Lupus & antiphospholipid syndrome

Nutritional, biochemical, and clinical determinants of hyperuricemia in systemic lupus erythematosus patients: Relationship with clinical and renal disease activity

LupusPublished Cross-sectional study

Authors' conclusion

In conclusion, SLE patients with hyperuricemia presented a high risk of clinical and renal activity as well as worse cardiometabolic status.

Study context

Population
Systemic lupus erythematosus (SLE) patients and control subjects
Participants
167 vs 195
Exposure
SLE patients with vs without hyperuricemia; SLE patients vs control subjects
  • SLEn = 167
  • Control subjects (CS)n = 195reference
Outcome
Nutritional, biochemical and cardiometabolic determinants of hyperuricemia and its relationship with clinical variables in SLE

Main finding

As reported in the abstract

Determinants of hyperuricemia in SLE (OR)
Adequate protein intake: lower risk of hyperuricemia, OR
0.4; p = 0.04
Adequate carbohydrate intake: lower risk of hyperuricemia, OR
0.2; p = 0.01
Hyperuricemia: clinical activity, OR
2.2; p = 0.03
Hyperuricemia: renal activity, OR
3.4; p < 0.01
Hyperuricemia: triglycerides ≥150 mg/dL, OR
3.6; p < 0.01
Hyperuricemia: hs-CRP ≥1 mg/L, OR
3.1; p < 0.01
Hyperuricemia: Kannel score ≥3, OR
2.5; p = 0.02
Hyperuricemia: BMI ≥25 kg/m², OR
2.2; p = 0.02
HDL-C ≥40 mg/dL: lower risk of hyperuricemia, OR
0.2; p < 0.01
Prednisone: high risk of hyperuricemia, OR
4.7; p < 0.001
HCQ: lower risk of hyperuricemia, OR
0.4; p = 0.02

Observational data: associations, not effects.

Original publication

Nutritional, biochemical, and clinical determinants of hyperuricemia in systemic lupus erythematosus patients: Relationship with clinical and renal disease activity. Lupus. Published 23 December 2022. doi:10.1177/09612033221146923

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