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Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis
PURPOSE: To estimate both direct and indirect effects (through obesity) of serum uric acid (SUA) on blood sugar in prediabetes patients. METHODS: Prediabetes patients who came to the outpatient clinic of the Department of Family Medicine, Ramathibodi Hospital, were included in this cross-sectional s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682093/ https://www.ncbi.nlm.nih.gov/pubmed/29214183 http://dx.doi.org/10.1155/2017/6830671 |
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author | Anothaisintawee, Thunyarat Lertrattananon, Dumrongrat Thamakaison, Sangsulee Reutrakul, Sirimon Ongphiphadhanakul, Boonsong Thakkinstian, Ammarin |
author_facet | Anothaisintawee, Thunyarat Lertrattananon, Dumrongrat Thamakaison, Sangsulee Reutrakul, Sirimon Ongphiphadhanakul, Boonsong Thakkinstian, Ammarin |
author_sort | Anothaisintawee, Thunyarat |
collection | PubMed |
description | PURPOSE: To estimate both direct and indirect effects (through obesity) of serum uric acid (SUA) on blood sugar in prediabetes patients. METHODS: Prediabetes patients who came to the outpatient clinic of the Department of Family Medicine, Ramathibodi Hospital, were included in this cross-sectional study. Mediation analysis was applied to determine direct and indirect effects of SUA on glycemic parameters (fasting plasma glucose (FPG) and HbA1c) through waist circumference (WC). A mediation effect was estimated using the product-of-coefficient method with a bootstrap analysis of 1000 replications. RESULTS: 1043 patients were eligible for this study. Every 1 mg/dl increase in SUA was associated with an increase in WC and then was significantly associated with an increase in FPG by 0.082 mg/dl (95% CI: 0.010, 0.154). SUA was directly associated with FPG with a coefficient of 0.413 (95% CI: 0.049, 0.776). For HbA1c, every one mg/dl increase in SUA was associated with an increase in HbA1c level through WC by 0.006 (95% CI: 0.003, 0.010). However, SUA was not directly associated with HbA1c. CONCLUSIONS: We found that an increase in SUA was directly and indirectly associated with increased FPG but the effect of SUA on HbA1c was shown when it was mediated through WC. |
format | Online Article Text |
id | pubmed-5682093 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-56820932017-12-06 Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis Anothaisintawee, Thunyarat Lertrattananon, Dumrongrat Thamakaison, Sangsulee Reutrakul, Sirimon Ongphiphadhanakul, Boonsong Thakkinstian, Ammarin J Diabetes Res Research Article PURPOSE: To estimate both direct and indirect effects (through obesity) of serum uric acid (SUA) on blood sugar in prediabetes patients. METHODS: Prediabetes patients who came to the outpatient clinic of the Department of Family Medicine, Ramathibodi Hospital, were included in this cross-sectional study. Mediation analysis was applied to determine direct and indirect effects of SUA on glycemic parameters (fasting plasma glucose (FPG) and HbA1c) through waist circumference (WC). A mediation effect was estimated using the product-of-coefficient method with a bootstrap analysis of 1000 replications. RESULTS: 1043 patients were eligible for this study. Every 1 mg/dl increase in SUA was associated with an increase in WC and then was significantly associated with an increase in FPG by 0.082 mg/dl (95% CI: 0.010, 0.154). SUA was directly associated with FPG with a coefficient of 0.413 (95% CI: 0.049, 0.776). For HbA1c, every one mg/dl increase in SUA was associated with an increase in HbA1c level through WC by 0.006 (95% CI: 0.003, 0.010). However, SUA was not directly associated with HbA1c. CONCLUSIONS: We found that an increase in SUA was directly and indirectly associated with increased FPG but the effect of SUA on HbA1c was shown when it was mediated through WC. Hindawi 2017 2017-10-29 /pmc/articles/PMC5682093/ /pubmed/29214183 http://dx.doi.org/10.1155/2017/6830671 Text en Copyright © 2017 Thunyarat Anothaisintawee et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Anothaisintawee, Thunyarat Lertrattananon, Dumrongrat Thamakaison, Sangsulee Reutrakul, Sirimon Ongphiphadhanakul, Boonsong Thakkinstian, Ammarin Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis |
title | Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis |
title_full | Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis |
title_fullStr | Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis |
title_full_unstemmed | Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis |
title_short | Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis |
title_sort | direct and indirect effects of serum uric acid on blood sugar levels in patients with prediabetes: a mediation analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682093/ https://www.ncbi.nlm.nih.gov/pubmed/29214183 http://dx.doi.org/10.1155/2017/6830671 |
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