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Table 2 Factors associated with serum uric acid and hyperuricemia in Chronic Kidney Disease

From: Determinants of hyperuricemia in non-dialysed chronic kidney disease patients in three hospitals in Cameroon

Variable

Serum uric acid

Hyperuricemia

Bivariate analysis

aMultivariate analysis

Bivariate analysis

aMultivariate analysis

β (95% CI)

β (95% CI)

cOR (95% CI)

aOR (95% CI)

Age

0.54 (0.25–0.84)

0.49 (0.24–0.74)

1.05 (1.02–1.09)

1.08 (1.03–1.13)

Male gender

0.15 (− 1.79–14.41)

1.96 (− 4.41–8.34)

0.85 (0.37–1.98)

0.58 (0.17–1.91)

Duration of CKD diagnosis (months)

− 0.01 (− 0.23–0.22)

−0.11 (− 0.26–0.05)

1.01 (0.99–1.04)

0.99 (0.96–1.03)

GFR (ml/min per 1.73m2)

−0.67 (− 0.91 - -0.43)

−0.36 (− 0.57 - -0.16)

0.93 (0.89–0.96)

0.94 (0.90–0.98)

CKD stage

 Stage 2/G2

− 15.08 (− 34.64–4.48)

2.68 (− 17.85–12.49)

–

–

 Stage 3a/G3a

3.61 (− 11.61–18.83)

10.79 (− 1.16–22.75)

1.2 (0.20–7.18)

5.44 (0.45–65.66)

 Stage 3b/G3b

Ref.

Ref.

Ref.

Ref.

 Stage 4/G4

20.55 (10.32–30.76)

17.49 (9.52–25.45)

9.11 (2.01–33.21)

24.66 (3.63–167.63)

 Stage 5/G5

20.82 (9.55–32.09)

13.28 (4.41–22.16)

6.67 (1.63–27.27)

7.73 (1.06–56.30)

Spot urine PCR (mg/g)

3.76 (1.12–6.40)

3.06 (1.09–5.04)

1.52 (1.01–2.30)

1.83 (1.07–3.12)

Proteinuria

 No or Mild/A1

Ref.

Ref.

Ref.

Ref.

 Moderate/A2

8.81 (−3.08–20.70)

5.41 (− 5.26–16.07)

1.99 (0.57–6.90)

1.65 (0.39–6.90)

 Severe/A3

16.51 (6.56–26.46)

13.94 (4.92–22.95)

4.71 (1.59–13.99)

6.27 (1.66–23.60)

Type of renal involvement

 Glomerular

Ref.

Ref.

Ref.

Ref.

 Tubulointerstitial

−3.31 (− 15.63–9.02)

5.76 (− 3.47–14.99)

0.77 (0.22–2.72)

1.71 (0.30–9.67)

 Vascular

7.36 (− 2.69–17.41)

4.39 (− 2.97–11.74)

1.10 (0.25–4.83)

2.25 (0.43–11.71)

 Mixed

−8.92 (− 22.86–5.02)

−5.67 (− 15.70–4.36)

2.20 (0.65–7. 40)

1.57 (0.24–10.19)

No Hypertension

−17.83 (− 27.17 - -8.48)

−18.37 (− 28.67 - -8.06)

0.06 (0.01–0.30)

0.09 (0.02–0.46)

Systolic Blood Pressure (mmHg)

0.25 (0.09–0.40)

0.14 (0.02–0.25)

1.03 (1.01–1.06)

1.04 (1.01–1.07)

Diastolic Blood Pressure (mmHg)

0.58 (0.14–1.01)

0.35 (0.03–0.66)

1.05 (1.00–1.11)

1.06 (0.99–1.13)

Diabetes

9.01 (0.87–17.14)

4.34 (− 2.72–11.40)

2.09 (0.83–5.29)

1.40 (0.47–4.18)

HIV

−8.70 (− 20.45–3.04)

−5.15 (− 13.87–3.57)

0.76 (0.23–2.53)

1.37 (0.27–6.99)

Low protein diet

−8.31 (− 16.07 - -0.55)

−1.45 (− 7.70–4.80)

0.42 (0.18–0.98)

0.80 (0.29–2.21)

Low-Carb diet

8.36 (0.64–16.07)

−0.67 (− 7.18–5.84)

2.10 (0.91–4.86)

1.09 (0.41–2.91)

Low fat diet

6.20 (− 2.47–14.88)

−0.92 (− 7.16–5.32)

3.09 (1.06–9.02)

1.73 (0.44–6.81)

bUrate lowering therapy

22.71 (16.00–29-42)

18.84 (12.98–24.71)

6.71 (2.32–19.37)

4.99 (1.54–16.16)

cLoop diuretics

11.94 (3.75–20.13)

6.62 (0.25–12.99)

3.73 (1.29–10.82)

3.39 (1.01–11.42)

dThiazide diuretics

4.82 (− 35.34–44.98)

−6.43 (− 34.72–21.86)

–

–

eARB

−1.46 (− 19.78–16.87)

1.54 (11.69–14.77)

0.73 (0.12–4.57)

2.38 (0.08–69.14)

BMI (kg/m2)

1.06 (0.07–2.05)

0.49 (−0.35–1.32)

1.12 (0.99–1.26)

1.04 (0.89–1.21)

BMI class

 Normal

Ref.

Ref.

Ref.

Ref.

 Overweight

4.99 (− 3.61–13.59)

5.52 (−1.38–12.41)

1.38 (0.57–3.35)

1.59 (0.56–4.53)

 Obesity

11.29 (0.57–22.02)

4.34 (−4.48–13.16)

6.65 (1.36–32.61)

6.12 (1.15–32.55)

Haemoglobin (g/dl)

−2.82 (− 5.00 - -0.63)

−1.61 (− 3.26–0.04)

0.77 (0.61–0.99)

0.86 (0.64–1.15)

No anaemia

− 27.42 (− 39.02 - -15.82)

−18.08 (− 27.55 - -8.61)

0.04 (0.00–0.29)

0.04 (0.00–0.46)

Total Cholesterol (mmol/l)

4.85 (− 8.33–18.0)

9.24 (− 2.54–21.02)

1.64 (0.38–7.40)

1.05 (0.11–9.77)

HDL-c (mmol/l)

− 29.28 (− 67.02–8.46)

−4.16 (− 33.53–25.22)

0.11 (0.01–7.30)

0.01 (0.00–30.34)

LDL-c (mmol/l)

4.81 (−12.63–22.25)

−1.06 (− 14.88–12.76)

1.81 (0.24–13.82)

0.38 (0.21–6.91)

Triglycerides (mmol/l)

5.30 (−7.67–18.27)

3.76 (− 5.59–13.11)

1.34 (0.32–5.67)

1.40 (0.96–12.34)

Dyslipidaemia

10.62 (−4.60–25.85)

11.23 (− 1.58–24.03)

4.25 (0.82–22.13)

2.13 (0.13–34.26)

  1. cOR Crude odds ratio, aOR adjusted odds ratio, eGFR Estimated glomerular filtration rate, PCR Protein-to-creatinine ratio, CKD Chronic kidney disease, HIV Human immuno-deficiency virus, ARB Angiotensin receptor blockers, BMI Body mass index. HDL-c high-density lipoprotein cholesterol, LDL-c low-density lipoprotein cholesterol
  2. aMultivariate analysis adjusted for patient’s age, eGFR, spot urine PCR, systolic blood pressure, ULT, loop diuretics and haemoglobin level
  3. bAllopurinol
  4. cFurosemide
  5. dHydrochlorothiazide
  6. eLosartan