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Absence of an association between serum uric acid and mortality from cardiovascular disease: NIPPON DATA 80, 1980–1994

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Abstract

Although elevated serum uric acid has been associated with an increased risk of cardiovascular disease, its importance as a risk factor is still controversial. The authors examined the relationship between serum uric acid levels and death from all causes, including cardiovascular disease and stroke. The baseline data were collected in the National Cardiovascular Survey in 1980. The survey was carried out for all household members aged 30 years or older in 300 districts, which were randomly selected throughout Japan. The number who participated in the survey was 10,897. The vital status was ascertained in 1994. Finally, 8172 subjects were available for the analyses. There were 108,284 person-years of follow-up, and 960 deaths from all causes, 249 deaths from cardiovascular disease, and 174 deaths from stroke. After adjustment for age and other cardiovascular disease risk factors, uric acid levels were not associated with mortality from all causes, cardiovascular disease, or stroke. These findings indicate that serum uric acid levels are not related to increased risk for death from all causes, including cardiovascular disease and stroke in a Japanese population.

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References

  1. Gertler MM, Garn SM, Levine SA. Serum uric acid in relation to age and physique in health and in coronary heart disease. Ann Intern Med 1951; 34: 1421–1431.

    Google Scholar 

  2. Kohn PM, Prozan GB. Hyperuricemia – relationship to hypercholesteremia and acute myocardial infarction. JAMA 1959; 170: 1909–1912.

    Google Scholar 

  3. Klein R, Klein BE, Cornoni JC, et al. Serum uric acid. Its relationship to coronary heart disease risk factors and cardiovascular disease, Evans County, Georgia. Arch Intern Med 1973; 132: 401–410.

    Google Scholar 

  4. Brand FN, McGee DL, Kannel WB, Stokes J III, Castelli WP. Hyperuricemia as a risk factor of coronary heart disease: The Framingham Study. Am J Epidemiol 1985; 121: 11–18.

    Google Scholar 

  5. Freedman DS, Williamson DF, Gunter EW, Byers T. Relation of serum uric acid to mortality and ischemic heart disease. The NHANES I Epidemiologic Followup Study. Am J Epidemiol 1995; 141: 637–644.

    Google Scholar 

  6. Bengtsson C, Lapidus L, Stendahl C, Waldenstroem J. Hyperuricemia and risk of cardiovascular disease and overall death. A 12-year follow-up of participants in the population study of women in Gothenburg, Sweden. Acta Med Sand 1988; 224: 549–555.

    Google Scholar 

  7. Reunanen A, Takkunen H, Knekt P, Aromaa A. Hyperuricemia as a risk factor for cardiovascular mortality. Acta Med Scand Suppl 1982; 668: 49–59.

    Google Scholar 

  8. Lehto S, Niskanen L, Ronnemaa T, Laakso M. Serum uric acid is a strong predictor of stroke in patients with non-insulin-dependent diabetes mellitus. Stroke 1998; 29: 635–639.

    Google Scholar 

  9. Alderman MH, Cohen H, Madhavan S, Kivlighn S. Serum uric acid and cardiovascular events in successfully treated hypertensive patients. Hypertension 1999; 34: 144–150.

    Google Scholar 

  10. Serum uric acid: Its association with other risk factors and with mortality in coronary heart disease. The Coronary Drug Project Research Group. J Chron Dis 1976; 29: 557–569.

    Google Scholar 

  11. Yano K, Reed DM, McGee DL. Ten-year incidence of coronary heart disease in the Honolulu Heart Program: Relationship to biologic and lifestyle characteristics. Am J Epidemiol 1984; 119: 653–666.

    Google Scholar 

  12. Wannamethee SG, Shaper AG, Whincup PH. Serum urate and the risk of major coronary heart disease events. Heart 1997; 78: 147–153.

    Google Scholar 

  13. Facchini F, Chen Y-D, Hollenbeck CB, Reaven GM. Relationship between resistance to insulin-mediated glucose uptake, urinary uric acid clearance, and plasma uric acid concentration. JAMA 1991; 266: 3008–3011.

    Google Scholar 

  14. Culleton BF, Larson MG, Kannel WB, Levy D. Serum uric acid and risk for cardiovascular disease and death: The Framingham Heart Study. Ann Intern Med 1999; 131: 7–13.

    Google Scholar 

  15. Ministry of Health and Welfare. National Survey on Circulatory Disorders 1980. Tokyo: Japan Heart Foundation, 1982.

    Google Scholar 

  16. Cox DR. Regression models and life tables (with discussion). J R Stat Soc Appl Stat Sect (B) 1972; 34: 187–220.

    Google Scholar 

  17. SAS/STAT Software: Changes and Enhancements through Release 6.11. Cary, NC: SAS Institute, 1996.

  18. Bonita R, Stewart A, Beaglehole R. International trends in stroke mortality: 1970–1985. Stroke 1990; 21: 989–992.

    Google Scholar 

  19. Fang J, Alderman MH. Serum uric acid and cardiovascular mortality. The NHANES I Epidemiologic follow-up study, 1971–1992. JAMA 2000; 283: 2404–2410.

    Google Scholar 

  20. Harris MI, Hadden WC, Knowler WC, Bennett PH. Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in U.S. population aged 20–74 yr. Diabetes 1987; 36: 523–534.

    Google Scholar 

  21. Nakanishi N, Tatara K, Nakamura K, Suzuki K. Risk factors for the incidence of hyperuricemia: A 6-year longitudinal study of middle-aged Japanese men. Int J Epidemiol 1999; 28: 888–893.

    Google Scholar 

  22. Modan M, Halkin H, Karasik A, Lusky A. Elevated serum uric acid – a facet of hyperinsulinaemia. Diabetologia 1987; 30: 713–718.

    Google Scholar 

  23. Rathmann W, Funkhouser E, Dyer AR, Roseman JM. Relations of hyperuricemia with the various components of the insulin resistance syndrome in young black and white adults: The CARDIA Study. Ann Epidemiol 1998; 8: 250–261.

    Google Scholar 

  24. Adachi H, Jacobs DR Jr, Hashimoto R, Tsuruta M, Imaizumi T. Clustering of cardiovascular risk factors in hyperinsulinemia in Japanese without diabetes. Diabetes Res Clin Pract 1998; 40: 181–190.

    Google Scholar 

  25. Bonora E, Targher G, Zenere MB, et al. Relationship between fasting insulin and cardiovascular risk factors is already present in young men: The Verona Young Men Atherosclerosis Risk Factors Study. Eur J Clin Invest 1997; 27: 248–254.

    Google Scholar 

  26. Galvan AQ, Natali A, Baldi S, et al. Effect of insulin on uric acid excretion in humans. Am J Physiol 1995; 268: E1–E5.

    Google Scholar 

  27. Cappuccio FP, Strazzullo P, Farinaro E, Trevisan M. Uric acid metabolism and tubular sodium handling – Results from a population-based study. JAMA 1993; 270: 354–359.

    Google Scholar 

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Sakata, K., Hashimoto, T., Ueshima, H. et al. Absence of an association between serum uric acid and mortality from cardiovascular disease: NIPPON DATA 80, 1980–1994. Eur J Epidemiol 17, 461–468 (2001). https://doi.org/10.1023/A:1013735717961

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