血清尿酸与高密度脂蛋白胆固醇比率:儿童代谢综合征风险的新ındicator

IF 2.2 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Current Medical Research and Opinion Pub Date : 2025-07-01 Epub Date: 2025-08-21 DOI:10.1080/03007995.2025.2546949
Meyri Arzu Yoldaş, Semih Bolu
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引用次数: 0

摘要

目的:本横断面研究的目的是研究儿童人群血清尿酸与高密度脂蛋白胆固醇比率(UHR)与代谢综合征(MetS)之间的关系,以及其在预测儿童和青少年代谢综合征诊断中的潜在作用。方法:这是一项横断面研究,包括323名8至17岁的超重和肥胖儿童和青少年(116名男性,207名女性),他们被转介到儿科内分泌科诊所。参与者根据有无MetS进行分组。记录和分析人口统计数据、人体测量值、血压读数和血液生化参数,包括血清尿酸和UHR。结果:与没有MetS的参与者相比,有MetS的参与者的空腹血糖、甘油三酯、收缩压和舒张压、高血压、血清尿酸(SUA)和UHR水平明显更高。相比之下,高密度脂蛋白胆固醇(HDL-C)水平在met患儿中明显较低。此外,UHR每增加一个单位,met诊断的可能性就增加6.19倍。对代谢综合征的诊断准确率较高(AUC = 0.883)。结论:这些发现表明UHR是一种简单、可靠和创新的标记物,可用于儿童met的早期发现和风险分层。它可以作为识别高危儿童的有效筛查工具,从而促进MetS的早期干预和管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serum uric acid to HDL-cholesterol ratio: a novel indicator for metabolic syndrome risk in children.

Objectives: The aim of this cross-sectional study was to examine the association between the serum uric acid to high-density lipoprotein cholesterol ratio (UHR) and metabolic syndrome (MetS) in pediatric populations, as well as its potential role in predicting the diagnosis of MetS in children and adolescents.

Methods: This is a cross-sectional study included 323 overweight and obese children and adolescents (116 males, 207 females) aged 8 to 17 years who were referred to the Pediatric Endocrinology Clinic. Participants were grouped based on the presence or absence of MetS. Demographic data, anthropometric measurements, blood pressure readings, and blood biochemical parameters, including serum uric acid and UHR, were recorded and analyzed.

Results: Significantly higher levels of fasting blood glucose, triglycerides, systolic and diastolic blood pressure, hypertension, serum uric acid (SUA), and UHR were observed in participants with MetS compared to those without MetS. In contrast, high-density lipoprotein cholesterol(HDL-C) levels were significantly lower in children with MetS. Furthermore, each one-unit increase in the UHR was associated with a 6.19-fold higher likelihood of MetS diagnosis. It also showed high diagnostic accuracy for metabolic syndrome (AUC = 0.883).

Conclusions: These findings suggest that the UHR is a simple, reliable, and innovative marker for early detection and risk stratification of MetS in children. It may serve as an effective screening tool for identifying at-risk children, thereby facilitating early intervention and management of MetS.

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来源期刊
Current Medical Research and Opinion
Current Medical Research and Opinion 医学-医学:内科
CiteScore
4.40
自引率
4.30%
发文量
247
审稿时长
3-8 weeks
期刊介绍: Current Medical Research and Opinion is a MEDLINE-indexed, peer-reviewed, international journal for the rapid publication of original research on new and existing drugs and therapies, Phase II-IV studies, and post-marketing investigations. Equivalence, safety and efficacy/effectiveness studies are especially encouraged. Preclinical, Phase I, pharmacoeconomic, outcomes and quality of life studies may also be considered if there is clear clinical relevance
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