{"id":"https://openalex.org/W7204606202","doi":"https://doi.org/10.3389/fnut.2026.1864474","title":"Prevalence of hyperuricemia and its associations with hyperinsulinemia and hepatic injury among adolescents with obesity in Guangxi, China","display_name":"Prevalence of hyperuricemia and its associations with hyperinsulinemia and hepatic injury among adolescents with obesity in Guangxi, China","publication_year":2026,"publication_date":"2026-08-28","ids":{"openalex":"https://openalex.org/W7204606202","doi":"https://doi.org/10.3389/fnut.2026.1864474","pmid":"https://pubmed.ncbi.nlm.nih.gov/42730317","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13564921"},"language":"en","primary_location":{"id":"doi:10.3389/fnut.2026.1864474","doi":"https://doi.org/10.3389/fnut.2026.1864474","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fnut.2026.1864474","pdf_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1864474/pdf","source":{"id":"https://openalex.org/S2596909297","display_name":"Frontiers in Nutrition","issn_l":"2296-861X","issn":["2296-861X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Nutrition","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1864474/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5148554053","display_name":"Binlin Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127779","display_name":"Guangxi Maternal and Child Health Hospital","ror":"https://ror.org/0389fv189","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210127779"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Binlin Chen","raw_affiliation_strings":["Children and Adolescents Weight Management Center","Department of Clinical Nutrition, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children and Adolescents Weight Management Center","institution_ids":[]},{"raw_affiliation_string":"Department of Clinical Nutrition, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210127779"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148498742","display_name":"Xiuhua Pan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127779","display_name":"Guangxi Maternal and Child Health Hospital","ror":"https://ror.org/0389fv189","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210127779"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiuhua Pan","raw_affiliation_strings":["Children and Adolescents Weight Management Center","Department of Clinical Nutrition, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children and Adolescents Weight Management Center","institution_ids":[]},{"raw_affiliation_string":"Department of Clinical Nutrition, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210127779"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148540505","display_name":"Rui Jiang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127779","display_name":"Guangxi Maternal and Child Health Hospital","ror":"https://ror.org/0389fv189","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210127779"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Rui Jiang","raw_affiliation_strings":["Children and Adolescents Weight Management Center","Department of Clinical Nutrition, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children and Adolescents Weight Management Center","institution_ids":[]},{"raw_affiliation_string":"Department of Clinical Nutrition, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210127779"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148488228","display_name":"Xiandan Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210115919","display_name":"The People's Hospital of Guangxi Zhuang Autonomous Region","ror":"https://ror.org/02aa8kj12","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210115919"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiandan Zhang","raw_affiliation_strings":["Department of Clinical Nutrition, The People\u2019s Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Nutrition, The People\u2019s Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210115919"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100677947","display_name":"Fuli Ya","orcid":"https://orcid.org/0000-0002-7810-4403","observed_orcids":["https://orcid.org/0000-0002-7810-4403"]},"institutions":[{"id":"https://openalex.org/I6593398","display_name":"Dali University","ror":"https://ror.org/02y7rck89","country_code":"CN","type":"education","lineage":["https://openalex.org/I6593398"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fuli Ya","raw_affiliation_strings":["Department of Nutrition, School of Public Health, Dali University, Dali"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nutrition, School of Public Health, Dali University, Dali","institution_ids":["https://openalex.org/I6593398"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100660048","display_name":"Jing Huang","orcid":"https://orcid.org/0000-0002-2167-8385","observed_orcids":["https://orcid.org/0000-0002-2167-8385"]},"institutions":[{"id":"https://openalex.org/I4210127779","display_name":"Guangxi Maternal and Child Health Hospital","ror":"https://ror.org/0389fv189","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210127779"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jing Huang","raw_affiliation_strings":["Children and Adolescents Weight Management Center","Department of Obstetrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Children and Adolescents Weight Management Center","institution_ids":[]},{"raw_affiliation_string":"Department of