scholarly journals The Effect of Body Adiposity and Alcohol Consumption on Serum Uric Acid: A Quantile Regression Analysis Based on the China National Health Survey

2022 ◽  
Vol 8 ◽  
Author(s):  
Huijing He ◽  
Li Pan ◽  
Xiaolan Ren ◽  
Dingming Wang ◽  
Jianwei Du ◽  
...  
Keyword(s):  
Uric Acid ◽  
Alcohol Consumption ◽  
Quantile Regression ◽  
Serum Uric Acid ◽  
National Health ◽  
Health Survey ◽  
Alcohol Intake ◽  
National Health Survey ◽  
Self Report ◽  
Body Adiposity

Adiposity and alcohol consumption are reported to be associated with a higher level of serum uric acid (SUA), but whether their effect differs on SUA percentile distribution is still unclear. In this study, we aimed to investigate how alcohol intake and body fat percentage (%BF) integrated with body mass index (BMI) influence the distribution of SUA in Chinese adults. Data from the China National Health Survey (CNHS) which included adults from 10 provinces of China were used (n = 31,746, aged 20–80 years, 40% male). %BF and BMI were integrated into eight expanded body composition groups to understand how excess body adiposity affects the distribution of SUA in the populational level. Self-report alcohol intake information was collected by face-to-face questionnaire interview. Quantile regression (QR) was used to analyze the data. We found that adiposity and alcohol consumption were associated with SUA, especially at the upper percentile in both sexes. In obese men, the QR coefficients at the 75th and 95th percentiles were 74.0 (63.1–84.9) and 80.9 (52.5–109.3) μmol/L, respectively. The highest quartile of %BF in men had a 92.6 (79.3–105.9) μmol/L higher SUA levels at its 95th percentile than the 5th quartile (p < 0.001). Compared with normal or underweight with the lowest %BF group (NWBF1), the obesity-highest %BF group (OBBF4) had the strongest positive effect on SUA, especially at the higher percentile of SUA. In BMI-defined normal or underweight participants, a higher quartile of %BF had greater effect size in all SUA percentiles. In men, current alcohol drinking had the strongest effect at the 95th percentile of SUA (QR coefficient: 31.8, with 95% CI: 22.6–41.0) comparing with 14.5, 95% CI of 8.4 to 20.6 in the 5th SUA percentile. High risk of alcohol consumption had a greater effect on SUA, especially in the higher SUA percentile. The observation of stronger association at the higher percentile of SUA suggests that decreasing body adiposity and alcohol intake at the populational level may shift the upper tails of the SUA distributions to lower values, thereby reducing the incidence of hyperuricemia.

scholarly journals Association between Serum Uric Acid and Hypertension in Han and Yugur of Gansu Province: The China National Health Survey

2021 ◽  
pp. 1-11
Author(s):  
Chengdong Yu ◽  
Xiaolan Ren ◽  
Li Pan ◽  
Hongjun Zhao ◽  
Ye Wang ◽  
...  
Keyword(s):  
Uric Acid ◽  
Serum Uric Acid ◽  
National Health ◽  
Health Survey ◽  
Cubic Spline ◽  
National Health Survey ◽  
Gansu Province ◽  
Cluster Sampling ◽  
Spline Regression ◽  
Increased Risk

<b><i>Introduction:</i></b> Serum uric acid (SUA) has been found correlated with an increased risk of hypertension, but evidence is sparse regarding the association in Gansu Province, especially in Yugur people. This study aimed to explore the nonlinear relationship between SUA levels and hypertension in Han and Yugur people in China. <b><i>Methods:</i></b> The cross-sectional study samples (<i>n</i> = 5,327) were from the China National Health Survey (CNHS) in Gansu Province. Participants were selected using a multistage stratified cluster sampling method. SUA was measured by enzymatic methods. The restricted cubic spline regression was performed to evaluate the shape of the association. <b><i>Results:</i></b> The overall prevalence of hypertension and hyperuricemia was 28.4% and 17.0%, respectively, in this study. Comparing the highest (&#x3e;416.4 μmol/L) to the lowest (&#x3c;254.1 μmol/L) SUA level groups, the multivariable adjusted differences and 95% confidence intervals (CIs) in blood pressure (BP) were 6.15 (4.22, 8.08) mm Hg and 4.87 (3.51, 6.23) mm Hg for SBP and DBP in Han, and 2.22 (−0.73, 5.18) mm Hg and 2.56 (0.38, 4.75) mm Hg for SBP and DBP in Yugur people, respectively. The corresponding odds ratios (95% CIs) for hypertension were 3.16 (2.26, 4.43) and 2.37 (1.46, 3.89) in Han and Yugur people, respectively. The restricted cubic spline regression models illustrated that both BP level and the risk of hypertension increased with elevated SUA levels in Han and Yugur people. <b><i>Conclusions:</i></b> SUA was significantly and independently associated with an increased risk of hypertension in Han and Yugur people. Prospective studies are needed to confirm these findings.

scholarly journals Alcohol Consumption among the Elderly Citizens in Hungary and Serbia—Comparative Assessment

