Journal of Internal Medicine Concepts & Practice ›› 2024, Vol. 19 ›› Issue (02): 144-148.doi: 10.16138/j.1673-6087.2024.02.11
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WU Julei1a, MAO Lihua1a, YU Tingting1a, LIN Cong1b,2, MIAO Yu1b,2, ZHU Xiaoxia1b,2, CAO Ling1b,2()
Received:
2023-05-18
Online:
2024-04-30
Published:
2024-07-08
Contact:
CAO Ling
E-mail:18702170230@163.com
CLC Number:
WU Julei, MAO Lihua, YU Tingting, LIN Cong, MIAO Yu, ZHU Xiaoxia, CAO Ling. New dietary concepts for patients with gout and hyperuricemia[J]. Journal of Internal Medicine Concepts & Practice, 2024, 19(02): 144-148.
Table 1
Relationship between dietary interventions and serum uric acid levels
人数 | 时间 | 干预组 | 对照组 | 结论 |
---|---|---|---|---|
30名健康受试者(>18岁)[ | 3周 | 低碳水化合物 (≤20 g/d)和高脂肪饮食 | 正常饮食(碳水化合物≤20 g/d) | 血清尿酸在干预组中明显升高,亚组分析中提示干预组中血脂明显升高 |
90名具有相似饮食习惯的受试者(18~65岁)[ | 17 d | 低盐饮食后 高盐饮食 | 低盐组中血尿酸较高盐组降低,低盐组24 h尿尿酸较高盐组及基线减少 | |
40名健康且轻度高胆固醇血症的志愿者(29~65岁)[ | 20周 | 每天2个苹果,持续8周;4周的洗脱期, 后8周内每天摄入500 mL对照饮料(第1组),或按相反顺序接受干预食品(第2组) | 干预组血尿酸较对照组升高,亚组分析提示干预组血脂较对照组降低 | |
44例代谢综合征患者(20~65岁)[ | 8周 | 含有300 g/d益生菌的酸奶 | 正常酸奶 | 干预组血尿酸较对照组显著降低 |
459例(血压<160 mmHg,80~95 mmHg)受试者(≥30岁)[ | 8周 | 富含水果和蔬菜的饮食;DASH饮食 | 经典美式饮食 | 干预组血尿酸较对照组显著降低 |
26名健康且每天3餐饮食的成年人(20~30岁)[ | 2周 | 100%橙汁;不含咖啡因的可乐 | 与基线相比,干预后血尿酸降低,尿尿酸显著增加 | |
75例早期2糖尿病肾病患者(年龄18~80岁)[ | 12周 | 高蛋白饮食 | 蛋白质限制性饮食 | 干预组血尿酸较对照组显著降低 |
30例超重或肥胖受试者(男性,13~18岁)[ | 未涉及 | 含糖苏打水或低脂牛奶 | 摄入牛奶后尿酸显著降低 | |
43 例未启动降尿酸药物治疗的患者(≥18岁)[ | 8周 | DASH饮食,然后自主购买饮食( self-directed grocery shopping ,SDG)或预定饮食[营养师指导饮食(dietitian-directed groceries,DDG)] | DDG组血尿酸显著降低 | |
20名健康超重女性(25~40岁)[ | 2周 | 每天3份100%天然加糖橙汁 | 每天3份含蔗糖饮料 | 血尿酸在对照组中显著升高 |
14例习惯性低钙摄入的2型糖尿病受试者(20~59岁)[ | 32周 | 先高钙脱脂牛奶再低钙(HC组) | 先低钙脱脂牛奶再高钙(LC组) | 高钙脱脂(high-Ca fat-free milk, HC)组血尿酸显著降低,低钙(low-Ca control, LC)组血尿酸显著升高 |
235例中度肥胖受试者(40~65岁)[ | 24个月 | 低脂限热量饮食;低碳水化合物和非限制热量饮食;地中海和限制热量 | 6个月和24个月观察期所有受试者血尿酸均下降 | |
5 168名受试者(≥40岁)[ | 6周 | 每隔1 d在早餐前至少1 h饮用过滤汤(250 g新鲜菜豆+1 000 mL水) | 干预组血尿酸显著降低 | |
25名男性,9名女性受试者(>60岁)[ | 30 d | 温水冲莲藕和黄瓜粉 | 血尿酸显著降低 |
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