Obstetrics, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region","institution_ids":["https://openalex.org/I4210127779"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5100660048","https://openalex.org/A5148554053"],"corresponding_institution_ids":["https://openalex.org/I4210127779"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1864474","last_page":"1864474"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11139","display_name":"Gout, Hyperuricemia, Uric Acid","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11139","display_name":"Gout, Hyperuricemia, Uric Acid","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12964","display_name":"Diet, Metabolism, and Disease","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hyperuricemia","display_name":"hyperuricemia","score":0.9990000128746033},{"id":"https://openalex.org/keywords/adolescent-obesity","display_name":"adolescent obesity","score":0.9409999847412109},{"id":"https://openalex.org/keywords/hyperinsulinemia","display_name":"hyperinsulinemia","score":0.996999979019165},{"id":"https://openalex.org/keywords/liver-injury","display_name":"liver injury","score":0.9750000238418579},{"id":"https://openalex.org/keywords/alanine-aminotransferase","display_name":"alanine aminotransferase","score":0.9919999837875366},{"id":"https://openalex.org/keywords/serum-uric-acid","display_name":"serum uric acid","score":0.828000009059906},{"id":"https://openalex.org/keywords/bmi-z-score","display_name":"BMI z-score","score":0.8040000200271606},{"id":"https://openalex.org/keywords/age-as-risk-factor","display_name":"age as risk factor","score":0.8569999933242798},{"id":"https://openalex.org/keywords/dyslipidemia","display_name":"dyslipidemia","score":0.7929999828338623},{"id":"https://openalex.org/keywords/insulin-sensitivity","display_name":"insulin sensitivity","score":0.6489999890327454},{"id":"https://openalex.org/keywords/guangxi","display_name":"Guangxi","score":0.7179999947547913},{"id":"https://openalex.org/keywords/prevalence","display_name":"prevalence","score":0.8009999990463257},{"id":"https://openalex.org/keywords/dose-response-relationship","display_name":"dose-response relationship","score":0.9259999990463257},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.4880000054836273},{"id":"https://openalex.org/keywords/liver-function-assessment","display_name":"liver function assessment","score":0.6340000033378601},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.6499999761581421},{"id":"https://openalex.org/keywords/ldl-cholesterol","display_name":"LDL cholesterol","score":0.48899999260902405}],"concepts":[{"id":"https://openalex.org/C2779721657","wikidata":"https://www.wikidata.org/wiki/Q49970","display_name":"Hyperuricemia","level":3,"score":0.9262999892234802},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8762999773025513},{"id":"https://openalex.org/C2780988686","wikidata":"https://www.wikidata.org/wiki/Q14375936","display_name":"Hyperinsulinemia","level":4,"score":0.7757999897003174},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6658999919891357},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.6488999724388123},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.6100999712944031},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5512999892234802},{"id":"https://openalex.org/C61427482","wikidata":"https://www.wikidata.org/wiki/Q6656244","display_name":"Anthropometry","level":2,"score":0.516700029373169},{"id":"https://openalex.org/C144301174","wikidata":"https://www.wikidata.org/wiki/Q7893852","display_name":"Univariate analysis","level":3,"score":0.5038999915122986},{"id":"https://openalex.org/C2779881121","wikidata":"https://www.wikidata.org/wiki/Q105522","display_name":"Uric acid","level":2,"score":0.5030999779701233},{"id":"https://openalex.org/C2780402116","wikidata":"https://www.wikidata.org/wiki/Q133087","display_name":"Gout","level":2,"score":0.4973999857902527},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.4194999933242798},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.36910000443458557},{"id":"https://openalex.org/C2776919658","wikidata":"https://www.wikidata.org/wiki/Q1467339","display_name":"Hypertriglyceridemia","level":4,"score":0.36719998717308044},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.3255000114440918},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.31470000743865967},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C2776193436","wikidata":"https://www.wikidata.org/wiki/Q236232","display_name":"Waist","level":3,"score":0.27639999985694885},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.27300000190734863},{"id":"https://openalex.org/C42407357","wikidata":"https://www.wikidata.org/wiki/Q521","display_name":"Physiology","level":1,"score":0.25040000677108765}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fnut.2026.1864474","doi":"https://doi.org/10.3389/fnut.2026.1864474","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fnut.2026.1864474","pdf_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1864474/pdf","source":{"id":"https://openalex.org/S2596909297","display_name":"Frontiers in Nutrition","issn_l":"2296-861X","issn":["2296-861X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Nutrition","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13564921","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13564921/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13564921/pdf/fnut-13-1864474.