A Study of Metabolic Parameters in Patients with Gout: A Single Center Study from Nepal
| Autor: | Rikesh Baral, Rakshya Joshi, Lakpa Dolma Lama, Binit Vaidya, Manisha Bhochhibhoya, Shweta Nakarmi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Gout Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Tertiary Care Centers 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Nepal Internal medicine Diabetes mellitus medicine Humans Immunology and Allergy Obesity Prospective Studies National Cholesterol Education Program Metabolic Syndrome medicine.diagnostic_test business.industry nutritional and metabolic diseases Middle Aged medicine.disease Rheumatology Uric Acid Cross-Sectional Studies 030104 developmental biology chemistry Uric acid Female Metabolic syndrome Lipid profile business Kidney disease |
| Zdroj: | Endocrine, Metabolic & Immune Disorders - Drug Targets. 21:1090-1095 |
| ISSN: | 1871-5303 |
| DOI: | 10.2174/1871530320999200818141032 |
| Popis: | Background and Aims: To study the prevalence of deranged metabolic parameters in patients with gout. Methods: This was a prospective, cross-sectional observational study conducted at a tertiary level rheumatology center in Nepal. Patients over 18 years and diagnosed as gout using the ACR/EULAR 2015 classification criteria were included in the study. Known cases of chronic kidney disease, liver disease and heart diseases were excluded. Baseline demographic data along with records of weight, waist circumference, lipid profile, glucose profile, blood pressure measurement, serum uric acid level and inflammatory markers were taken. Diagnosis of metabolic syndrome (MS) was made according to the National Cholesterol Education Program criteria. Approval was obtained from the ethical review board of the National Center for Rheumatic Diseases. Results: A total of 523 patients with gout were enrolled in the study, out of which 97.0% were male. The mean age at diagnosis was 49.1±12.8 years. Most of the patients were overweight with a mean BMI of 27.0±3.6 kg/m2. About 8.1% had preexisting diabetes mellitus, 24.6% had hypertension, 5.1% had hypothyroidism and 45.1% had dyslipidemia. Patients fulfilling 2 out of 5 criteria of MS were 60.6% whereas 30.6% fulfilled 3 out of 5 criteria. Conclusion: Gout was commonly observed in middle-aged men. The prevalence of metabolic syndrome and its components was high in patients with gout. Management of gout should also include screening and management of the metabolic syndrome. |
| Databáze: | OpenAIRE |
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