Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease
Juan Tan,1,* Lin Wang,1,* Hong Li,2 Honggang Wang,3 Xiaozhong Yang3 1Department of General Practice, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China; 2Department of Health Management Center, The Affiliated Hu...
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Dove Medical Press
2025-01-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
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| author | Tan J Wang L Li H Wang H Yang X |
| author_facet | Tan J Wang L Li H Wang H Yang X |
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| description | Juan Tan,1,* Lin Wang,1,* Hong Li,2 Honggang Wang,3 Xiaozhong Yang3 1Department of General Practice, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China; 2Department of Health Management Center, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China; 3Department of Gastroenterology, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China*These authors contributed equally to this workCorrespondence: Honggang Wang; Xiaozhong Yang, Email hayy_wanghg@163.com; hayy_yxzh@163.comPurpose: To investigate the relationship between serum uric acid (SUA) levels and femoral neck bone mineral density (BMD) in patients with metabolic dysfunction-associated fatty liver disease (MAFLD).Patients and Methods: This cross-sectional study included 597 adult inpatients with type 2 diabetes mellitus and ultrasonography-confirmed fatty liver disease. Participants were stratified into tertiles based on femoral neck BMD. Gender-stratified linear regression analyses were performed to assess the relationship between SUA and femoral neck BMD. Nonlinear associations were explored using generalized additive models and two-piece linear regression.Results: No significant linear association was observed between SUA and femoral neck BMD in either gender (all P > 0.05). However, after adjusting for confounders, a nonlinear relationship was identified in male patients, with a threshold at 388 μmol/L. The effect sizes for SUA levels below and above this threshold were 0.001 (95% CI: 0.000 to 0.002, P = 0.008) and − 0.000 (95% CI: − 0.002 to 0.000, P = 0.117), respectively. No nonlinear relationship was observed in female patients.Conclusion: In male MAFLD patients, SUA levels exhibit a nonlinear relationship with femoral neck BMD, with a positive association observed between 300 μmol/L and 388 μmol/L. This relationship was not observed in female patients, suggesting gender-specific effects of SUA on bone health in MAFLD.Keywords: metabolic dysfunction-associated fatty liver disease, type 2 diabetes, serum uric acid, bone mineral density |
| format | Article |
| id | doaj-art-7e7a3935b61a4b3399016a5d2561370b |
| institution | Kabale University |
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| publishDate | 2025-01-01 |
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| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj-art-7e7a3935b61a4b3399016a5d2561370b2025-01-19T16:42:59ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072025-01-01Volume 1816117199335Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver DiseaseTan JWang LLi HWang HYang XJuan Tan,1,* Lin Wang,1,* Hong Li,2 Honggang Wang,3 Xiaozhong Yang3 1Department of General Practice, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China; 2Department of Health Management Center, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China; 3Department of Gastroenterology, The Affiliated Huai ‘an No. 1 People’s Hospital of Nanjing Medical University, Huai’an, Jiangsu, People’s Republic of China*These authors contributed equally to this workCorrespondence: Honggang Wang; Xiaozhong Yang, Email hayy_wanghg@163.com; hayy_yxzh@163.comPurpose: To investigate the relationship between serum uric acid (SUA) levels and femoral neck bone mineral density (BMD) in patients with metabolic dysfunction-associated fatty liver disease (MAFLD).Patients and Methods: This cross-sectional study included 597 adult inpatients with type 2 diabetes mellitus and ultrasonography-confirmed fatty liver disease. Participants were stratified into tertiles based on femoral neck BMD. Gender-stratified linear regression analyses were performed to assess the relationship between SUA and femoral neck BMD. Nonlinear associations were explored using generalized additive models and two-piece linear regression.Results: No significant linear association was observed between SUA and femoral neck BMD in either gender (all P > 0.05). However, after adjusting for confounders, a nonlinear relationship was identified in male patients, with a threshold at 388 μmol/L. The effect sizes for SUA levels below and above this threshold were 0.001 (95% CI: 0.000 to 0.002, P = 0.008) and − 0.000 (95% CI: − 0.002 to 0.000, P = 0.117), respectively. No nonlinear relationship was observed in female patients.Conclusion: In male MAFLD patients, SUA levels exhibit a nonlinear relationship with femoral neck BMD, with a positive association observed between 300 μmol/L and 388 μmol/L. This relationship was not observed in female patients, suggesting gender-specific effects of SUA on bone health in MAFLD.Keywords: metabolic dysfunction-associated fatty liver disease, type 2 diabetes, serum uric acid, bone mineral densityhttps://www.dovepress.com/nonlinear-association-between-serum-uric-acid-and-femoral-neck-bone-mi-peer-reviewed-fulltext-article-DMSOmetabolic dysfunction-associated fatty liver diseasetype 2 diabetesserum uric acidbone mineral density |
| spellingShingle | Tan J Wang L Li H Wang H Yang X Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease Diabetes, Metabolic Syndrome and Obesity metabolic dysfunction-associated fatty liver disease type 2 diabetes serum uric acid bone mineral density |
| title | Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease |
| title_full | Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease |
| title_fullStr | Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease |
| title_full_unstemmed | Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease |
| title_short | Nonlinear Association Between Serum Uric Acid and Femoral Neck Bone Mineral Density in Male Patients with Metabolic Dysfunction-Associated Fatty Liver Disease |
| title_sort | nonlinear association between serum uric acid and femoral neck bone mineral density in male patients with metabolic dysfunction associated fatty liver disease |
| topic | metabolic dysfunction-associated fatty liver disease type 2 diabetes serum uric acid bone mineral density |
| url | https://www.dovepress.com/nonlinear-association-between-serum-uric-acid-and-femoral-neck-bone-mi-peer-reviewed-fulltext-article-DMSO |
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