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01-12-2019 | Sleep Apnea | Sleep Breathing Physiology and Disorders • Review

A meta-analysis of the association between gout, serum uric acid level, and obstructive sleep apnea

Authors: Tingting Shi, Min Min, Chenyu Sun, Ce Cheng, Yun Zhang, Mingming Liang, Feras Kamel Rizeq, Yehuan Sun

Published in: Sleep and Breathing | Issue 4/2019

Abstract

Previous epidemiological investigations have evaluated the association between gout, serum uric acid levels, and obstructive sleep apnea syndrome (OSAS), but with inconsistent results. We conducted this meta-analysis aiming at providing clear evidence about whether OSAS patients have higher serum uric acid levels and more susceptible to gout. Relevant studies were identified via electronic databases from inception to December 17, 2018. Study selection was conducted according to predesigned eligibility criteria, and two authors independently extracted data from included studies. The hazard ratio (HR) and weighted mean difference (WMD) and their corresponding 95% confidence interval (CI) were derived using random-effects models. We conducted meta-, heterogeneity, publication bias, sensitivity, and subgroup analyses. Eighteen studies, involving a total of 157,607 individuals (32,395 with OSAS, 125,212 without OSAS) and 12,262 gout cases, were included. Results show that serum uric acid levels are elevated in patients with OSAS (WMD = 52.25, 95% CI 36.16–64.33); OSAS did not reach statistical significance as a predictor of gout (but there was a trend, HR = 1.25, 95% CI 0.91–1.70) and that the association between OSAS and serum uric acid was quite robust. OSAS may be a potential risk factor for hyperuricemia and the development of gout and thus, effective OSAS therapy may present as a valuable preventive measure against gout. Still, it is vital to undertake clinical studies with better designing to corroborate these associations and shed new light on it.

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Title: A meta-analysis of the association between gout, serum uric acid level, and obstructive sleep apnea
Authors: Tingting Shi
Min Min
Chenyu Sun
Ce Cheng
Yun Zhang
Mingming Liang
Feras Kamel Rizeq
Yehuan Sun
Publication date: 01-12-2019
Publisher: Springer International Publishing
Keywords: Sleep Apnea
Gout
Published in: Sleep and Breathing / Issue 4/2019
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-019-01827-1

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