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痛风与高尿酸血症患者膳食方式新理念

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  • 1.复旦大学附属华山医院 a.风湿护理部;b.风湿免疫科,上海 200040
    2.复旦大学风湿免疫过敏性疾病研究中心,上海 200040
曹灵 E-mail:18702170230@163.com

收稿日期: 2023-05-18

  网络出版日期: 2024-07-08

基金资助

上海市医学会浦江风湿青年培育计划(SPROG2106);上海申康医院发展中心促进市级医院临床技能与临床创新能力三年行动计划项目(SHDC22020CR1013B);上海市体育科技项目(22Q002)

New dietary concepts for patients with gout and hyperuricemia

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  • 1. a. Department of Rheumatology Nursing; b. Department of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China
    2. Institute of Rheumatology, Immunology and Allergy, Fudan University, Shanghai 200040, China

Received date: 2023-05-18

  Online published: 2024-07-08

摘要

痛风和高尿酸血症患病率逐年升高,疾病负担随之加重。对患者或高危人群的膳食进行合理干预有利于降低患病率,并提高患者慢病自我管理的质量。本文通过对痛风和高尿酸血症患者膳食方式的研究进展进行分析,推荐遵循目前较为公认的健康饮食模式来进行长期的膳食管理,而并非单一的区别“好”或“坏”的食物,或过度的低嘌呤饮食方式,以期更好地指导痛风和高尿酸血症患者的自我管理。

本文引用格式

吴菊蕾, 毛莉华, 余婷婷, 林丛, 缪语, 朱小霞, 曹灵 . 痛风与高尿酸血症患者膳食方式新理念[J]. 内科理论与实践, 2024 , 19(02) : 144 -148 . DOI: 10.16138/j.1673-6087.2024.02.11

Abstract

The prevalence of gout and hyperuricemia is increasing year by year, leading to a rise in the disease burden. Reasonable dietary interventions for patients or high-risk groups are beneficial in reducing the incidence of these diseases and improving the quality of chronic disease self-management for patients. The research progress on dietary patterns for patients with gout and hyperuricemia was analyzed in this article, which recommended adherence to generally recognized healthy eating patterns for the long-term dietary management, rather than simply distinguishing between “good” or “bad” foods or excessively following a low-purine diet. The aim of the study is to provide better guidance for the self-management of gout and hyperuricemia patients.

