Evidence map›Paper›PMID 41685601›Full record

ArticleJournal of clinical laboratory analysis2026

Exploring Uric Acid to HDL Ratio as a Long-Term Biomarker for Diabetes Mellitus.

Rana Kolahi, Reza Khademi, Mahboobeh Ghasemzadeh Rahbardar, Niloofar Shabani, Habibollah Esmaily, Nazanin Akbari, Reyhane Alizadeh, Malihehsadat Abedsaeidi, Sara Saffar Soflaei, Majid Ghayour-Mobarhan

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Article in Journal of clinical laboratory analysis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Rana KolahiApplied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Reza KhademiStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahboobeh Ghasemzadeh RahbardarShahid Hasheminejad Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0002-5491-572X
Niloofar ShabaniDepartment of Epidemiology and Biostatistics, School of Health, Tehran University of Medical Sciences, Tehran, Iran.
Habibollah EsmailyDepartment of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0003-4139-546X
Nazanin AkbariMetabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0001-5607-092X
Reyhane AlizadehMetabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Malihehsadat AbedsaeidiMetabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Sara Saffar SoflaeiMetabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Majid Ghayour-MobarhanMetabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0002-1081-6754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus (DM) poses a major challenge to public health worldwide. The ratio of serum uric acid to high-density lipoprotein cholesterol (UHR) has recently emerged as a promising indicator of inflammation linked to a range of cardio-metabolic conditions. However, its association with DM is not fully clear.

methodsData from 7617 individuals aged 35-65 enrolled in the Mashhad stroke and heart atherosclerotic disorder (MASHAD) cohort were followed for a decade to explore the link between UHR and diabetes onset. Logistic regression, adjusted for confounders, evaluated the association. Restricted cubic spline models captured nonlinear trends, while receiver operating characteristic (ROC) analysis identified gender-specific thresholds. All statistical procedures were performed using SPSS (v26).

resultsElevated levels of the UHR were significantly linked to a higher risk of developing DM. In the fully adjusted model, each incremental rise in UHR was associated with an odds ratio (OR) of 1.07 (95% CI [1.05-1.08], p < 0.001). Subgroup analyses also indicated consistent predictive capability across genders, and ROC analysis revealed optimal UHR thresholds of 12.74 for men (sensitivity 72.17%, specificity 47.79%, area under the curve (AUC) 0.6188) and 9.88 for women (sensitivity 59.46%, specificity 61.61%, AUC 0.6357).

conclusionThe UHR is a remarkable predictor of DM incidence over a decade-long follow-up, highlighting its potential as an early biomarker for diabetes risk assessment in clinical settings. Additional studies are needed to clarify the biological pathways linking UHR to diabetes development and to assess whether modifying this ratio could help lower disease risk.

Indexed as

BiomarkersCholesterol, HDLDiabetes MellitusUric AcidAdultAgedFemaleHumansMaleMiddle AgedROC CurveBiomarkersCholesterol, HDLUric Acidcholesteroldiabetes mellitusheart diseasesinflammationmetabolic diseasesstrokeuric acid

Identifiers

PMID41685601
PMCPMC13042395

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