatic Hyperuricaemia Among Adults––An Observational Study

Rajeswary Hari, Ajith Krishnamurthy, Siva Mahesh S, Naveen Jeyaraman, Swaminathan Ramasubramanian
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Abstract

The relationship between Vitamin D levels and asymptomatic hyperuricaemia is gaining attention due to its potential implications for public health. This study investigates this association, focussing on the interplay between Vitamin D, serum uric acid and parathyroid hormone (PTH) levels in adults. This cross-sectional observational study, conducted from April to June 2023, involved 100 adult participants (65 males, 35 females) from the general population. Participants were selected based on specific inclusion and exclusion criteria. Data collection included a comprehensive questionnaire, physical examinations and blood sample analysis. Vitamin D levels were measured using liquid chromatography-tandem mass spectrometry, uric acid levels through an enzymatic colorimetric test, and PTH levels via a chemiluminescent immunoassay. Statistical analysis was performed using SPSS version 25.0, IBM Corp, Chicago, IL, USA. The study found an inverse correlation between Vitamin D and serum uric acid levels. Participants with lower Vitamin D levels had higher serum uric acid and PTH levels. The mean serum Vitamin D level was 32.17 ng/mL, and the mean serum uric acid level was 9.99 mg/dL. The study categorised Vitamin D levels as deficient, insufficient and sufficient, observing significant variations in PTH and uric acid levels across these categories. The study suggests a significant relationship between Vitamin D levels and serum uric acid concentrations in adults, with implications for the management of asymptomatic hyperuricaemia and related metabolic conditions. Despite limitations, such as the cross-sectional design and small sample size, this study highlights the potential significance of Vitamin D levels in the management of asymptomatic hyperuricaemia and related metabolic disorders.
维生素 D 与无症状高尿酸血症之间的关系--一项观察性研究
维生素 D 水平与无症状高尿酸血症之间的关系因其对公共健康的潜在影响而日益受到关注。本研究调查了这一关系,重点是成人维生素 D、血清尿酸和甲状旁腺激素 (PTH) 水平之间的相互作用。这项横断面观察性研究于 2023 年 4 月至 6 月进行,共有 100 名成年人(65 名男性,35 名女性)参与。研究人员根据特定的纳入和排除标准进行筛选。数据收集包括综合问卷调查、体格检查和血液样本分析。维生素 D 含量采用液相色谱-串联质谱法测定,尿酸含量采用酶比色法测定,PTH 含量采用化学发光免疫测定法测定。统计分析采用美国伊利诺伊州芝加哥市 IBM 公司的 SPSS 25.0 版进行。研究发现,维生素 D 与血清尿酸水平呈反向相关。维生素 D 水平较低的参与者血清尿酸和 PTH 水平较高。平均血清维生素 D 水平为 32.17 纳克/毫升,平均血清尿酸水平为 9.99 毫克/分升。研究将维生素 D 水平分为缺乏、不足和充足三类,观察到不同类别的 PTH 和尿酸水平存在显著差异。该研究表明,成人维生素 D 水平与血清尿酸浓度之间存在显著关系,这对无症状高尿酸血症及相关代谢疾病的治疗具有重要意义。尽管存在横断面设计和样本量较小等局限性,但这项研究强调了维生素 D 水平在管理无症状高尿酸血症和相关代谢紊乱方面的潜在意义。
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13 weeks
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