Objective To analyze the current status of hyperuricemia(HUA)in the elderly population in the communi-ty,explore the critical value of HUA,and the correlation between serum uric acid levels and chronic metabolic diseases.Methods A cross-sectional study was conducted on 1 508 elderly individuals who participated in physical examinations in two communities in Minhang District,Shanghai in 2023.The main outcome measures were serum uric acid,fasting plasma glucose(FPG),glycated haemoglobin(HbAlc),and blood lipid detection.Height,weight,waist circumfer-ence,and blood pressure were also measured.HUA was defined as serum uric acid＞420 µmol/L in males and＞360 µmol/L in females.Results The estimated prevalence in this population was 26.8％(404/1 508,95％CI:24.6％-29.1％)overall,24.7％(182/736)in males and 28.8％(222/772)in females.The prevalence of males and females increased with age,and the incidence of chronic metabolic diseases in HUA groups was significantly higher than those in non-HUA groups.There was no statistically significant difference in the proportion of chronic metabolic diseases among females with different serum uric acid levels in HUA.Multivariate regression analysis showed that hypertension(ORmale=1.847,95％CI:1.209-2.820;ORfemale=1.519,95％CI:1.009-2.288),high values of TG(ORmale=1.296,95％CI:1.100-1.527;ORfemale=1.619,95％CI:1.316-1.991)were the strong risk factors for HUA,and BMI was positively correlated with uric acid levels.Conclusion The prevalence of HUA among the elderly population in the Com-munity is relatively high.Hypertension and high values of TG are strong risk factors for HUA.Females with serum uric acid＞360 μmol/L are associated with a higher proportion of chronic metabolic diseases.It is recommended to control the target level of serum uric acid in Females to be less than 360 μmol/L.
维普
万方数据