参考文献

[1] Elfishawi MM, Zleik N, Kvrgic Z, et al. Changes in the presentation of incident gout and the risk of subsequent flares: a population-based study over 20 years[J]. Rheumatol, 2020, 47(4):613-618.
[2] Safiri S, Kolahi AA, Cross M, et al. Prevalence, incidence, and years lived with disability due to gout and its attributable risk factors for 195 countries and territories 1990-2017: a systematic analysis of the global burden of disease study 2017[J]. Arthritis Rheumatol, 2020, 72(11):1916-1927.
[3] Zhang M, Zhu X, Wu J, et al. Prevalence of hyperuricemia among Chinese adults: findings from two nationally representative cross-sectional surveys in 2015-16 and 2018-19[J]. Front Immunol, 2022,12.
[4] Choi HK, Mount DB, Reginato AM. Pathogenesis of gout[J]. Ann Intern Med, 2005, 143(7):499-516.
[5] Bajpai R, Muller S, Mallen C, et al. Onset of comorbidities and flare patterns within pre-existing morbidity clusters in people with gout: 5-year primary care cohort study[J]. Rheumatology (Oxford), 2021, 61(1):407-412.
[6] Yokose C, McCormick N, Choi HK. The role of diet in hyperuricemia and gout[J]. Curr Opin Rheumatol, 2021, 33(2):135-144.
[7] Neilson J, Bonnon A, Dickson A, et al. Gout: diagnosis and management-summary of NICE guidance[J]. BMJ, 2022,378:o1754.
[8] Zhang Y, Chen C, Choi H, et al. Purine-rich foods intake and recurrent gout attacks[J]. Ann Rheum Dis, 2012, 71(9):1448-1453.
[9] Hu FB. The Mediterranean diet and mortality—olive oil and beyond[J]. N Engl J Med, 2003, 348(26):2595-2596.
[10] Lim SY, Lu N, Oza A, et al. Trends in gout and rheumatoid arthritis hospitalizations in the United States, 1993-2011[J]. JAMA, 2016, 315(21):2345.
[11] Choi HK, Curhan G. Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study[J]. BMJ, 2008, 336(7639):309-312.
[12] Estruch R, Ros E, Salas-Salvadó J, et al. Primary prevention of cardiovascular disease with a mediterranean diet supplemented with extra-virgin olive oil or nuts[J]. N Engl J Med, 2018, 378(25):e34.
[13] Shai I, Schwarzfuchs D, Henkin Y, et al. Weight loss with a low-carbohydrate, mediterranean, or low-fat diet[J]. N Engl J Med, 2008, 359(3):229-241.
[14] Yokose C, McCormick N, Rai SK, et al. Effects of low-fat, mediterranean, or low-carbohydrate weight loss diets on serum urate and cardiometabolic risk factors: a secondary analysis of the dietary intervention randomized controlled trial (DIRECT)[J]. Diabetes Care, 2020, 43(11):2812-2820.
[15] Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure[J]. N Engl J Med, 1997, 336(16):1117-1124.
[16] Sacks FM, Svetkey LP, Vollmer WM, et al. Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (DASH) diet[J]. N Engl J Med, 2001, 344(1):3-10.
[17] Sacks FM, Campos H. Dietary therapy in hypertension[J]. N Engl J Med, 2010, 362(22):2102-2112.
[18] Zhu Y, Pandya BJ, Choi HK. Comorbidities of gout and hyperuricemia in the US general population: NHANES 2007-2008[J]. Am J Med, 2012, 125(7):679-687.
[19] Juraschek SP, Gelber AC, Choi HK, et al. Effects of the dietary approaches to stop hypertension (DASH) diet and sodium intake on serum uric acid[J]. Arthritis Rheumatol, 2016, 68(12):3002-3009.
[20] Juraschek SP, Yokose C, McCormick N, et al. Effects of dietary patterns on serum urate: results from a randomized trial of the effects of diet on hypertension[J]. Arthritis Rheumatol, 2021, 73(6):1014-1020.
[21] Choi HK, Willett W, Curhan G. Coffee consumption and risk of incident gout in men: a prospective study[J]. Arthritis Rheum, 2007, 56(6):2049-2055.
[22] Choi HK, Curhan G. Coffee consumption and risk of incident gout in women: the Nurses’ Health Study[J]. Am J Clin Nutr, 2010, 92(4): 922-927.
[23] Teng GG, Tan CS, Santosa A, et al. Serum urate levels and consumption of common beverages and alcohol among Chinese in Singapore[J]. Arthritis Care Res, 2013, 65(9):1432-1440.
[24] Kiyohara C, Kono S, Honjo S, et al. Inverse association between coffee drinking and serum uric acid concentrations in middle-aged Japanese males[J]. Br J Nutr, 1999, 82(2):125-130.
[25] Bahorun T, Luximon-Ramma A, Gunness TK, et al. Black tea reduces uric acid and C-reactive protein levels in humans susceptible to cardiovascular diseases[J]. Toxicology, 2010, 278(1):68-74.
[26] Park KY, Kim HJ, Ahn HS, et al. Effects of coffee consumption on serum uric acid: systematic review and meta-analysis[J]. Semin Arthritis Rheum, 2016, 45(5): 580-586.
