Cardiovascular risk according to genetic predisposition to gout, lifestyle and metabolic health across prospective European and Korean cohorts

Autor: Woong-Yang Park, Jaeyoung Kim, Hong-Hee Won, Chang-Nam Son, Ki Won Moon, Sang‑Hyuk Jung, Hyunsue Do, Yonghyun Nam, Jae-Seung Yun, Dokyoon Kim
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: RMD Open, Vol 10, Iss 4 (2024)
Druh dokumentu: article
ISSN: 2056-5933
DOI: 10.1136/rmdopen-2024-004552
Popis: Objective Recent studies have reported that gout is associated with a risk of cardiovascular disease (CVD) later in life. However, the predictive value of genetic predisposition to gout combined with lifestyle habits for CVD risk remains unclear. This study aimed to examine the association between genetic predisposition to gout and lifestyle habits and the risk of developing CVD in two diverse prospective cohorts from different ancestries.Methods A total of 224 689 participants of European descent from the UK Biobank and 50 364 participants of East Asian descent from the Korean Genome and Epidemiology Study were included. The genetic risk for gout was assessed using a polygenic risk score (PRS) derived from a meta-genome-wide association study (n=444 533). The incident CVD risk was evaluated according to genetic risk, lifestyle and metabolic syndrome (MetS).Results Individuals at high genetic risk for gout had a higher risk of incident CVD than those with low genetic risk across ancestry. Notably, a reduction in CVD risk by up to 62% (HR 0.38; 95% CI 0.31 to 0.46; p
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