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Research ArticleOriginal Research

Uric Acid as a Potential Cue to Screen for Iron Overload

Arch G. Mainous, Michele E. Knoll, Charles J. Everett, Eric M. Matheson, Mary M. Hulihan and Althea M. Grant
The Journal of the American Board of Family Medicine July 2011, 24 (4) 415-421; DOI: https://doi.org/10.3122/jabfm.2011.04.110015
Arch G. Mainous III
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Michele E. Knoll
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Charles J. Everett
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Eric M. Matheson
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Mary M. Hulihan
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Althea M. Grant
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  • Article
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Article Figures & Data

Tables

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    Table 1.

    Demographics of the Sample

    Unweighted N8,270
    Weighted N176,423,413
    Ferritin
        Elevated10.8
        Normal89.2
    Uric acid
        Elevated17.6
        Normal82.4
    Joint pain
        Yes44.8
        No55.2
    Age (years)
        20–4450.9
        45–6432.8
        ≥6516.3
    Sex
        Male48.1
        Female51.9
    Race/ethnicity
        Non-Hispanic white72.6
        Non-Hispanic black10.0
        Mexican American7.0
        Other Hispanic6.9
        Other race3.4
    • Values presentence as percents.

    • View popup
    Table 2.

    Relationships with Elevated Ferritin*

    High FerritinLow FerritinP
    Uric acid (mean mg/dL)6.155.27<.01
    ALT (mean U/L)39.4624.47<.01
    AST (mean U/L)32.6523.50<.01
    GGT (mean U/L)55.7727.58<.01
    Albumin-creatinine ratio ≥30 (%)16.608.75<.01
    Difficulty stooping (%)24.1317.29<.01
    Difficulty walking (%)5.233.18.01
    Difficulty standing (%)11.748.08<.01
    Arthritis (%)28.7920.82<.01
    Joint pain (%)47.1844.46.33
    • * High ferritin: >300 ng/mL for men, >200 ng/mL for women.

    • ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, γ-glutamyltransferase.

    • View popup
    Table 3.

    Relationships with Elevated Uric Acid*

    High Uric AcidLow Uric AcidP
    Ferritin (mean ng/mL)181.66116.66<.01
    ALT (mean U/L)34.2424.36<.01
    AST (mean U/L)29.1623.49<.01
    GGT (mean U/L)42.5728.09<.01
    Albumin-creatinine ratio ≥30 (%)16.478.14<.01
    Difficulty stooping (%)27.4916.02<.01
    Difficulty walking (%)7.002.64<.01
    Difficulty standing (%)15.317.02<.01
    Arthritis (%)31.8419.52<.01
    Joint pain (%)52.0443.21<.01
    • * High uric acid: >7 mg/dL for men, >6 mg/dL for women.

    • ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, γ-glutamyltransferase.

    • View popup
    Table 4.

    Logistic Regressions Using Combinations of Arthritis, Joint Pain, and Physical Functioning with Uric Acid to Determine the Likelihood of Elevated Ferritin1,2,3

    Uric AcidArthritis or Activity LimitationOdds Ratio (95% CI)
    LowStooping normal1.00
    LowStooping difficult1.07 (0.84–1.38)
    HighStooping normal2.54 (2.01–3.22)
    HighStooping difficult1.57 (1.12–2.19)
    LowWalking normal1.00
    LowWalking difficult1.04 (0.65–1.67)
    HighWalking normal2.19 (1.78–2.69)
    HighWalking difficult2.26 (1.25–4.08)
    LowStanding normal1.00
    LowStanding difficult1.19 (0.86–1.64)
    HighStanding normal2.44 (1.97–3.03)
    HighStanding difficult1.30 (0.83–2.03)
    LowNo arthritis1.00
    LowArthritis1.16 (0.92–1.48)
    HighNo arthritis2.50 (1.97–3.19)
    HighArthritis1.88 (1.35–2.62)
    LowNo joint pain1.00
    LowJoint pain1.04 (0.84–1.28)
    HighNo joint pain2.48 (1.88–3.27)
    HighJoint pain2.00 (1.51–2.66)
    • High uric acid: >7 mg/dL for men, >6 mg/dL for women. High ferritin: >300 ng/mL for men, >200 ng/mL for women. Adjusted for age, sex, race/ethnicity, kidney condition, liver condition, and alcohol consumption.

    • View popup
    Table 5.

    Mean Liver Enzymes With Combinations of Uric Acid and Ferritin*

    Low Uric AcidHigh Uric Acid
    Low FerritinHigh FerritinLow FerritinHigh Ferritin
    ALT (U/L)23.731.628.854.9†
    AST (U/L)23.028.626.140.7†
    GGT (U/L)26.248.035.171.1†
    • * Adjusted for age, sex, race/ethnicity, kidney condition, liver condition, and alcohol consumption.

    • † Significantly different (P < .05) from each of the other 3 categories.

    • ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, γ-glutamyltransferase.

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The Journal of the American Board of Family Medicine: 24 (4)
The Journal of the American Board of Family Medicine
Vol. 24, Issue 4
July-August 2011
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Uric Acid as a Potential Cue to Screen for Iron Overload
Arch G. Mainous, Michele E. Knoll, Charles J. Everett, Eric M. Matheson, Mary M. Hulihan, Althea M. Grant
The Journal of the American Board of Family Medicine Jul 2011, 24 (4) 415-421; DOI: 10.3122/jabfm.2011.04.110015

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Uric Acid as a Potential Cue to Screen for Iron Overload
Arch G. Mainous, Michele E. Knoll, Charles J. Everett, Eric M. Matheson, Mary M. Hulihan, Althea M. Grant
The Journal of the American Board of Family Medicine Jul 2011, 24 (4) 415-421; DOI: 10.3122/jabfm.2011.04.110015
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