Research Article

Serum Uric Acid Is Associated with the Progression of Left Ventricular Diastolic Dysfunction in Apparently Healthy Subjects

Table 3

Univariate and multivariate regression analysis for LVDD progression.

VariateUnivariateMultivariate (SUA as continuous variable)Multivariate (SUA as categorical variable)
OR (95% CI)OR (95% CI)OR (95% CI)

Age, per 10 y2.466 (2.138~2.864)<0.0012.740 (2.330~3.249)<0.0012.839 (2.406~3.379)<0.001
Male sex1.908 (1.462~2.503)<0.001
BMI, per kg/m21.027 (0.982~1.075)0.242
Systolic BP, per 10 mmHg1.232 (1.122~1.357)<0.001
Diastolic BP, per 10 mmHg1.221 (1.063~1.406)0.0051.143 (1.003~1.304)0.0461.147 (1.006~1.310)0.041
Hypertension2.638 (1.581~4.431)<0.001
Diabetes2.595 (1.852~3.648)<0.0011.776 (1.079~2.939)0.0241.676 (1.016~2.783)0.044
Smoking1.461 (1.067~2.000)0.018
HbA1c, per 1%1.688 (1.380~2.088)<0.0010.771 (0.577~1.023)0.0730.792 (0.589~1.055)0.114
Fasting glucose, per mmol/L1.230 (1.105~1.381)<0.001
Fasting insulin, per μU/L1.002 (0.992~1.013)0.638
HOMA-IR, per unit1.002 (0.973~1.027)0.880
Triglyceride, per mmol/L1.436 (1.255~1.659)<0.0011.440 (1.233~1.705)<0.0011.425 (1.219~1.690)<0.001
Total cholesterol, per mmol/L0.954 (0.844~1.077)0.444
HDL cholesterol, per mmol/L0.361 (0.243~0.530)<0.001
LDL cholesterol, per mmol/L0.911 (0.788~1.051)0.202
eGFR, per 10 mL/min/1.732 m20.750 (0.685~0.818)<0.001
LVEF, per 1%0.942 (0.909~0.976)<0.0010.919 (0.881~0.959)<0.0010.917 (0.879~0.957)<0.001
Beta blocker1.889 (1.114~3.208)0.018
ACEI/ARB2.403 (1.380~4.239)0.002
Calcium channel blocker3.038 (1.489~6.465)0.003
Statin2.997 (1.872~4.869)<0.001
Uric acid, per 100 μmol/L1.528 (1.311~1.786)<0.0011.351 (1.125~1.625)0.001//
Quartiles of uric acid, μmol/L
≤282RefRef
283~3401.171 (0.809~1.696)0.4030.753 (0.491~1.151)0.190
341~ 3931.376 (0.958~ 1.983)0.0850.893 (0.586~ 1.359)0.596
≥ 3942.697 (1.892~ 3.867)<0.0011.851 (1.215~ 2.828)0.004

ACEI: angiotensin-converting enzyme inhibitor; ARB: angiotensin receptor blocker; BMI: body mass index; BP: blood pressure; eGFR: estimated glomerular filtration rate; HbA1c: glycated hemoglobin A1c; HDL: high-density lipoprotein; HOMA-IR: homeostasis model assessment-estimated insulin resistance; LDL: low-density lipoprotein; LVEF: left ventricular ejection fraction; SUA: serum uric acid.