Association between vegetarian diet and gouty arthritis: A retrospective cohort study

A vegetarian diet is rich in vegetables, fruits, and soy products. Although vegetarian diet is beneficial for improving the health outcomes such as body mass index, metabolic syndrome, cardiovascular disease, and mortality rate, the association between a vegetarian diet and gout incidence is not wel...

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Veröffentlicht in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2023-10, Vol.33 (10), p.1923-1931
Hauptverfasser: Yen, Yung-Feng, Lai, Yun-Ju, Hsu, Li-Fei, Chen, Li-Jung, Ku, Po-Wen, Inan-Eroglu, Elif
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container_end_page 1931
container_issue 10
container_start_page 1923
container_title Nutrition, metabolism, and cardiovascular diseases
container_volume 33
creator Yen, Yung-Feng
Lai, Yun-Ju
Hsu, Li-Fei
Chen, Li-Jung
Ku, Po-Wen
Inan-Eroglu, Elif
description A vegetarian diet is rich in vegetables, fruits, and soy products. Although vegetarian diet is beneficial for improving the health outcomes such as body mass index, metabolic syndrome, cardiovascular disease, and mortality rate, the association between a vegetarian diet and gout incidence is not well known. We linked the MJ Health Survey Data and MJ Biodata 2000 with the National Health Insurance Research Database (NHIRD) and the National Registration of Death (2000–2018). Information on the diet was collected from the MJ Health Survey Data, and the incidence of gouty arthritis was confirmed using the NHIRD. The Kaplan–Meier survival curve and log-rank test were used to compare the differences between vegetarian and non-vegetarian participants. Cox regression models were used to estimate the risk of the incidence of gouty arthritis. Among 76,972 participants, 37,297 (48.46%) were men, 2488 (3.23%) were vegetarians and the mean age was 41.65 ± 14.13 years. The mean baseline uric acid level was 6.14 ± 1.65 mg/dL. A total of 16,897 participants developed gouty arthritis, including 16,447 (22.08%) non-vegetarians and 450 (18.9%) vegetarians over a mean follow-up of 19 years. Significant differences were observed in the Kaplan–Meier survival curves between vegetarians and non-vegetarians (log-rank p 
doi_str_mv 10.1016/j.numecd.2023.04.008
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Although vegetarian diet is beneficial for improving the health outcomes such as body mass index, metabolic syndrome, cardiovascular disease, and mortality rate, the association between a vegetarian diet and gout incidence is not well known. We linked the MJ Health Survey Data and MJ Biodata 2000 with the National Health Insurance Research Database (NHIRD) and the National Registration of Death (2000–2018). Information on the diet was collected from the MJ Health Survey Data, and the incidence of gouty arthritis was confirmed using the NHIRD. The Kaplan–Meier survival curve and log-rank test were used to compare the differences between vegetarian and non-vegetarian participants. Cox regression models were used to estimate the risk of the incidence of gouty arthritis. Among 76,972 participants, 37,297 (48.46%) were men, 2488 (3.23%) were vegetarians and the mean age was 41.65 ± 14.13 years. The mean baseline uric acid level was 6.14 ± 1.65 mg/dL. A total of 16,897 participants developed gouty arthritis, including 16,447 (22.08%) non-vegetarians and 450 (18.9%) vegetarians over a mean follow-up of 19 years. Significant differences were observed in the Kaplan–Meier survival curves between vegetarians and non-vegetarians (log-rank p &lt; 0.001). Vegetarians had a significantly decreased incidence of gouty arthritis compared with non-vegetarians (hazard ratio = 0.87, 95% confidence interval = 0.78–0.98, p = 0.02) after adjusting for potential confounders. People with a vegetarian diet had a significantly decreased risk of developing gouty arthritis compared with non-vegetarians in Taiwan. •Vegetarian diet contains large amounts of fruits, vegetables, and soy products.•People who follow a vegetarian diet had a decreased risk of gouty arthritis.•The impact of soy product on gout warranted further investigation.