2020 ◽  
Vol 17 (4) ◽  
pp. 1289
Author(s):  
Natasa Mihailovic ◽  
Gergő József Szőllősi ◽  
Nemanja Rancic ◽  
Sándor János ◽  
Klára Boruzs ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
National Health ◽  
Health Survey ◽  
Well Being ◽  
Good Health ◽  
The Elderly ◽  
National Health Survey ◽  
Younger Age ◽  
Health Significance

Studies in the alcohol consumption area are mostly related to the (ab)use of alcohol in young people. However, today, a growing number of researchers are emphasizing the clinical and public health significance of alcohol consumption in the elderly. In the WHO reports, harmful alcohol consumption is responsible for 5.3% of the global burden of the disease. The aim of this study was to investigate the prevalence of alcohol consumption among men and women aged 55 and over in Serbia and Hungary, leveraging data from the 2013 Serbian National Health Survey and from the 2014 Hungarian National Health Survey. Respondents aged 55 and over were analysed based on logistic multivariate models. The prevalence of alcohol consumption was 41.5% and 62.5% in Serbia and Hungary, respectively. It was higher among men in both countries, but among women, it was significantly higher in Hungary than in Serbia. The statistically significant predictors affecting alcohol consumption in Serbia included age, education, well-being index, long-term disease and overall health status, with marital status being an additional factor among men. In Hungary, education and long-term disease affected alcohol consumption in both sexes, while age and employment were additional factors among women. In both countries for both sexes, younger age, more significantly than primary education and good health, was associated with a higher likelihood of alcohol consumption.

scholarly journals Prevalence of corrected arterial hypertension based on the self-reported prevalence estimated by the Brazilian National Health Survey

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Jessica Pronestino de Lima Moreira ◽  
Renan Moritz Varnier Rodrigues de Almeida ◽  
Nei Carlos dos Santos Rocha ◽  
Ronir Raggio Luiz
Keyword(s):  
Arterial Hypertension ◽  
Sensitivity And Specificity ◽  
National Health ◽  
Health Survey ◽  
The Elderly ◽  
National Health Survey ◽  
The Self ◽  
Self Report ◽  
Younger Women ◽  
Age Range

The objective was to correct the self-reported prevalence of systemic arterial hypertension (SAH) obtained from the Brazilian National Health Survey (PNS 2013). SAH prevalence estimates were corrected by means of sensitivity/specificity of information. Sensitivity and specificity values from a similar study (same self-report question, age range and gold standard) were used to this end. A sensitivity analysis was also performed, by using the upper and lower limits of confidence intervals as sensitivity and specificity parameters. The corrected prevalence of SAH for Brazil as a whole was 14.5% (self-reported: 22.1%). Women presented a higher rate of self-reported SAH but, after correction, men were found to have a higher prevalence. Among younger women (18-39 age range), the self-reported prevalence was 6.2%, a value that, after correction, dropped to 0.28%. There was not much difference between self-reported and corrected SAH among the elderly (51.1% vs. 49.2%). For certain groups the corrected results were greatly different from the self-reported prevalence, what may severely impact public health policy strategies.

scholarly journals The effect of body weight and alcohol consumption on hyperuricemia and their attributable population fractions: A National health survey in China

Obesity Facts ◽  
2021 ◽  
Author(s):  
Huijing He ◽  
Li Pan ◽  
Xiaolan Ren ◽  
Dingming Wang ◽  
Jianwei Du ◽  
...  
Keyword(s):  
Risk Factors ◽  
Weight Loss ◽  
Alcohol Consumption ◽  
National Health ◽  
Health Survey ◽  
Population Attributable Risk ◽  
Mainland China ◽  
National Health Survey ◽  
Attributable Risk ◽  
Modifiable Risk Factors

Introduction: The prevalence of hyperuricemia is increasing world widely; the understanding of population attributable faction of modifiable risk factors is important for disease prevention. Given the sparse evidence on how modifiable risk factors influence hyperuricemia in mainland China, we aim to explore the effect of excess weight and alcohol consumption and the population attributable fractions of hyperuricemia based on a national survey in mainland China. Methods: Using data from China National Health Survey which included 31746 Han Chinese aged 20-80 from ten provinces, we estimated the prevalence and modifiable risk factors (overweight/obesity and alcohol consumption)of hyperuricemia. Hyperuricemia was defined as serum uric acid > 417 μmol/L in men and > 340 μmol/L in women. Restricted cubic spline models were used to demonstrate the linear and non-linear association between exposures and hyperuricemia. The adjusted population attributable risk (PAR) was calculated to understand the relative importance of each modifiable risk factor. Results: The prevalence of hyperuricemia was 25.1% in men and 15.9% in women. The population fraction of hyperuricemia cases that could be avoided by weight loss was 20.6% (19.2% to 22.0%) in men and 18.1% (17.1% to 19.0%) in women. The PAR of alcohol consumption was 12.8% (8.5% to 17.1%) in men. Participants from southwest China had the highest hyperuricemia prevalence (47.9% in men and 29.9% in women), but with lower PAR of modifiable risk factors, especially in men (16.7%). Subjects in North China had lower hyperuricemia prevalence but higher PAR of modifiable risk factors. 44.8% male hyperuricemia cases in Inner Mongolia (26.9% of hyperuricemia prevalence) and 37.7% cases in men from Heilongjiang (34.4% of hyperuricemia prevalence) were attributable to overweight/obesity and alcohol consumption. Conclusion: There are significant sex and geographic difference on population attributable risk of hyperuricemia due to modifiable risk factors. More tailored prevention strategies are needed to prevent hyperuricemia through weight loss and the reduction of alcohol consumption.

