Association of platelet to high-density lipoprotein cholesterol ratio with hyperuricemia

Sci Rep. 2024 Jul 8;14(1):15641. doi: 10.1038/s41598-024-66747-x.

Abstract

The platelet/high-density lipoprotein ratio (PHR) has been identified as a significant indicator of inflammation and a hypercoagulable state, demonstrating a strong link with the severity of nonalcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS). However, its correlation with hyperuricemia has not yet been documented. This study utilized a cross-sectional design, analyzing data collected from the National Health and Nutrition Examination Survey (NHANES) between 2007 and 2016 in the United States. The platelet/high-density lipoprotein ratio (PHR) was determined by dividing the number of platelets (PLT) by the level of high-density lipoprotein cholesterol (HDL-C). We employed multivariable logistic regression analyses, generalized additive models, and subgroup analyses to investigate the correlation between PHR and hyperuricemia. The study revealed a hyperuricemia prevalence of 18.56%. Analysis indicated a significant positive correlation between PHR and the risk of hyperuricemia (OR 1.11, 95% CI 1.08, 1.14). This correlation remained consistent across different subgroups including age, ethnicity, gender, and body mass index (BMI). Smooth curve fitting demonstrated a saturation effect between PHR and the risk of hyperuricemia. PHR is positively correlated with hyperuricemia and may serve as a novel biomarker for predicting the onset of this condition. Additionally, targeted interventions to improve PHR might help reduce the incidence of hyperuricemia.

Keywords: Cholesterol; NHANES; Platelet; Uric acid.

MeSH terms

  • Adult
  • Aged
  • Biomarkers / blood
  • Blood Platelets* / metabolism
  • Cholesterol, HDL* / blood
  • Cross-Sectional Studies
  • Female
  • Humans
  • Hyperuricemia* / blood
  • Hyperuricemia* / epidemiology
  • Male
  • Middle Aged
  • Nutrition Surveys
  • Prevalence
  • Risk Factors
  • United States / epidemiology

Substances

  • Cholesterol, HDL
  • Biomarkers