Association of Hyperuricemia with Hypertension in Adult without Major Metabolic Comorbidities

Authors

  • Intan Tri Hardini Department of Physiology, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia
  • Riefky Ihsan Pratama Medical Student, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia
  • Hesty Wahyuningsih Department of Biochemistry, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia
  • Dimar Kumala Puspaningrum Department of Clinical Pathology, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia
  • Dewi Intisari Department of Microbiology, Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia

DOI:

https://doi.org/10.33096/azgh6141

Keywords:

Hyperuricemia, hypertension, uric acid serum, metabolic risk factor

Abstract

 

Introduction: Hypertension is a major global health problem and a leading cause of cardiovascular morbidity and mortality. Hyperuricemia has been increasingly recognized as a potential metabolic factor associated with elevated blood pressure, although its independent role remains unclear, particularly in individuals without obesity, diabetes mellitus, or chronic kidney disease (CKD).

Methods: Hypertension is a major global health problem and a leading cause of cardiovascular morbidity and mortality. Hyperuricemia has been increasingly recognized as a potential metabolic factor associated with elevated blood pressure, although its independent role remains unclear, particularly in individuals without obesity, diabetes mellitus, or chronic kidney disease (CKD).

Result: Hypertension occurred in 72.5% of participants with hyperuricemia compared with 25.0% without hyperuricemia. Hyperuricemia was significantly associated with hypertension (p < 0.001; contingency coefficient = 0.429). Participants with hyperuricemia had a 2.91-fold higher risk of hypertension (RR = 2.91; 95% CI: 1.64–5.13). This association persisted across age groups, with RR = 2.41 (95% CI: 1.31–4.44) in participants aged <60 years and RR = 3.73 (95% CI: 1.25–11.16) in those aged ≥60 years.

Conclusion: Hyperuricemia was associated with an increased risk of hypertension independent of major metabolic comorbidities and age, suggesting its potential role as an additional metabolic risk factor for hypertension.

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Published

2026-04-29

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Original Article