title: Serum Uric Acid and Mortality Form Cardiovascular Disease: EPOCH-JAPAN Study.
abstract: To investigate the relationship between serum uric acid levels and cardiovascular disease in Asians.
  
  
  
  We examined the above relationship using the data of Evidence for Cardiovascular Prevention from Observational Cohorts in Japan (EPOCH-JAPAN Study). The data of 36,313 subjects (15,628 men and 20,685 women aged 35-89 years without histories of stroke, coronary heart disease, or cancer at baseline) were used for the analyses. Sex-specific hazard ratios (HRs) of mortality from cardiovascular disease were estimated according to the quintiles of serum uric acid using Cox hazard models stratified by cohorts.
  
  
  
  During 441,771 person-years of follow-up, we documented 1,288 cardiovascular deaths. A J- or U-shaped relationship between serum uric acid level and cardiovascular disease mortality was observed. Compared with the lowest quintile of serum uric acid levels, the highest quintile was associated with an increased cardiovascular disease mortality in men [HR: 1.28; 95% confidence interval (CI): 1.01-1.63] and women (HR: 1.51; 95% CI: 1.14-1.99). However, there was no significant association with mortality from stroke, coronary heart disease or heart failure in both men and women.
  
  
  
  This large pooled analysis in Japan suggested a J- or U-shaped relationship between serum uric acid levels and cardiovascular mortality. The highest quintile of serum uric acid levels was associated with increased cardiovascular disease mortality in both Japanese men and women.
authors.affiliation: Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
authors.forename: Wen
authors.initials: W
authors.lastname: Zhang
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Iso
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Murakami
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Miura
authors.forename: Masato
authors.initials: M
authors.lastname: Nagai
authors.forename: Daisuke
authors.initials: D
authors.lastname: Sugiyama
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Ueshima
authors.forename: Tomonori
authors.initials: T
authors.lastname: Okamura
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers / Q000097:blood*; D002318:Cardiovascular Diseases / Q000097:blood* / Q000401:mortality* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D015996:Survival Rate; D014527:Uric Acid / Q000097:blood*
chemical_list: D015415:Biomarkers; D014527:Uric Acid