Intake of Purine-rich Foods, Total Meat, Seafood and Dairy Products and Relationship to Serum of Uric Acid
Keywords:
Uric acid, Seafood, Meat, Dairy products.Abstract
The objective of this research is to evaluate the relationship between serum uric acid levels and dietary factors in a nationally representative sample of healthy Sudanese men who were not taking medication for gout at the time of the study. Over twelve months period we followed and investigated the relationship between the intake of purine-rich foods, protein, and dairy products and status of uric acid management in 812 men who had no history of gout at base line, aged 30 years and older. Diet was assessed every month by means of a food-frequency questionnaire.During one year of the study, we clearly documented that The multivariate relative risk of gout among men found in the highest quintile for both meat and seafood intake, as compared with those in the lowest quintiles. At the other hand, the possibility that the intake of dairy products has a role in reducing uric acid concentration and protecting against gout. Serum uric acid concentration increased with increasing of total meat or seafood intake and decreased with increasing dairy products intake. After adjusting for age, the serum uric acid level in the highest quintile group of total meat intake was higher by 0.58 mg/dl (95% CI 0.39, 0.77; P = 0.001 for trend) than that in the lowest quintile. The corresponding difference for seafood was 0.41 mg/dl (95% CI 0.19, 0.63; P = 0.005 for trend). and -0.46 mg/dl (95% CI -0.81, -0.10; P = 0.02 for trend) for total dairy intake. The findings of this study clearly suggests that higher amounts of meat and seafood consumption is associated with an increased risk of gout, whereas a higher level of dairy products consumption is inversely associated with an increased risk.References
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[13] Gao X, Curhan G, Forman JP, Ascherio A, Choi HK. Vitamin C intake and serum uric acid concentration in men. J Rheumatol 2008;35:1853-8.
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[16] Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med 2004;350:1093-103.
[17] Lyu LC, Hsu CY, Yeh CY, Lee MS, Huang SH, Chen CL .A case-control study of the association of diet and obesity with gout in Taiwan. American Journal of Clinical Nutrition 2003; 78: 690-701.
[18] Hu FB, Rimm E, Smith-Warner SA, Feskanich D, Stampfer MJ, Ascherio A, et al. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J ClinNutr 1999;69:243–9.
[19] Feskanich D, Rimm EB, Giovannucci EL, Colditz GA, Stampfer MJ, Litin LB, et al. Reproducibility and validity of food intake measurements from a semiquantitative food frequency questionnaire. J Am Diet Assoc 1993;93:790–6.
[20] Willett W. Nutritional epidemiology. 2nd ed. Oxford: Oxford University Press; 1998.
[21] 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 Med2005;165:997–1003.
[22] Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med2004;350:1093–103.
[23] Paul T WilliamsEffects of diet, physical activity and performance, and body weight on incident gout in ostensibly healthy, vigorously active men.Am J ClinNutr. 2008 May; 87(5): 1480–1487.
[2] Kanellis J, Feig DI, Johnson RJ: Does asymptomatic hyperuricaemia contribute to the development of renal and cardiovascular disease? An old controversy renewed. Nephrology (Carlton) 2004, 9:394-399.
[3] Feig DI, Rodriguez-Iturbe B, Nakagawa T, Johnson RJ: Nephron number, uric acid, and renal microvascular disease in the pathogenesis of essential hypertension. Hypertension 2006, 48:25-26.
[4] 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;51:1023-9.
[5] 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;52:283-9.
[6] Academy of Medical Sciences. Calling time: the nation's drinking as a major health issue. London: Academy of Medical Sciences; 2004.
[7] Miao Z, Li C, Chen Y, et al. Dietary and lifestyle changes associated with high prevalence of hyperuricemia and gout in the Shandong coastal cities of Eastern China. J Rheumatol 2008;35:1859-64.
[8] Annemans L, Spaepen E, Gaskin M, et al . Gout in the UK and Germany: prevalence, comorbidities and management in general practice 2000–2005. Ann Rheum Dis 2008;67:960-6.
[9] Loenen HM, Eshuis H, Lowik MR, et al. Serum uric acid correlates in elderly men and women with special reference to body composition and dietary intake (Dutch Nutrition Surveillance System). J ClinEpidemiol 1990;43:1297-1303.
[10] Garrel DR, Verdy M, PetitClerc C, Martin C, Brule D, Hamet P. Milk- and soy-protein ingestion: acute effect on serum uric acid concentration. Am J ClinNutr 1991;53:665-669.
[11] Zgaga L, Theodoratou E, Kyle J, Farrington SM, Agakov F, Tenesa A, Walker M, McNeill G, Wright AF, Rudan I, Dunlop MG, Campbell H . The association of dietary intake of purine-rich vegetables, sugar-sweetened beverages and dairy with plasma urate, in a cross-sectional study.Plos One; 2012 ; 7 (6): e38123.
[12] Choi HK .A prescription for lifestyle change in patients with hyperuricemia and gout. Current Opinion in Rheumatology 2010 ; 22: 165-172.
[13] Gao X, Curhan G, Forman JP, Ascherio A, Choi HK. Vitamin C intake and serum uric acid concentration in men. J Rheumatol 2008;35:1853-8.
[14] Choi HK, Curhan G. Coffee, tea, and caffeine consumption and serum uric acid level: the Third National Health and Nutrition Examination Survey. Arthritis Rheum 2007;57:816-21.
[15] Choi HK, Willett W, Curhan G. Coffee consumption and risk of incident gout in men: a prospective study. Arthritis Rheum 2007;56:2049-55.
[16] Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med 2004;350:1093-103.
[17] Lyu LC, Hsu CY, Yeh CY, Lee MS, Huang SH, Chen CL .A case-control study of the association of diet and obesity with gout in Taiwan. American Journal of Clinical Nutrition 2003; 78: 690-701.
[18] Hu FB, Rimm E, Smith-Warner SA, Feskanich D, Stampfer MJ, Ascherio A, et al. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J ClinNutr 1999;69:243–9.
[19] Feskanich D, Rimm EB, Giovannucci EL, Colditz GA, Stampfer MJ, Litin LB, et al. Reproducibility and validity of food intake measurements from a semiquantitative food frequency questionnaire. J Am Diet Assoc 1993;93:790–6.
[20] Willett W. Nutritional epidemiology. 2nd ed. Oxford: Oxford University Press; 1998.
[21] 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 Med2005;165:997–1003.
[22] Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med2004;350:1093–103.
[23] Paul T WilliamsEffects of diet, physical activity and performance, and body weight on incident gout in ostensibly healthy, vigorously active men.Am J ClinNutr. 2008 May; 87(5): 1480–1487.
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2015-11-27
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Babiker, M. A. (2015). Intake of Purine-rich Foods, Total Meat, Seafood and Dairy Products and Relationship to Serum of Uric Acid. American Scientific Research Journal for Engineering, Technology, and Sciences, 14(3), 35–43. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/1006
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