“… 29 , 30 But in recent years, many scholars found that the IR and hyperuricemia were mutual causal relationship, even sometimes the hyperuricemia prior the IR occurs, IR enhances renal urate reabsorption via stimulation of uric acid transporter 1 and/or the Na-dependent anion co-transporter in brush border membranes or the renal proximal tubule; 31 , 32 and IR accelerates the rate of lipolysis and decreases adipose tissue lipoprotein lipase activity, 33 which in turn causes hyperlipemia and the subsequent over-production of uric acid; 34 on the contrary, the hyperuricemia can induce endothelial dysfunction and/or oxidative changes in adipocytes, which are typical stigmata of IR; 35 , 36 In this study, VAI was associated with SUA level, but when fully adjusted for age, gender, BMI and biomarkers, the association with hyperuricemia disappeared. In addition, previous study 37 found that LAP was positively associated with hyperuricemia. But contrary to our results, there was not association between the LAP and hyperuricemia.…”