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Horm Metab Res
DOI: 10.1055/a-2299-2914
Original Article: Endocrine Care

Association Between Remnant Cholesterol and Risk of Hyperuricemia: A Cross-Sectional Study

Zhaoxiang Wang 
1   Department of Endocrinology, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China
,
Menghuan Wu
2   Department of Cardiology, Xuyi People's Hospital, Xuyi, China
,
Han Yan
3   Department of Endocrinology, Affiliated Wujin Hospital of Jiangsu University, Wujin Clinical College of Xuzhou Medical University, Changzhou, China
,
Shao Zhong
1   Department of Endocrinology, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China
,
Ruijun Xu
3   Department of Endocrinology, Affiliated Wujin Hospital of Jiangsu University, Wujin Clinical College of Xuzhou Medical University, Changzhou, China
,
Zhiyong Zhao
3   Department of Endocrinology, Affiliated Wujin Hospital of Jiangsu University, Wujin Clinical College of Xuzhou Medical University, Changzhou, China
,
Qichao Yang
3   Department of Endocrinology, Affiliated Wujin Hospital of Jiangsu University, Wujin Clinical College of Xuzhou Medical University, Changzhou, China
› Author Affiliations Funding Information The Science and Technology Project of Changzhou Health Commission — WZ202226
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Abstract

Remnant cholesterol (RC) is closely related to metabolic diseases. Our study aims to explore the relationship between RC and hyperuricemia. This cross-sectional study included 14 568 adults aged 20 years or older from the National Health and Nutrition Examination Survey (NHANES) conducted between 2007 and 2018 in the United States. RC is calculated by subtracting high-density lipoprotein cholesterol (HDL-c) and low-density lipoprotein cholesterol (LDL-c) from total cholesterol (TC). Hyperuricemia is defined by serum uric acid (SUA) levels≥7 mg/dl in men and≥6 mg/dl in women. The independent association between RC and hyperuricemia was evaluated. As the quartile range of RC levels increases, the prevalence of hyperuricemia also rises (7.84% vs. 13.71% vs. 18.61% vs. 26.24%, p<0.001). After adjusting for confounding factors, the fourth quartile of RC was associated with an increased risk of hyperuricemia compared with the first quartile (OR=2.942, 95% CI 2.473–3.502, p<0.001). Receiver Operating Characteristic (ROC) analysis shows that RC outperforms other single lipid indices in hyperuricemia. Further Restricted Cubic Splines (RCS) analysis suggests a nonlinear relationship between RC levels and hyperuricemia. Elevated RC levels were found to be linked to hyperuricemia. Further studies on RC hold promise for both preventing and addressing hyperuricemia.

Keywords

remnant cholesterol - hyperuricemia - NHANES - population-based study - nonlinear relationship

Supplementary Material



Publication History

Received: 06 March 2024

Accepted after revision: 03 April 2024

Accepted Manuscript online:
03 April 2024

Article published online:
02 May 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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