Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study

Abstract The aim of this study was to examine the association between homocysteine (Hcy), uric acid (UA) and type 2 diabetes mellitus (T2DM), and to explore whether there was an interaction between Hcy and UA in the development of T2DM. A total of 1250 diabetic patients and 1250 non-diabetic control...

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Main Authors: Xiaolong Yang, Qiuqiu Lan, Qingan Wang, Yixuan Xue, Jiaxing Zhang, Xiaoxia Li, Yi Zhao, Yuhong Zhang
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85812-7
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author Xiaolong Yang
Qiuqiu Lan
Qingan Wang
Yixuan Xue
Jiaxing Zhang
Xiaoxia Li
Yi Zhao
Yuhong Zhang
author_facet Xiaolong Yang
Qiuqiu Lan
Qingan Wang
Yixuan Xue
Jiaxing Zhang
Xiaoxia Li
Yi Zhao
Yuhong Zhang
author_sort Xiaolong Yang
collection DOAJ
description Abstract The aim of this study was to examine the association between homocysteine (Hcy), uric acid (UA) and type 2 diabetes mellitus (T2DM), and to explore whether there was an interaction between Hcy and UA in the development of T2DM. A total of 1250 diabetic patients and 1250 non-diabetic controls were included in this case-control study. Binary logistic regression and interaction analysis were used to evaluate the association between Hcy, UA, and T2DM, and the combined effects of Hcy and UA on T2DM, respectively. Plasma Hcy and UA levels were significantly higher in diabetic patients compared to non-diabetic controls (p < 0.001, p = 0.002). Elevated Hcy and UA were risk factors for T2DM. Binary logistic regression analysis showed that compared with the lowest quartile of Hcy and UA, the highest quartile had a significantly increased risk of T2DM (OR = 1.629, 95% CI: 1.303, 2.035 for Hcy; OR = 1.596, 95% CI: 1.277, 1.995 for UA). Stratified analysis suggested a significant association between Hcy and T2DM for those aged < 65 years and males. A significant association between UA and T2DM was found in those aged ≥ 65 years, males, and BMI ≥ 24 kg/m2. No significant interaction was observed between Hcy and UA (p > 0.05). Hcy and UA were risk factors for T2DM. However, there was no interaction between Hcy and UA in the risk of T2DM.
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spelling doaj-art-269d31b44908433db58762dee64f4b452025-01-19T12:20:21ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-85812-7Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control studyXiaolong Yang0Qiuqiu Lan1Qingan Wang2Yixuan Xue3Jiaxing Zhang4Xiaoxia Li5Yi Zhao6Yuhong Zhang7School of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversitySchool of Public Health, Ningxia Medical UniversityAbstract The aim of this study was to examine the association between homocysteine (Hcy), uric acid (UA) and type 2 diabetes mellitus (T2DM), and to explore whether there was an interaction between Hcy and UA in the development of T2DM. A total of 1250 diabetic patients and 1250 non-diabetic controls were included in this case-control study. Binary logistic regression and interaction analysis were used to evaluate the association between Hcy, UA, and T2DM, and the combined effects of Hcy and UA on T2DM, respectively. Plasma Hcy and UA levels were significantly higher in diabetic patients compared to non-diabetic controls (p < 0.001, p = 0.002). Elevated Hcy and UA were risk factors for T2DM. Binary logistic regression analysis showed that compared with the lowest quartile of Hcy and UA, the highest quartile had a significantly increased risk of T2DM (OR = 1.629, 95% CI: 1.303, 2.035 for Hcy; OR = 1.596, 95% CI: 1.277, 1.995 for UA). Stratified analysis suggested a significant association between Hcy and T2DM for those aged < 65 years and males. A significant association between UA and T2DM was found in those aged ≥ 65 years, males, and BMI ≥ 24 kg/m2. No significant interaction was observed between Hcy and UA (p > 0.05). Hcy and UA were risk factors for T2DM. However, there was no interaction between Hcy and UA in the risk of T2DM.https://doi.org/10.1038/s41598-025-85812-7HomocysteineUric acidType 2 diabetes mellitusInteraction
spellingShingle Xiaolong Yang
Qiuqiu Lan
Qingan Wang
Yixuan Xue
Jiaxing Zhang
Xiaoxia Li
Yi Zhao
Yuhong Zhang
Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study
Scientific Reports
Homocysteine
Uric acid
Type 2 diabetes mellitus
Interaction
title Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study
title_full Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study
title_fullStr Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study
title_full_unstemmed Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study
title_short Association of homocysteine and uric acid with type 2 diabetes mellitus: a case-control study
title_sort association of homocysteine and uric acid with type 2 diabetes mellitus a case control study
topic Homocysteine
Uric acid
Type 2 diabetes mellitus
Interaction
url https://doi.org/10.1038/s41598-025-85812-7
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