[27] Choi HK, Atkinson K, Karlson EW, et al. Alcohol intake and risk of incident gout in men: a prospective study[J]. Lancet, 2004, 363(9417):1277-1281.
[28] Nakamura K, Sakurai M, Miura K, et al. Alcohol intake and the risk of hyperuricaemia: a 6-year prospective study in Japanese men[J]. Nutr Metab Cardiovasc Dis, 2012, 22(11):989-996.
[29] Lee SJ, Terkeltaub RA, Kavanaugh A. Recent developments in diet and gout[J]. Curr Opin Rheumatol, 2006, 18(2):193-198.
[30] Choi HK, Curhan G. Beer, liquor, and wine consumption and serum uric acid level[J]. Arthritis Rheum, 2004, 51(6):1023-1029.
[31] Neogi T, Chen C, Niu J, et al. Alcohol quantity and type on risk of recurrent gout attacks: an internet-based case-crossover study[J]. Am J Med, 2014, 127(4):311-318.
[32] Zgaga L, Theodoratou E, Kyle J, et al. The association of dietary intake of purine-rich vegetables, sugar-sweetened beverages and dairy with plasma urate, in a cross-sectional study[J]. PLoS One, 2012, 7(6):e38123.
[33] Dalbeth N, Ames R, Gamble GD, et al. Effects of skim milk powder enriched with glycomacropeptide and G600 milk fat extract on frequency of gout flares: a proof-of-concept randomised controlled trial[J]. Ann Rheum Dis, 2012, 71(6): 929-934.
[34] Dalbeth N, Wong S, Gamble GD, et al. Acute effect of milk on serum urate concentrations[J]. Ann Rheum Dis, 2010, 69(9):1677-1682.
[35] Jamnik J, Rehman S, Blanco MS, et al. Fructose intake and risk of gout and hyperuricemia[J]. BMJ Open, 2016, 6(10):e13191.
[36] Retterst?l K, Svendsen M, Narverud I, et al. Effect of low carbohydrate high fat diet on LDL cholesterol and gene expression in normal-weight, young adult[J]. Atherosclerosis, 2018, 279: 52-61.
[37] Wang Y, Chu C, Wang KK, et al. Effect of salt intake on plasma and urinary uric acid levels in chinese adults: an interventional trial[J]. Sci Rep, 2018, 8(1):1434.
[38] Koutsos A, Riccadonna S, Ulaszewska MM, et al. Two apples a day lower serum cholesterol and improve cardiometabolic biomarkers in mildly hypercholesterolemic adults[J]. Am J Clin Nutr, 2020, 111(2):307-318.
[39] Rezazadeh L, Alipour B, Jafarabadi MA, et al. Daily consumption effects of probiotic yogurt containing lactobacillus acidophilus La5 and bifidobacterium lactis Bb12 on oxidative stress in metabolic syndrome patients[J]. Clin Nutr ESPEN, 2021, 41:136-142.
[40] Juraschek SP, Yokose C, McCormick N, et al. Effects of dietary patterns on serum urate: results from a randomized trial of the effects of diet on hypertension[J]. Arthritis Rheumatol, 2021, 73(6):1014-1020.
[41] Büsing F, H?gele FA, Nas A, et al. High intake of orange juice and cola differently affects metabolic risk in healthy subjects[J]. Clin Nutr, 2019, 38(2): 812-819.
[42] Meng Y, Bai H, Yu Q, et al. High-resistant starch, low-protein flour intervention on patients with early type 2 diabetic nephropathy[J]. J Ren Nutr, 2019, 29(5): 386-393.
[43] Chiu S, Siri-Tarino P, Bergeron N, et al. A randomized study of the effect of replacing sugar-sweetened soda by reduced fat milk on cardiometabolic health in male adolescent soda drinkers[J]. Nutrients, 2020, 12(2): 405.
[44] Juraschek SP, Miller ER, Wu B, et al. A Randomized pilot study of DASH patterned groceries on serum urate in individuals with gout[J]. Nutrients, 2021, 13(2):538.
[45] Price CA, Medici V, Nunez MV, et al. A pilot study comparing the effects of consuming 100% orange juice or sucrose-sweetened beverage on risk factors for cardiometabolic disease in women[J]. Nutrients, 2021, 13(3):760.
[46] Gomes J, de Assis C J, Ribeiro P, et al. High calcium intake from fat-free milk, body composition and glycaemic control in adults with type 2 diabetes[J]. Br J Nutr, 2019, 122(3):301-308.
[47] Yokose C, McCormick N, Rai SK, et al. Effects of low-Fat, Mediterranean, or low-carbohydrate weight loss diets on serum urate and cardiometabolic risk factors: a secondary analysis of the dietary intervention randomized controlled trial (DIRECT)[J]. Diabetes Care, 2020, 43(11):2812-2820.
[48] Jalal SM, Alsultan AA, Alotaibi HH, et al. Effect of phaseolus vulgaris on urinary biochemical parameters among patients with kidney stones in saudi arabia[J]. Nutrients, 2020, 12(11): 3346.
[49] Mahdavi-Roshan M, Salari A, Ghorbani Z, et al. The effects of rice bran oil on left ventricular systolic function, cardiometabolic risk factors and inflammatory mediators in men with coronary artery disease: a randomized clinical trial[J]. Food Funct, 2021, 12(10):4446-4457.
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