Аннотация
Цель
To determine the prevalence of hyperuricemia (HU) and metabolic syndrome (MS) in patients with type 2 diabetes
mellitus (T2DM) and to assess the relationship between serum uric acid levels and the components of MS.
Материал и методы
A total of 191 patients with T2DM hospitalized in the Endocrinology Department of the State
Institution “Istiqlol Health Complex” during the period 2023–2025 were examined. HU was diagnosed at serum uric
acid levels ≥420 μmol/L in men and ≥360 μmol/L in women. MS was verified according to the NCEP ATP III criteria.
Descriptive statistics, the Mann–Whitney U test, χ² test, and Spearman’s correlation analysis were applied
Результаты
The prevalence of MS was 71.2%, and HU – 32.5%. Patients with HU significantly more often presented with
obesity (67.7% vs. 48.8%), abdominal obesity (81.6% vs. 55.2%), and arterial hypertension (87.8% vs. 67.8%). Serum uric
acid levels positively correlated with waist circumference (WC), triglycerides (TG), and systolic blood pressure (SBP), and
negatively with glomerular filtration rate (GFR)
Заключение
Hyperuricemia in patients with T2DM is closely associated with key components of MS and may be
considered an additional target for the prevention of cardiometabolic complications.
Ключевые слова
type 2 diabetes mellitus (T2DM)
metabolic syndrome (MS)
hyperuricemia (HU)
uric acid
dyslipidemia
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Список литературы
- 1. Бурая В.Ю. Клинические проявления и диагностика метаболического синдрома. Международный журнал гуманитарных и естественных наук. 2022;(10-1):86–89. doi:10.24412/2500-1000-2022-10-1-86-89.
- 2. Fahed G, Aoun L, Bou Zerdan M, Allam S, Bou Zerdan M, Bouferraa Y, Assi HI. Metabolic Syndrome: Updates on Pathophysiology and Management in 2021. Int J Mol Sci. 2022;23:786. doi:10.3390/ijms23020786.
- 3. Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep. 2018 Feb 26;20(2):12. doi:10.1007/s11906-018-0812-z.
- 4. Ormazabal V, Nair S, Elfeky O, Aguayo C, Salomon C, Zuñiga FA. Association between insulin resistance and the development of cardiovascular disease. Cardiovasc Diabetol. 2018 Aug 31;17(1):122. doi:10.1186/s12933-018-0762-4.
- 5. Варонько И.А. Гиперурикемия – это больше чем подагра. Медицинские новости. 2022;(7):39–41.
- 6. Wang H, Zhang H, Sun L, Guo W. Roles of hyperuricemia in metabolic syndrome and cardiac-kidney-vascular system diseases. Am J Transl Res. 2018 Sep 15;10(9):2749–2763.
- 7. Сафарян А.С, Лишута А.С, Небиеридзе Д.В. Мочевая кислота как фактор риска сердечно-сосудистых заболеваний. Рациональная фармакотерапия в кардиологии. 2022;18(4):473–479. doi:10.20996/1819-6446-2022-08-15.
- 8. Johnson RJ, Bakris GL, Borghi C, et al. Hyperuricemia, Acute and Chronic Kidney Disease, Hypertension, and Cardiovascular Disease: Report of a Scientific Workshop Organized by the National Kidney Foundation. Am J Kidney Dis. 2018 Jun;71(6):851–865. doi:10.1053/j.ajkd.2017.12.009.
- 9. Gherghina ME, Peride I, Tiglis M, Neagu TP, Niculae A, Checherita IA. Uric Acid and Oxidative Stress—Relationship with Cardiovascular, Metabolic, and Renal Impairment. Int J Mol Sci. 2022;23:3188. doi:10.3390/ijms23063188.
- 10. Feng X, Guo Y, Tu H, et al. Temporal changes in serum uric acid and risk for metabolic syndrome: a longitudinal cohort study. Diabetol Metab Syndr. 2022 Jul 6;14(1):92. doi:10.1186/s13098-022-00861-6.
- 11. Dehlin M, Jacobsson L, Roddy E. Global epidemiology of gout: prevalence, incidence and risk factors. Nat Rev Rheumatol. 2020;16(7):380–390. doi:10.1038/s41584-020-0441-1.
- 12. Ren X, Cai Y, Zhang M, Hou Y, Wang J, Chen O. Association of weight-adjusted waist index with hyperuricemia and gout among middle-aged and older adults in America: a cross-sectional analysis of NHANES 2007-2014. Clin Rheumatol. 2024 Aug;43(8):2615-2626. doi:10.1007/s10067-024-07011-5.
- 13. Liu L, Zhang X, Qie R, Han M, Li Q, Zhang L, Zhan S, et al. Dose-response association between serum uric acid levels and incident hypertension: a systematic review and meta-analysis of 17 prospective cohort studies of 32 thousand participants. Acta Cardiol. 2021 Sep;76(7):748–753. doi:10.1080/00015385.2020.1779476.
- 14. Gou R, Dou D, Tian M, Chang X, Zhao Y, Meng X, Li G. Association between triglyceride glucose index and hyperuricemia: new evidence from China and the United States. Front Endocrinol (Lausanne). 2024 Jul 1;15:1403858. doi:10.3389/fendo.2024.1403858.
- 15. Wang J, He Q, Sun W, Li W, Yang Y, Cui W, Yang X. The Association Between the Triglyceride Glucose Index and Hyperuricemia: A Dose–Response Meta-Analysis. Nutrients. 2025;17:1462. doi:10.3390/nu17091462.