[Association between food intake and hyperuricemia in the elderly aged 18 years and above in China in 2018].

Mengru Dong, Yanli Wei, Yifei Ouyang, Huijun Wang, Zhihong Wang, Xiaorong Yuan, Xiaohui Dong, Jiguo Zhang
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Abstract

Objective: To explore the relationship between food intake and hyperuricemia in the elderly aged 18 years and above in China.

Methods: The present study used data from "China Health and Nutrition Survey" in 2018. Adults aged 18 years and above with complete questionnaires and anthropometric data were included in the analysis. Three consecutive 24 h dietary recalls method was used to collect dietary consumption data. Logistic regression model was applied to analyze the effect of food intake on hyperuricemia.

Results: The prevalence of hyperuricemia in adults in fifteen provinces of China was 12.63% in 2018. Increased intake of rice(OR=1.419, 95%CI 1.143-1.761, P<0.001), livestock meat(OR=1.332, 95%CI 1.082-1.641, P<0.001), and poultry(OR=1.268, 95%CI 1.031-1.560, P<0.001) in the daily diet would increase the risk of hyperuricemia; higher intake of fruit(OR=0.792, 95%CI 0.643-0.977, P<0.001) was associated with a lower risk of hyperuricemia, and the risk of hyperuricemia was reduced in the 2nd tertile of dairy intake compared with non-intake group(OR=0.721, 95%CI 0.541-0.961, P<0.001).

Conclusion: For patients with hyperuricemia or people at risk of hyperuricemia, adherence to a diet of reduced intake of rice, livestock meat and poultry, increased intake of fruits, and moderate intake of dairy products can lower the serum uric acid level as well as the risk of developing hyperuricemia.

[2018年中国18岁及以上老年人食物摄入与高尿酸血症的关系研究]。
目的:探讨中国18岁及以上老年人食物摄入与高尿酸血症的关系。方法:本研究使用2018年“中国健康与营养调查”数据。年龄在18岁及以上,有完整的问卷调查和人体测量数据的成年人被纳入分析。采用连续3次24 h日粮回忆法收集日粮消耗数据。采用Logistic回归模型分析食物摄取量对高尿酸血症的影响。结果:2018年中国15个省份成人高尿酸血症患病率为12.63%。在日常饮食中增加大米(OR=1.419, 95%CI 1.143-1.761, P<0.001)、禽肉(OR=1.332, 95%CI 1.082-1.641, P<0.001)和家禽(OR=1.268, 95%CI 1.031-1.560, P<0.001)的摄入会增加高尿酸血症的风险;较高的水果摄入量(OR=0.792, 95%CI 0.643-0.977, P<0.001)与较低的高尿酸血症风险相关,与不摄入乳制品的组相比,摄入乳制品的第二分之一组的高尿酸血症风险降低(OR=0.721, 95%CI 0.541-0.961, P<0.001)。结论:对于高尿酸血症患者或高尿酸血症高危人群,坚持减少大米、畜禽肉类的摄入,增加水果的摄入,适度摄入乳制品,可降低血清尿酸水平,降低发生高尿酸血症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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