调查即时尿酸与饮食模式之间的关系

P. Chuk, Carrie Kan
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引用次数: 0

摘要

由于饮食摄入不当导致的高血清尿酸已被确定与痛风发作有关。本研究调查了2014年香港素食节参与者的尿酸即时检测与饮食模式的关系。方法采用横断面调查法,收集调查对象的人口统计资料和饮食习惯。采用即时分析仪测定血清尿酸。数据分析采用描述性和非参数统计。结果共94名求医者参与了本研究。在这些参与者中发现了高poc - ua患病率(14.9% (14/94));非素食者(18.5%(12/65))比素食者(7.1%(2/28))有更高比例的高POC-UAs;这些高poc - ua的参与者中有一半患有肥胖症(23.5%(4/17))和1-3种慢性疾病(53.3%(8/15))。患有1-3种慢性疾病者的POC-UAs为53.3%(8/15),显著高于单一慢性疾病者的25.0% (1/4)(Χ²=26.769,p<0.001)。研究结果表明,即时检测可作为痛风风险的有效预测指标,因为大多数个体在早期无症状,可能不知道自己的高尿酸血症状况。结论为更好地控制高尿酸血症,预防急性痛风发作,建议采用方便监护的健康教育和饮食干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating the relationship between point-of-care uric acid and dietary pattern
Introduction High serum uric acid due to improper dietary intake has been identified to associate with painful gouty attack. This study investigates the relationship between point-of-care testing in uric acid and the dietary pattern among participants attending the 2014 Vegetarian Festival in Hong Kong. Method A cross-sectional study was conducted using questionnaire to collect demographic data and dietary pattern of the participants. Point-of-care analyzer was used to measure their serum uric acid. Data was analyzed by descriptive and non-parametric statistics. Results A total of 94 health seekers participated in the study. A prevalence of high POC-UAs was identified among these participants (14.9% (14/94)); non-vegetarians (18.5% (12/65)) tended to have a higher proportion of high POC-UAs compared to vegetarians (7.1% (2/28)); half of these participants with high POC-UAs had obesity 23.5% (4/17) and 1-3 chronic diseases (53.3% (8/15)). The POC-UAs of those having 1-3 chronic diseases 53.3% (8/15) were also significantly greater than those of a single chronic disease 25.0% (1/4) (Χ²=26.769, p<0.001). Discussion The findings suggested that Point-of-care testing can be an effective predictor of gout risk as most individuals may be unaware of their hyperuricemia condition because of asymptomatic at an early stage. Conclusion For a better control of hyperuricemia and prevention of acute gouty attack, health education with a convenient monitoring using Point-of-care method and dietary intervention is recommended.
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