The Prevalence of Rheumatoid Arthritis in Chile: A Nationwide Study Performed as Part of the National Health Survey

2019 ◽  
Vol 47 (7) ◽  
pp. 951-958 ◽  
Author(s):  
Josefina Durán ◽  
Loreto Massardo ◽  
Carolina Llanos ◽  
Sergio Iacobelli ◽  
Paula I. Burgos ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Latin American ◽  
National Health ◽  
Health Survey ◽  
Developed Countries ◽  
Population Based ◽  
National Health Survey ◽  
Self Report ◽  
Cross Sectional ◽  
Population Based Study

Objective.Genetic and environmental backgrounds influence the development of rheumatoid arthritis (RA). In Latin America, epidemiologic data are scarce. We aimed to determine the prevalence of RA in Chile in a population-based study.Methods.The National Health Survey was a cross-sectional household survey with a stratified multistage probability sample of 6233 participants performed between August 2016 and March 2017. A screening instrument for RA was applied to a random sample of 3847 subjects > 30 years old. Positive screening was defined by at least 1 of the following: 2 swollen joints for at least 4 consecutive weeks (past/present), and/or a diagnosis of arthritis in the past. Individuals with positive screening had rheumatoid factor, anticitrullinated protein antibodies, and C-reactive protein measured, as well as clinical examination performed by a rheumatologist. Self-report of doctor-diagnosed RA was also performed.Results.The screening questionnaire was applied to 2998 subjects. A positive screening was found for 783 (22.1%). Among subjects with positive screening, 493 (66%) had a clinical evaluation performed by a rheumatologist. Using the American College of Rheumatology/European League Against Rheumatism 2010 classification criteria, prevalence was 0.6% (95% CI 0.3–1.2). Prevalence was higher in women, and 3.3% of subjects self-reported having RA.Conclusion.According to this national population-based study, RA prevalence in Chile is 0.6% (0.3–1.2), a value similar to what has been found in developed countries and slightly lower than some Latin American countries. Self-reporting leads to overestimating RA.

scholarly journals Epidemiology of Self-Reported Diabetes Mellitus in the State of Maranhão, Northeastern Brazil: Results of the National Health Survey, 2013

2018 ◽  
Vol 16 (1) ◽  
pp. 47
Author(s):  
Rafael Guimarães ◽  
Otaliba Morais Neto ◽  
Marta Souza ◽  
Juan Cortez-Escalante ◽  
Thays Santos ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Regression Model ◽  
National Health ◽  
Health Survey ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
The State ◽  
Self Report ◽  
Northeastern Brazil ◽  
Cross Sectional

Objective: To estimate the prevalence and risk factors for self-reported diabetes mellitus (DM) in adults from the State of Maranhão, Northeastern Brazil. Methods: A cross-sectional study was carried out with 1774 individuals aged ≥18 years participating in the National Health Survey of 2013 in Maranhão. The adults were selected by probabilistic sampling and interviewed face-to-face by in-home visits. The Poisson regression model was used to verify the factors associated with DM. Results: The prevalence of DM was 5.39% (95% confidence interval [95% CI]: 3.73–7.73). After adjustment of the regression model for age, gender, smoking, education, hypertension, and hypercholesterolemia, DM was statistically associated with age ≥60 years, female sex, low educational level, and self-report hypertension. Conclusion: The present study found the prevalence of self-reported DM similar to that estimated in the general population of Brazil. Public policies for prevention and control should intensify control, especially in the subgroups most vulnerable to DM.

scholarly journals Patterns of Alcohol Consumption and Related Behaviors in Brazil: Evidence from the 2013 National Health Survey (PNS 2013)

PLoS ONE ◽  
2015 ◽  
Vol 10 (7) ◽  
pp. e0134153 ◽  
Author(s):  
James Macinko ◽  
Pricila Mullachery ◽  
Diana Silver ◽  
Geronimo Jimenez ◽  
Otaliba Libanio Morais Neto
Keyword(s):  
Alcohol Consumption ◽  
National Health ◽  
Health Survey ◽  
National Health Survey

scholarly journals Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey

2021 ◽  
Vol 10 (15) ◽  
pp. 3428
Author(s):  
Rodrigo Citton P. dos Reis ◽  
Bruce B. Duncan ◽  
Célia Landmann Szwarcwald ◽  
Deborah Carvalho Malta ◽  
Maria Inês Schmidt
Keyword(s):  
Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
Ldl Cholesterol ◽  
National Health Survey ◽  
Adherence To Treatment ◽  
Cvd Risk ◽  
Related Factors ◽  
Duration Of Diabetes ◽  
Basic Standards

ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence.

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