</description><identifier>ISSN: 0939-4753</identifier><identifier>EISSN: 1590-3729</identifier><identifier>DOI: 10.1016/j.numecd.2023.04.008</identifier><identifier>PMID: 37482484</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>body mass index ; cardiovascular diseases ; cohort studies ; Cohort study ; confidence interval ; death ; gout ; Gouty arthritis ; hazard ratio ; health insurance ; metabolic syndrome ; metabolism ; mortality ; regression analysis ; risk assessment ; Risk factors ; risk reduction ; Taiwan ; uric acid ; Vegetarian diet</subject><ispartof>Nutrition, metabolism, and cardiovascular diseases, 2023-10, Vol.33 (10), p.1923-1931</ispartof><rights>2023 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University</rights><rights>Copyright © 2023 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. 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Although vegetarian diet is beneficial for improving the health outcomes such as body mass index, metabolic syndrome, cardiovascular disease, and mortality rate, the association between a vegetarian diet and gout incidence is not well known. We linked the MJ Health Survey Data and MJ Biodata 2000 with the National Health Insurance Research Database (NHIRD) and the National Registration of Death (2000–2018). Information on the diet was collected from the MJ Health Survey Data, and the incidence of gouty arthritis was confirmed using the NHIRD. The Kaplan–Meier survival curve and log-rank test were used to compare the differences between vegetarian and non-vegetarian participants. Cox regression models were used to estimate the risk of the incidence of gouty arthritis. Among 76,972 participants, 37,297 (48.46%) were men, 2488 (3.23%) were vegetarians and the mean age was 41.65 ± 14.13 years. The mean baseline uric acid level was 6.14 ± 1.65 mg/dL. A total of 16,897 participants developed gouty arthritis, including 16,447 (22.08%) non-vegetarians and 450 (18.9%) vegetarians over a mean follow-up of 19 years. Significant differences were observed in the Kaplan–Meier survival curves between vegetarians and non-vegetarians (log-rank p &lt; 0.001). Vegetarians had a significantly decreased incidence of gouty arthritis compared with non-vegetarians (hazard ratio = 0.87, 95% confidence interval = 0.78–0.98, p = 0.02) after adjusting for potential confounders. People with a vegetarian diet had a significantly decreased risk of developing gouty arthritis compared with non-vegetarians in Taiwan. •Vegetarian diet contains large amounts of fruits, vegetables, and soy products.•People who follow a vegetarian diet had a decreased risk of gouty arthritis.•The impact of soy product on gout warranted further investigation.</description><subject>body mass index</subject><subject>cardiovascular diseases</subject><subject>cohort studies</subject><subject>Cohort study</subject><subject>confidence interval</subject><subject>death</subject><subject>gout</subject><subject>Gouty arthritis</subject><subject>hazard ratio</subject><subject>health insurance</subject><subject>metabolic syndrome</subject><subject>metabolism</subject><subject>mortality</subject><subject>regression analysis</subject><subject>risk assessment</subject><subject>Risk factors</subject><subject>risk reduction</subject><subject>Taiwan</subject><subject>uric acid</subject><subject>Vegetarian diet</subject><issn>0939-4753</issn><issn>1590-3729</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqNkEtPGzEUhS1EVQLtP0CVl2xmuH7Mw11UihAvCYlNWVse-xocJePU9qTKv-_Q0C4Rq7v5zjm6HyHnDGoGrL1c1eO0QetqDlzUIGuA_ogsWKOgEh1Xx2QBSqhKdo04Iac5rwBEB0J-Jieikz2XvVyQp2XO0QZTQhzpgOU34kh3-IzFpGBG6gIWakZHn-NU9tSk8pJCCfk7XdKEJcW8RVvCDqmNLzEVmsvk9l_IJ2_WGb--3TPydHP98-queni8vb9aPlRWqKZUyIwE1nTegffMM-a94wJ9o3rDvVTYKTCNxF4pyZGboYW2HwYlJDSt6VtxRi4OvdsUf02Yi96EbHG9NiPGKWveSyaBg-w-gArJG8H-tsoDauf3ckKvtylsTNprBvrVvV7pg3v96l6D1LP7OfbtbWEaNuj-h_7JnoEfBwBnJbuASWcbcLToQpolahfD-wt_ALn5l2k</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Yen, Yung-Feng</creator><creator>Lai, Yun-Ju</creator><creator>Hsu, Li-Fei</creator><creator>Chen, Li-Jung</creator><creator>Ku, Po-Wen</creator><creator>Inan-Eroglu, Elif</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7S9</scope><scope>L.6</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8252-2125</orcidid><orcidid>https://orcid.org/0000-0001-9724-018X</orcidid></search><sort><creationdate>20231001</creationdate><title>Association between vegetarian diet and gouty arthritis: A retrospective cohort study</title><author>Yen, Yung-Feng ; Lai, Yun-Ju ; Hsu, Li-Fei ; Chen, Li-Jung ; Ku, Po-Wen ; Inan-Eroglu, Elif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-e1a40157fd0ff1f11ffd23ef598a2f49e790a54e89942e2ab6068bb934056a863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>body mass index</topic><topic>cardiovascular diseases</topic><topic>cohort studies</topic><topic>Cohort study</topic><topic>confidence interval</topic><topic>death</topic><topic>gout</topic><topic>Gouty arthritis</topic><topic>hazard ratio</topic><topic>health insurance</topic><topic>metabolic syndrome</topic><topic>metabolism</topic><topic>mortality</topic><topic>regression analysis</topic><topic>risk assessment</topic><topic>Risk factors</topic><topic>risk reduction</topic><topic>Taiwan</topic><topic>uric acid</topic><topic>Vegetarian diet</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yen, Yung-Feng</creatorcontrib><creatorcontrib>Lai, Yun-Ju</creatorcontrib><creatorcontrib>Hsu, Li-Fei</creatorcontrib><creatorcontrib>Chen, Li-Jung</creatorcontrib><creatorcontrib>Ku, Po-Wen</creatorcontrib><creatorcontrib>Inan-Eroglu, Elif</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition, metabolism, and cardiovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yen, Yung-Feng</au><au>Lai, Yun-Ju</au><au>Hsu, Li-Fei</au><au>Chen, Li-Jung</au><au>Ku, Po-Wen</au><au>Inan-Eroglu, Elif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between vegetarian diet and gouty arthritis: A retrospective cohort study</atitle><jtitle>Nutrition, metabolism, and cardiovascular diseases</jtitle><addtitle>Nutr Metab Cardiovasc Dis</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>33</volume><issue>10</issue><spage>1923</spage><epage>1931</epage><pages>1923-1931</pages><issn>0939-4753</issn><eissn>1590-3729</eissn><abstract>A vegetarian diet is rich in vegetables, fruits, and soy products. Although vegetarian diet is beneficial for improving the health outcomes such as body mass index, metabolic syndrome, cardiovascular disease, and mortality rate, the association between a vegetarian diet and gout incidence is not well known. We linked the MJ Health Survey Data and MJ Biodata 2000 with the National Health Insurance Research Database (NHIRD) and the National Registration of Death (2000–2018). Information on the diet was collected from the MJ Health Survey Data, and the incidence of gouty arthritis was confirmed using the NHIRD. The Kaplan–Meier survival curve and log-rank test were used to compare the differences between vegetarian and non-vegetarian participants. Cox regression models were used to estimate the risk of the incidence of gouty arthritis. Among 76,972 participants, 37,297 (48.46%) were men, 2488 (3.23%) were vegetarians and the mean age was 41.65 ± 14.13 years. The mean baseline uric acid level was 6.14 ± 1.65 mg/dL. A total of 16,897 participants developed gouty arthritis, including 16,447 (22.08%) non-vegetarians and 450 (18.9%) vegetarians over a mean follow-up of 19 years. Significant differences were observed in the Kaplan–Meier survival curves between vegetarians and non-vegetarians (log-rank p &lt; 0.001). Vegetarians had a significantly decreased incidence of gouty arthritis compared with non-vegetarians (hazard ratio = 0.87, 95% confidence interval = 0.78–0.98, p = 0.02) after adjusting for potential confounders. People with a vegetarian diet had a significantly decreased risk of developing gouty arthritis compared with non-vegetarians in Taiwan. •Vegetarian diet contains large amounts of fruits, vegetables, and soy products.•People who follow a vegetarian diet had a decreased risk of gouty arthritis.•The impact of soy product on gout warranted further investigation.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>37482484</pmid><doi>10.1016/j.numecd.2023.04.008</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8252-2125</orcidid><orcidid>https://orcid.org/0000-0001-9724-018X</orcidid></addata></record>
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subjects body mass index
cardiovascular diseases
cohort studies
Cohort study
confidence interval
death
gout
Gouty arthritis
hazard ratio
health insurance
metabolic syndrome
metabolism
mortality
regression analysis
risk assessment
Risk factors
risk reduction
Taiwan
uric acid
Vegetarian diet
title Association between vegetarian diet and gouty arthritis: A retrospective cohort study
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