期刊论文详细信息
Nutrition Journal
Cross-sectional analysis of nutrition and serum uric acid in two Caucasian cohorts: the AusDiab Study and the Tromsø study
Sarah L White3  Trond G Jenssen2  Steven J Chadban3  Ingrid Toft4  Hilde M Storhaug4  Svetlana N Zykova1 
[1] Clinical Research Department, University Hospital of North Norway, Tromsø, 9038, Norway;Oslo University Hospital, Oslo, Norway;Sydney Medical School, University of Sydney, Sydney, Australia;University of Tromsø-The Arctic University of Norway, Tromsø, Norway
关键词: Ausdiab;    The Tromsø study;    Diet;    Vitamins;    Food categories;    Macronutrients;    Micronutrients;    Uric acid;   
Others  :  1222664
DOI  :  10.1186/s12937-015-0032-1
 received in 2014-12-01, accepted in 2015-04-27,  发布年份 2015
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【 摘 要 】

Background

Hyperuricemia can lead to gout, and may be a risk factor for cardiovascular events, hypertension, diabetes and renal disease. There is well-known link between gout and habitual intake of meat and seafood, however the association between hyperuricemia and micro-and macro-nutrient intake has not been established.

Methods

We studied associations between intakes of food categories, macro-and micronutrients and serum uric acid (SUA) levels in two cross-sectional surveys of Caucasian adults deriving from different food traditions: Australian Diabetes, Obesity and Lifestyle Study 1999/00 (n=9734, age 25–91) and Tromsø Study 4 1994/95 (n = 3031, age 25–69). Dietary intake was calculated from self-administered Food Frequency Questionnaires. In some analyses we stratified according to abdominal obesity status and gender.

Results

In both cohorts, lower levels of SUA were found in subjects with higher consumption of carbohydrates, calcium and vitamin B2, while higher fat intake was associated with higher SUA, after adjustment for age, body mass index, estimated glomerular filtration rate, physical activity, total energy intake, use of diuretics, presence of hypertension, diabetes and gout. Among individual food items, high consumption of dairy products, high-fibre bread, cereals and fruits were associated with lower SUA in most subject groups while consumption of meat, eggs, beer and spirits, but not wine, with elevated levels.

Conclusions

Healthy food choices with high intake of carbohydrates, dairy products, fiber and micronutrient-rich foods, and limited intake of fat, beer and spirits, might be recommended to prevent high SUA. Dietary factors seem to have qualitatively similar impact on SUA in obese and non-obese men and women from Australia and Norway.

