U-shaped relationship between serum uric acid and gastric cancer risk: a large prospective cohort study
2024

U-shaped relationship between serum uric acid and gastric cancer risk

Sample size: 475659 publication 10 minutes Evidence: high

Author Information

Author(s): Huang Junjun, Mi Ningning, Yang Jingli, Zheng Ya, Yuan Jinqiu, Meng Wenbo

Primary Institution: The First Hospital of Lanzhou University

Hypothesis

What is the relationship between serum uric acid levels and the risk of upper gastrointestinal cancer?

Conclusion

Both low and high serum uric acid levels were associated with increased risk of gastric cancer, supporting a U-shaped association.

Supporting Evidence

  • SUA levels were positively associated with the risk of oral cancer in females.
  • SUA levels were negatively associated with the risk of esophageal cancer in the general population.
  • The risk of gastric cancer in males showed a U-shaped trend with SUA levels.
  • Interaction analysis indicated that age, sex, smoking and drinking status, family history of cancer, and BMI might influence the relationship between SUA and cancer.

Takeaway

This study found that having too little or too much uric acid in your blood can increase the risk of certain stomach cancers.

Methodology

A prospective cohort study using data from the UK Biobank with participants grouped into quartiles based on serum uric acid levels.

Potential Biases

Potential biases due to the observational nature of the study and the demographic homogeneity of the sample.

Limitations

The study is observational and cannot establish causation; participants were mainly white Europeans, limiting generalizability.

Participant Demographics

The study included 436,964 participants, with 231,595 males and 235,369 females, aged 40-69 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 0.51(0.32,0.81)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fonc.2024.1482814

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