Higher dietary acid load is associated with the risk of hyperuricemia

Purpose Dietary acid load plays a key role in regulating serum uric acid levels. We hypothesized that dietary acid load indices would be positively associated with the odds of hyperuricemia. We aimed to test this hypothesis in a representative sample of Iranian adult population. Methods In this cros...

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Veröffentlicht in:International urology and nephrology 2024-05, Vol.56 (5), p.1743-1749
Hauptverfasser: Seifi, Najmeh, Bahari, Hossein, Nosrati, Mina, Koochakpoor, Glareh, Alizadeh Hassani, Zahra, Rastegarmoghadam-Ebrahimian, Arezoo, Abedsaeidi, Malihehsadat, Ferns, Gordon A., Ghyour-Mobarhan, Majid
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container_end_page 1749
container_issue 5
container_start_page 1743
container_title International urology and nephrology
container_volume 56
creator Seifi, Najmeh
Bahari, Hossein
Nosrati, Mina
Koochakpoor, Glareh
Alizadeh Hassani, Zahra
Rastegarmoghadam-Ebrahimian, Arezoo
Abedsaeidi, Malihehsadat
Ferns, Gordon A.
Ghyour-Mobarhan, Majid
description Purpose Dietary acid load plays a key role in regulating serum uric acid levels. We hypothesized that dietary acid load indices would be positively associated with the odds of hyperuricemia. We aimed to test this hypothesis in a representative sample of Iranian adult population. Methods In this cross-sectional study, a total of 6145 participants aged 35–65 years were recruited from MASHAD cohort study. Dietary intakes were assessed using a 24-h dietary recall. Diet-based acid load was assessed as the potential renal acid load (PRAL), net endogenous acid production (NEAP), and dietary acid load (DAL). Hyperuricemia was defined as serum uric acid greater than the 75th percentile. Multivariable logistic regression models were applied to determine the association between diet-based acid load scores and hyperuricemia. Results The mean age of participants was 48.89 ± 8.09 years. Overall, 25.7% had hyperuricemia. According to the full-adjusted model, there was a significant association between higher tertile of PRAL, and DAL and hyperuricemia (Q3 PRAL; OR (95% CI): 1.23 (1.05–1.43), Q3 DAL; OR (95% CI): 1.22 (1.05–1.42)). Regarding NEAP, there was no significant association with hyperuricemia. We also found that dietary intake of total sugars, fiber, calcium, and magnesium was associated with the odds of hyperuricemia in our population. Conclusion This study showed a significant positive association between two indicators of dietary acid load (PRAL, and DAL) and odds of hyperuricemia among Iranian adults.
doi_str_mv 10.1007/s11255-023-03876-8
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We hypothesized that dietary acid load indices would be positively associated with the odds of hyperuricemia. We aimed to test this hypothesis in a representative sample of Iranian adult population. Methods In this cross-sectional study, a total of 6145 participants aged 35–65 years were recruited from MASHAD cohort study. Dietary intakes were assessed using a 24-h dietary recall. Diet-based acid load was assessed as the potential renal acid load (PRAL), net endogenous acid production (NEAP), and dietary acid load (DAL). Hyperuricemia was defined as serum uric acid greater than the 75th percentile. Multivariable logistic regression models were applied to determine the association between diet-based acid load scores and hyperuricemia. Results The mean age of participants was 48.89 ± 8.09 years. Overall, 25.7% had hyperuricemia. According to the full-adjusted model, there was a significant association between higher tertile of PRAL, and DAL and hyperuricemia (Q3 PRAL; OR (95% CI): 1.23 (1.05–1.43), Q3 DAL; OR (95% CI): 1.22 (1.05–1.42)). Regarding NEAP, there was no significant association with hyperuricemia. We also found that dietary intake of total sugars, fiber, calcium, and magnesium was associated with the odds of hyperuricemia in our population. Conclusion This study showed a significant positive association between two indicators of dietary acid load (PRAL, and DAL) and odds of hyperuricemia among Iranian adults.</description><identifier>ISSN: 1573-2584</identifier><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-023-03876-8</identifier><identifier>PMID: 38072898</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acid production ; Dietary intake ; Hyperuricemia ; Magnesium ; Medicine ; Medicine &amp; Public Health ; Nephrology ; Nephrology - Original Paper ; Population studies ; Regression analysis ; Uric acid ; Urology</subject><ispartof>International urology and nephrology, 2024-05, Vol.56 (5), p.1743-1749</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2023. 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We hypothesized that dietary acid load indices would be positively associated with the odds of hyperuricemia. We aimed to test this hypothesis in a representative sample of Iranian adult population. Methods In this cross-sectional study, a total of 6145 participants aged 35–65 years were recruited from MASHAD cohort study. Dietary intakes were assessed using a 24-h dietary recall. Diet-based acid load was assessed as the potential renal acid load (PRAL), net endogenous acid production (NEAP), and dietary acid load (DAL). Hyperuricemia was defined as serum uric acid greater than the 75th percentile. Multivariable logistic regression models were applied to determine the association between diet-based acid load scores and hyperuricemia. Results The mean age of participants was 48.89 ± 8.09 years. Overall, 25.7% had hyperuricemia. According to the full-adjusted model, there was a significant association between higher tertile of PRAL, and DAL and hyperuricemia (Q3 PRAL; OR (95% CI): 1.23 (1.05–1.43), Q3 DAL; OR (95% CI): 1.22 (1.05–1.42)). Regarding NEAP, there was no significant association with hyperuricemia. We also found that dietary intake of total sugars, fiber, calcium, and magnesium was associated with the odds of hyperuricemia in our population. 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We hypothesized that dietary acid load indices would be positively associated with the odds of hyperuricemia. We aimed to test this hypothesis in a representative sample of Iranian adult population. Methods In this cross-sectional study, a total of 6145 participants aged 35–65 years were recruited from MASHAD cohort study. Dietary intakes were assessed using a 24-h dietary recall. Diet-based acid load was assessed as the potential renal acid load (PRAL), net endogenous acid production (NEAP), and dietary acid load (DAL). Hyperuricemia was defined as serum uric acid greater than the 75th percentile. Multivariable logistic regression models were applied to determine the association between diet-based acid load scores and hyperuricemia. Results The mean age of participants was 48.89 ± 8.09 years. Overall, 25.7% had hyperuricemia. According to the full-adjusted model, there was a significant association between higher tertile of PRAL, and DAL and hyperuricemia (Q3 PRAL; OR (95% CI): 1.23 (1.05–1.43), Q3 DAL; OR (95% CI): 1.22 (1.05–1.42)). Regarding NEAP, there was no significant association with hyperuricemia. We also found that dietary intake of total sugars, fiber, calcium, and magnesium was associated with the odds of hyperuricemia in our population. Conclusion This study showed a significant positive association between two indicators of dietary acid load (PRAL, and DAL) and odds of hyperuricemia among Iranian adults.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>38072898</pmid><doi>10.1007/s11255-023-03876-8</doi><tpages>7</tpages></addata></record>
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source SpringerNature Journals
subjects Acid production
Dietary intake
Hyperuricemia
Magnesium
Medicine
Medicine & Public Health
Nephrology
Nephrology - Original Paper
Population studies
Regression analysis
Uric acid
Urology
title Higher dietary acid load is associated with the risk of hyperuricemia
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