Evidence mapPaperPMID 41286992Full record

ArticleLipids in health and disease2025

The association between different lipid indices and hyperuricemia in older adults: a cross-sectional study.

Yingkai Shen, Shihao Wang, Jinghan Qiu, Yinghao Li, Yufang Wang

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Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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5 authors.

Yingkai ShenFirst College of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.ORCID http://orcid.org/0000-0003-2763-3345
Shihao WangCollege of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Jinghan QiuCollege of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Yinghao LiSecond College of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Yufang WangCollege of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China. wangyftg@126.com.ORCID http://orcid.org/0009-0006-8021-769X

Funding

National Administration of Traditional Chinese Medicine High-Level Key Discipline Construction Project of Traditional Chinese Medicine zyyzdxk-2023118National Key Research and Development Program of China 2023YFC3606200Shandong University of Traditional Chinese Medicine 2025 Postgraduate Quality Improvement and Innovation Project YJSTZCX2025142
6 · The paper itself

Abstract

backgroundLipid-derived composite indices demonstrate robust epidemiological associations with diverse metabolic and cardiovascular disorders due to their integrative nature; however, their relationship with hyperuricemia (HUA) in older adults remains unexplored. This research examines the links between six blood lipid indices and HUA in older Chinese adults and assesses their diagnostic accuracy for HUA association stratification.

methodsA total of 3,040 older adults from two communities in Jinan were included in this cross-sectional study. Six blood lipid indices, namely, remnant cholesterol (RC), the atherogenic index of plasma (AIP), Castelli's risk index-I (CRI-I), Castelli's risk index-II (CRI-II), the lipoprotein combination index (LCI), and the atherogenic index (AI), were calculated from the physical examination data. To assess the associations between these lipid indices and HUA, multivariate logistic regression, restricted cubic spline (RCS) analysis, and subgroup analyses were performed. Receiver operating characteristic (ROC) curves were used to evaluate the diagnostic accuracy of each lipid index for the overall cohort, male participants, and female participants, with assessments using multiple metrics.

resultsHUA was diagnosed in 484 participants. Significant positive associations were observed between all the composite lipid indices and HUA. A nonlinear association pattern between the LCI and HUA was identified through RCS analysis, whereas linear relationships were observed for the remaining indices. Subgroup analyses revealed consistent directional associations between lipid indices and HUA across all stratified groups. ROC curve analysis demonstrated that the AIP had optimal diagnostic accuracy for HUA in both the overall cohort and the female subgroup, whereas the LCI exhibited superior discriminatory performance among males.

conclusionThis research revealed statistically significant associations between multiple lipid indices and HUA, with the LCI demonstrating a nonlinear relationship with HUA. The ROC analysis revealed modest diagnostic accuracy across these indices (AUC range: 58.14%-66.03%).

Indexed as

HyperuricemiaLipidsAgedCholesterolCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsROC CurveCholesterolLipidsHyperuricemiaLipidsNonlinear modelROC curveSensitivity and specificity

Identifiers

PMID41286992
PMCPMC12642155

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.