【 授权许可】

   
2015 Zykova et al.

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【 参考文献 】
  • [1]Niskanen LK, Laaksonen DE, Nyyssonen K, Alfthan G, Lakka HM, Lakka TA et al.. Uric acid level as a risk factor for cardiovascular and all-cause mortality in middle-aged men: a prospective cohort study. Arch Intern Med. 2004; 164:1546-1551.
  • [2]Fang J, Alderman MH. Serum uric acid and cardiovascular mortality the NHANES I epidemiologic follow-up study, National Health and Nutrition Examination Survey. JAMA. 2000; 2000(283):2404-2410.
  • [3]Hoieggen A, Alderman MH, Kjeldsen SE, Julius S, Devereux RB, De Faire U et al.. The impact of serum uric acid on cardiovascular outcomes in the LIFE study. Kidney Int. 2004; 65:1041-1049.
  • [4]Holme I, Aastveit AH, Hammar N, Jungner I, Walldius G. Uric acid and risk of myocardial infarction, stroke and congestive heart failure in 417,734 men and women in the Apolipoprotein MOrtality RISk study (AMORIS). J Intern Med. 2009; 266:558-570.
  • [5]Grayson PC, Kim SY, LaValley M, Choi HK. Hyperuricemia and incident hypertension: a systematic review and meta-analysis. Arthritis Care Res (Hoboken). 2011; 63:102-110.
  • [6]Sundstrom J, Sullivan L, D’Agostino RB, Levy D, Kannel WB, Vasan RS. Relations of serum uric acid to longitudinal blood pressure tracking and hypertension incidence. Hypertension. 2005; 45:28-33.
  • [7]Bhole V, Choi JW, Kim SW, de Vera M, Choi H. Serum uric acid levels and the risk of type 2 diabetes: a prospective study. Am J Med. 2010; 123:957-961.
  • [8]Obermayr RP, Temml C, Gutjahr G, Knechtelsdorfer M, Oberbauer R, Klauser-Braun R. Elevated uric acid increases the risk for kidney disease. J Am Soc Nephrol. 2008; 19:2407-2413.
  • [9]Iseki K, Oshiro S, Tozawa M, Iseki C, Ikemiya Y, Takishita S. Significance of hyperuricemia on the early detection of renal failure in a cohort of screened subjects. Hypertens Res. 2001; 24:691-697.
  • [10]Emmerson BT. The management of gout. N Engl J Med. 1996; 334:445-451.
  • [11]Choi HK, Liu S, Curhan G. Intake of purine-rich foods, protein, and dairy products and relationship to serum levels of uric acid: the Third National Health and Nutrition Examination Survey. Arthritis Rheum. 2005; 52:283-289.
  • [12]Choi HK, Curhan G. Beer, liquor, and wine consumption and serum uric acid level: the Third National Health and Nutrition Examination Survey. Arthritis Rheum. 2004; 51:1023-1029.
  • [13]Kolz M, Johnson T, Sanna S, Teumer A, Vitart V, Perola M et al.. Meta-analysis of 28,141 individuals identifies common variants within five new loci that influence uric acid concentrations. PLoS Genet. 2009; 5: Article ID e1000504
  • [14]Doring A, Gieger C, Mehta D, Gohlke H, Prokisch H, Coassin S et al.. SLC2A9 influences uric acid concentrations with pronounced sex-specific effects. Nat Genet. 2008; 40:430-436.
  • [15]Slimani N, Fahey M, Welch AA, Wirfalt E, Stripp C, Bergstrom E et al.. Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project. Public Health Nutr. 2002; 5:1311-1328.
  • [16]Perez-Escamilla R. Acculturation, nutrition, and health disparities in Latinos. Am J Clin Nutr. 2011; 93:1163S-1167S.
  • [17]Szczepura A. Nutrition in an ethnically diverse society: what are some of the key challenges? Proc Nutr Soc. 2011; 70:252-262.
  • [18]Wardle J, Haase AM, Steptoe A, Nillapun M, Jonwutiwes K, Bellisle F. Gender differences in food choice: the contribution of health beliefs and dieting. Ann Behav Med. 2004; 27:107-116.
  • [19]Westenhoefer J: Age and gender dependent profile of food choice. Forum Nutr 2005:44–51
  • [20]Macdiarmid JI, Vail A, Cade JE, Blundell JE. The sugar-fat relationship revisited: differences in consumption between men and women of varying BMI. Int J Obes Relat Metab Disord. 1998; 22:1053-1061.
  • [21]Cecil J, Dalton M, Finlayson G, Blundell J, Hetherington M, Palmer C. Obesity and eating behaviour in children and adolescents: contribution of common gene polymorphisms. Int Rev Psychiatry. 2012; 24:200-210.