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Nutr","raw_type":"Text"},{"id":"pmid:42730317","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42730317","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in nutrition","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:89cf73ccc9ed433e9416f7aa95a5b83f","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/89cf73ccc9ed433e9416f7aa95a5b83f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Nutrition, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fnut.2026.1864474","doi":"https://doi.org/10.3389/fnut.2026.1864474","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fnut.2026.1864474","pdf_url":"https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1864474/pdf","source":{"id":"https://openalex.org/S2596909297","display_name":"Frontiers in Nutrition","issn_l":"2296-861X","issn":["2296-861X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Nutrition","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204606202.pdf","grobid_xml":"https://content.openalex.org/works/W7204606202.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W2022343986","https://openalex.org/W2116580211","https://openalex.org/W2727622516","https://openalex.org/W2942768033","https://openalex.org/W2973027962","https://openalex.org/W2981128609","https://openalex.org/W3162045175","https://openalex.org/W3194570688","https://openalex.org/W4214858852","https://openalex.org/W4282588738","https://openalex.org/W4391141422","https://openalex.org/W4399861891","https://openalex.org/W4401338035","https://openalex.org/W4401705337","https://openalex.org/W4401977857","https://openalex.org/W4403502285","https://openalex.org/W4408110706","https://openalex.org/W4408569945","https://openalex.org/W4409373053","https://openalex.org/W4410450556","https://openalex.org/W4410565172","https://openalex.org/W4412557092","https://openalex.org/W4413241137","https://openalex.org/W4415584705","https://openalex.org/W7107942237","https://openalex.org/W7126382000","https://openalex.org/W7128311504","https://openalex.org/W7154610022"],"related_works":["https://openalex.org/W4391141422","https://openalex.org/W4399861891","https://openalex.org/W4403502285","https://openalex.org/W2196694455","https://openalex.org/W4282588738","https://openalex.org/W2119806776","https://openalex.org/W4390097090","https://openalex.org/W3024435389","https://openalex.org/W4404160449","https://openalex.org/W3136036567"],"abstract_inverted_index":{"Objective":[0],"To":[1],"investigate":[2],"the":[3,38,65,87,222,258],"prevalence":[4,122],"of":[5,28,45,51,72,123,224,260],"hyperuricemia":[6],"(HUA)":[7],"in":[8,12,76,131,136,144,241,271],"adolescents":[9,30,238],"with":[10,20,31,128,239,252],"obesity":[11,32,240],"Guangxi,":[13],"southern":[14],"China,":[15],"and":[16,22,40,47,74,93,97,108,133,161,191,221,246,267],"explore":[17],"its":[18],"associations":[19],"hyperinsulinemia":[21,162,183],"hepatic":[23],"injury.":[24],"Methods":[25],"A":[26],"total":[27],"200":[29],"aged":[33],"10\u201318":[34],"years":[35,175],"who":[36],"visited":[37],"Children":[39],"Adolescents":[41,77],"Weight":[42],"Management":[43,71],"Center":[44],"Maternal":[46],"Child":[48],"Health":[49],"Hospital":[50],"Guangxi":[52],"Zhuang":[53],"Autonomous":[54],"Region":[55],"from":[56],"May":[57],"to":[58,64],"December":[59],"2025":[60],"were":[61,89,101,115,201],"enrolled.":[62],"According":[63],"Clinical":[66],"Practice":[67],"Consensus":[68],"Statement":[69],"2025:":[70],"Hyperuricemia":[73],"Gout":[75],"(fasting":[78],"serum":[79],"uric":[80],"acid":[81],"\u2265":[82],"420":[83],"\u03bcmol/L":[84],"for":[85,117,205,228],"HUA),":[86],"subjects":[88],"divided":[90],"into":[91],"non-HUA":[92],"HUA":[94,124,225,233,253],"groups.":[95],"Anthropometric":[96],"fasting":[98,155,217],"laboratory":[99],"indicators":[100],"collected.":[102],"Univariate":[103,138],"analyses,":[104],"multivariate":[105],"logistic":[106,168],"regression,":[107],"unadjusted":[109],"restricted":[110],"cubic":[111,208],"spline":[112,209],"(RCS)":[113],"models":[114,210],"applied":[116],"statistical":[118],"analyses.":[119],"Results":[120],"The":[121],"was":[125],"44.50%":[126],"(89/200),":[127],"47.59%":[129],"(69/145)":[130],"males":[132],"36.36%":[134],"(20/55)":[135],"females.":[137],"analysis":[139],"showed":[140],"significant":[141],"between-group":[142],"differences":[143],"age,":[145,216,244],"body":[146],"mass":[147],"index":[148],"z-score":[149],"(BMIZ),":[150],"low-density":[151],"lipoprotein":[152],"cholesterol":[153],"(LDL-C),":[154],"insulin,":[156,218],"alanine":[157],"aminotransferase":[158],"(ALT),":[159],"dyslipidemia,":[160],"(all":[163,226],"P":[164,180,188,198,227],"<":[165,230],"0.05).":[166,231],"Multivariate":[167],"regression":[169],"revealed":[170,211],"that":[171],"age":[172],">":[173],"12":[174],"(OR":[176,184,194],"=":[177,181,185,189,195,199],"2.60,":[178],"95%CI:1.19\u20135.68,":[179],"0.017),":[182],"2.33,":[186],"95%CI:1.11\u20134.92,":[187],"0.026)":[190],"abnormal":[192],"ALT":[193,248],"2.44,":[196],"95%CI:1.02\u20135.87,":[197],"0.046)":[200],"independent":[202],"risk":[203,223],"factors":[204],"HUA.":[206],"Restricted":[207],"positive":[212],"dose-response":[213],"relationships":[214],"between":[215],"ALT,":[219],"BMIZ":[220],"overall":[229],"Conclusion":[232],"is":[234],"highly":[235],"prevalent":[236],"among":[237],"Guangxi.":[242],"Older":[243],"hyperinsulinemia,":[245],"elevated":[247],"are":[249],"independently":[250],"associated":[251],"risk.":[254],"These":[255],"findings":[256],"highlight":[257],"importance":[259],"comprehensive":[261],"metabolic":[262],"management,":[263],"including":[264],"insulin":[265],"sensitivity":[266],"liver":[268],"function":[269],"assessment,":[270],"this":[272],"high-risk":[273],"population.":[274]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-08-29T00:00:00"}
