Objective To investigate the relationship between serum fructose and
uric acid levels in patients with polycystic ovary syndrome (PCOS).
Design A case-control study. Setting University-affiliated in vitro
fertilization clinic. Population 292 patients with PCOS and 482
controls. Main Outcome Measures Serum fructose, uric acid and metabolic
measurements. Results Compared with controls, serum fructose and uric
acid levels were significantly increased in women with PCOS and patients
with PCOS accompanied by metabolic disorders exhibited higher serum
fructose and uric acid levels (P < 0.001). Restricted cubic
splines indicated that serum uric acid levels linearly and positively
correlated with serum fructose levels in women with PCOS (Poverall
< 0.001, Pnon-linear = 0.30), whereas no correlation was found
in controls (Poverall = 0.712, Pnon-linear = 0.43). Additionally, even
after adjusting for confounding factors, serum fructose levels were an
independent risk factor for hyperuricemia in patients with PCOS (P =
0.001; odds ratio, 1.380; 95% confidence interval, 1.207–1.577).
Conclusions There was a significantly positive association of elevated
uric acid levels with serum fructose levels in PCOS and was closely
correlated with PCOS-related metabolic disorders, highlighting the
importance of further research into the biological mechanisms of
fructose and uric acid in the development of PCOS. Funding National
Natural Science Foundation of China (No. 82071607 and 32100691);
LiaoNing Revitalization Talents Program (No. XLYC1907071); Fok Ying Tung
Education Foundation (No. 151039); Key Research and Development Program
of Liaoning Province (No. 2018225062); Outstanding Scientific Fund of
Shengjing Hospital (No. 202003). Keywords Fructose; Uric acid; PCOS;
Metabolic disorder