  • [22]Masuo K, Kawaguchi H, Mikami H, Ogihara T, Tuck ML. Serum uric acid and plasma norepinephrine concentrations predict subsequent weight gain and blood pressure elevation. Hypertension. 2003; 42:474-480.
  • [23]Dunstan DW, Zimmet PZ, Welborn TA, Cameron AJ, Shaw J, de Courten M et al.. The Australian Diabetes, Obesity and Lifestyle Study (AusDiab)–methods and response rates. Diabetes Res Clin Pract. 2002; 57:119-129.
  • [24]Dietary questionnaires. [http://www.cancervic.org.au/about-our-research/epidemiology/nutritional_assessment_services]
  • [25]Lewis J, Milligan G, Hunt A: NUTTAB95 Nutrient Data Table for Use in Australia. (Service AGP ed. Canberra; 1995.
  • [26]Jacobsen BK, Nilsen H. High education is associated with low fat and high fibre, beta-carotene and vitamin C – Computation of nutrient intake based on a short food frequency questionnaire in 17,265 men and women in the Tromsø Study. Norsk Epidemiologi. 2000; 10:57-62.
  • [27]Nilsen H, Utsi E, Bonaa KH. Dietary and nutrient intake of a Sami population living in traditional reindeer herding areas in north Norway: comparisons with a group of Norwegians. Int J Circumpolar Health. 1999; 58:120-133.
  • [28]Rimestad AH. Statens ernæringsråd, Statens næringsmiddeltilsyn: Den Store matvaretabellen 1995 . Universitetsforl, Oslo; 1995.
  • [29]Dunstan D ZP, Welborn T, Sicree R, Armstrong T, Atkins R, Cameron A, Shaw J, Chadban S: Diabesity & Associated disorders in Australia – 2000: the Australian Diabetes, obesity and lifestyle study (AusDiab). . Melbourne; 2001.
  • [30]User Information Guide FFQ. Information for users of the dietary questionnaire. (Office CECNA ed. Carlton, Victoria, The Cancer Council of Victoria; 2008.
  • [31]Toft I, Solbu M, Kronborg J, Mathisen UD, Eriksen BO, Storhaug H et al.. Cystatin C as risk factor for cardiovascular events and all-cause mortality in the general population. The Tromso Study. Nephrology, dialysis, transplantation. Nephrol Dial Transplant. 2012; 27:2780-2787.
  • [32]Australia’s Physical Activity and Sedentary Behaviour Guidelines [http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines#apaadult]
  • [33]Recommended Dietary Allowances, 10th edition. Washington, D.C.: NATIONAL ACADEMY PRESS; 1989.
  • [34]Nazarewicz RR, Ziolkowski W, Vaccaro PS, Ghafourifar P. Effect of short-term ketogenic diet on redox status of human blood. Rejuvenation Res. 2007; 10:435-440.
  • [35]Johnston CS, Tjonn SL, Swan PD. High-protein, low-fat diets are effective for weight loss and favorably alter biomarkers in healthy adults. J Nutr. 2004; 134:586-591.
  • [36]Heidemann C, Scheidt-Nave C, Richter A, Mensink GB. Dietary patterns are associated with cardiometabolic risk factors in a representative study population of German adults. Br J Nutr. 2011; 106:1253-1262.
  • [37]Kontogianni M, Chrysohoou C, Panagiotakos D, Tsetsekou E, Zeimbekis A, Pitsavos C, Stefanadis C: Adherence to the Mediterranean diet and serum uric acid: the ATTICA study. Scandinavian journal of rheumatology 2012.
  • [38]Key TJ, Appleby PN, Rosell MS. Health effects of vegetarian and vegan diets. Proc Nutr Soc. 2006; 65:35-41.
  • [39]Yang SY, Li XJ, Zhang W, Liu CQ, Zhang HJ, Lin JR et al.. Chinese lacto-vegetarian diet exerts favorable effects on metabolic parameters, intima-media thickness, and cardiovascular risks in healthy men. Nutr Clin Pract. 2012; 27:392-398.
  • [40]Schmidt JA, Crowe FL, Appleby PN, Key TJ, Travis RC. Serum uric acid concentrations in meat eaters, fish eaters, vegetarians and vegans: a cross-sectional analysis in the EPIC-Oxford cohort. PLoS One. 2013; 8: Article ID e56339
  • [41]Ghadirian P, Shatenstein B, Verdy M, Hamet P. The influence of dairy products on plasma uric acid in women. Eur J Epidemiol. 1995; 11:275-281.
  • [42]Sorensen LB, Levinson DJ. Origin and extrarenal elimination of uric acid in man. Nephron. 1975; 14:7-20.
