Research Article

Relationship between Hyperuricemia and Lipid Profiles in US Adults

Table 2

Adjusted differences (95% CI) in serum lipids, triglycerides to HDL cholesterol ratio, and apolipoprotein-B to AI ratio comparing the four higher quartiles to the first quartile of serum uric acid.

Serum uric acid levels (mol/L)
1st (≦238)2nd (239–286)3rd (287–327)4th (328–381)5th (≧382) for trend

Total cholesterol (mmol/L)
 Model 10.00 (Reference)0.22 (0.17, 0.27)0.32 (0.26, 0.37)0.43 (0.37, 0.49)0.46 (0.41, 0.52)<0.001
 Model 20.00 (Reference)0.18 (0.10, 0.27)0.19 (0.10, 0.28)0.24 (0.15, 0.33)0.30 (0.20, 0.39)<0.001
 Model 30.00 (Reference)0.17 (0.09, 0.26)0.19 (0.10, 0.28)0.23 (0.14, 0.32)0.29 (0.19, 0.39)<0.001
Triglycerides (mmol/L)
 Model 10.00 (Reference)0.18 (0.14, 0.22)0.28 (0.23, 0.32)0.46 (0.41, 0.50)0.66 (0.62, 0.71)<0.001
 Model 20.00 (Reference)0.12 (0.06, 0.18)0.11 (0.05, 0.18)0.25 (0.19, 0.32)0.33 (0.26, 0.40)<0.001
 Model 30.00 (Reference)0.12 (0.06, 0.18)0.10 (0.03, 0.17)0.27 (0.20, 0.33)0.33 (0.26, 0.41)<0.001
HDL cholesterol (mmol/L)
 Model 10.00 (Reference)−0.04 (−0.05, −0.02)−0.08 (−0.09, −0.06)−0.12 (−0.13, −0.10)−0.16 (−0.17, −0.14)<0.001
 Model 20.00 (Reference)−0.02 (−0.04, 0.00)−0.05 (−0.08, −0.03)−0.07 (−0.10, −0.05)−0.08 (−0.11, −0.05)<0.001
 Model 30.00 (Reference)−0.01 (−0.04, 0.01)−0.05 (−0.07, −0.02)−0.08 (−0.10, −0.05)−0.08 (−0.11, −0.05)<0.001
LDL cholesterol (mmol/L)
 Model 10.00 (Reference)0.10 (0.03, 0.18)0.19 (0.12, 0.27)0.28 (0.21, 0.36)0.24 (0.16, 0.32)<0.001
 Model 20.00 (Reference)0.08 (−0.04, 0.19)0.13 (0.01, 0.25)0.21 (0.09, 0.33)0.14 (0.01, 0.27)0.015
 Model 30.00 (Reference)0.08 (−0.03, 0.20)0.13 (0.01, 0.24)0.20 (0.08, 0.33)0.14 (0.01, 0.27)0.022
Apolipoprotein-B (g/L)
 Model 10.00 (Reference)0.05 (0.03, 0.07)0.08 (0.06, 0.10)0.12 (0.10, 0.14)0.15 (0.13, 0.17)<0.001
 Model 20.00 (Reference)0.04 (0.01, 0.07)0.03 (0.00, 0.06)0.06 (0.03, 0.09)0.08 (0.05, 0.12)<0.001
 Model 30.00 (Reference)0.04 (0.02, 0.07)0.03 (0.00, 0.06)0.06 (0.03, 0.09)0.09 (0.05, 0.12)<0.001
Lipoprotein (a) (g/L)
 Model 10.00 (Reference)0.01 (−0.12, 0.03)0.02 (0.00, 0.04)0.01 (−0.01, 0.03)0.00 (−0.02, 0.02)0.962
 Model 20.00 (Reference)0.01 (−0.02, 0.04)0.02 (−0.02, 0.05)0.02 (−0.01, 0.05)0.02 (−0.02, 0.05)0.373
 Model 30.00 (Reference)0.01 (−0.03, 0.04)0.01 (−0.03, 0.04)0.01 (−0.02, 0.05)0.00 (−0.03, 0.04)0.559
Apolipoprotein AI (g/L)
 Model 10.00 (Reference)−0.01 (−0.02, 0.01)−0.03 (−0.05, −0.01)−0.04 (−0.06, −0.02)−0.04 (−0.06, −0.02)<0.001
 Model 20.00 (Reference)0.03 (0.01, 0.05)−0.03 (−0.05, 0.00)−0.01 (−0.03, 0.02)0.02 (−0.01, 0.05)0.740
 Model 30.00 (Reference)0.03 (0.00, 0.05)−0.02 (−0.05, 0.00)−0.01 (−0.04, 0.02)0.01 (−0.02, 0.04)0.738
Triglycerides to HDL cholesterol ratio
 Model 10.00 (Reference)0.16 (0.11, 0.21)0.27 (0.21, 0.32)0.48 (0.42, 0.53)0.72 (0.67, 0.78)<0.001
 Model 20.00 (Reference)0.09 (0.01, 0.17)0.10 (0.02, 0.18)0.27 (0.19, 0.36)0.33 (0.25, 0.42)<0.001
 Model 30.00 (Reference)0.08 (0.00, 0.17)0.08 (0.00, 0.17)0.29 (0.20, 0.37)0.35 (0.0.26, 0.44)<0.001
Apolipoprotein-B to AI ratio
 Model 10.00 (Reference)0.04 (0.02, 0.05)0.07 (0.06, 0.09)0.11 (0.09, 0.12)0.14 (0.12, 0.15)<0.001
 Model 20.00 (Reference)0.02 (0.00, 0.04)0.04 (0.01, 0.06)0.05 (0.02, 0.08)0.06 (0.03, 0.09)<0.001
 Model 30.00 (Reference)0.02 (0.00, 0.05)0.03 (0.01, 0.06)0.05 (0.03.0.08)0.06 (0.03, 0.09)<0.001

Adjusted covariates: model 1 = age, gender, and race; model 2 = model 1 + waist, hypertension, diabetes, alcohol drink, cotinine level, and antihyperlipidemic drug use; model 3 = model 2 + intake of total energy (kcal/day), protein (g/day), carbohydrates (g/day), total fats (g/day), cholesterol (mg/day), and total saturated fatty acids (g/day).