  • [43]Choi HK, Willett WC, Stampfer MJ, Rimm E, Hu FB. Dairy consumption and risk of type 2 diabetes mellitus in men: a prospective study. Arch Intern Med. 2005; 165:997-1003.
  • [44]Kirii K, Mizoue T, Iso H, Takahashi Y, Kato M, Inoue M et al.. Calcium, vitamin D and dairy intake in relation to type 2 diabetes risk in a Japanese cohort. Diabetologia. 2009; 52:2542-2550.
  • [45]Simmons D, Joshi S, Shaw J. Hypomagnesaemia is associated with diabetes: Not pre-diabetes, obesity or the metabolic syndrome. Diabetes Res Clin Pract. 2010; 87:261-266.
  • [46]Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature. 2006; 444:1022-1023.
  • [47]Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER, Gordon JI. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature. 2006; 444:1027-1031.
  • [48]Gagliardi AC, Miname MH, Santos RD. Uric acid: A marker of increased cardiovascular risk. Atherosclerosis. 2009; 202:11-17.
  • [49]Anzai N, Miyazaki H, Noshiro R, Khamdang S, Chairoungdua A, Shin HJ et al.. The multivalent PDZ domain-containing protein PDZK1 regulates transport activity of renal urate-anion exchanger URAT1 via its C terminus. J Biol Chem. 2004; 279:45942-45950.
  • [50]Gisler SM, Stagljar I, Traebert M, Bacic D, Biber J, Murer H. Interaction of the type IIa Na/Pi cotransporter with PDZ proteins. J Biol Chem. 2001; 276:9206-9213.
  • [51]Marlett JA, Hosig KB, Vollendorf NW, Shinnick FL, Haack VS, Story JA. Mechanism of serum cholesterol reduction by oat bran. Hepatology. 1994; 20:1450-1457.
  • [52]Kanbara A, Hakoda M, Seyama I. Urine alkalization facilitates uric acid excretion. Nutr J. 2010; 9:45. BioMed Central Full Text
  • [53]Ford ES, Choi HK. Associations between concentrations of uric acid with concentrations of vitamin A and beta-carotene among adults in the United States. Nutr Res. 2013; 33:995-1002.
  • [54]Elmadfa I, Rust P, Majchrzak D, Wagner KH, Genser D, Lettner R et al.. Effects of beta-carotene supplementation on free radical mechanism in healthy adult subjects. International journal for vitamin and nutrition research Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung Journal international de vitaminologie et de nutrition. 2004; 74:147-152.
  • [55]Huang HY, Appel LJ, Choi MJ, Gelber AC, Charleston J, Norkus EP et al.. The effects of vitamin C supplementation on serum concentrations of uric acid: results of a randomized controlled trial. Arthritis Rheum. 2005; 52:1843-1847.
  • [56]Choi HK, Gao X, Curhan G. Vitamin C intake and the risk of gout in men: a prospective study. Arch Intern Med. 2009; 169:502-507.
  • [57]Willett W. Nutritional epidemiology . Oxford University Press, New York; 1990.
  • [58]Jacobsen BK, Bonaa KH. The reproducibility of dietary data from a self-administered questionnaire. The Tromso Study. Int J Epidemiol. 1990; 19:349-353.
  • [59]Jacobsen BK, Knutsen SF, Knutsen R. The Tromso Heart Study: comparison of information from a short food frequency questionnaire with a dietary history survey. Scand J Soc Med. 1987; 15:41-47.
  • [60]Grantham NM, Magliano DJ, Hodge A, Jowett J, Meikle P, Shaw JE. The association between dairy food intake and the incidence of diabetes in Australia: the Australian Diabetes Obesity and Lifestyle Study (AusDiab). Public Health Nutr. 2013; 16:339-345.
  • [61]Hodge A, Patterson AJ, Brown WJ, Ireland P, Giles G. The Anti Cancer Council of Victoria FFQ: relative validity of nutrient intakes compared with weighed food records in young to middle-aged women in a study of iron supplementation. Aust N Z J Public Health. 2000; 24:576-583.
  • [62]Cahalan D: Quantifying alcohol consumption: patterns and problems. Circulation 1981, 64: III 7–14.
  • [63]Christian DG. Drug interference with laboratory blood chemistry determinations. Am J Clin Pathol. 1970; 54:118-142.
  • [64]Van Steirteghem AC, Robertson EA, Young DS. Influence of large doses of ascorbic acid on laboratory test results. Clin Chem. 1978; 24:54-57.
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