Zhang Yiying, Qiu Hongbin
School of Public Health, Jiamusi University, Jiamusi 154007, China.
Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin 150081, China.
J Clin Med. 2018 Aug 11;7(8):210. doi: 10.3390/jcm7080210.
To assess the association between intake of folate, vitamin B6, and vitamin B12 with hyperuricemia (HU) among adults from the United States (US), we extracted relevant data from 24,975 US adults aged 20⁻85 years from the National Health and Nutrition Examination Survey (NHANES) in 2001⁻2014. All dietary intake was evaluated by 24-h dietary recalls. Multivariable logistic regression analysis was performed to explore the associations after adjustment for confounders. Compared to the lowest quintile (Q1), for males, adjusted odds ratios (ORs) of HU in Q2 to Q5 of folate (dietary folate equivalent, DFE) intake were 0.84 (95% CI, 0.73⁻0.96), 0.84 (0.73⁻0.97), 0.72 (0.62⁻0.84), and 0.64 (0.53⁻0.77), respectively ( for trend <0.0001). In females, adjusted ORs in Q2 to Q4 of folate (DFE) intake were 0.84 (95% CI, 0.71⁻0.99), 0.81 (0.68⁻0.96), and 0.82 (0.68⁻0.99), with a for trend of 0.1475. Our findings indicated the intakes of total folate, folic acid, food folate, folate (DFE), vitamin B12, but not vitamin B6, were inversely related to the risk of HU in males. A lower risk of HU with higher intakes of total folate, food folate, and folate (DFE) was found in females, but with no association between intakes of folic acid, vitamin B6, B12, and the risk of HU for females.
为评估美国成年人中叶酸、维生素B6和维生素B12的摄入量与高尿酸血症(HU)之间的关联,我们从2001年至2014年美国国家健康与营养检查调查(NHANES)中提取了24975名年龄在20至85岁的美国成年人的相关数据。所有饮食摄入量均通过24小时饮食回忆进行评估。在对混杂因素进行调整后,进行多变量逻辑回归分析以探索关联。与最低五分位数(Q1)相比,对于男性,叶酸(膳食叶酸当量,DFE)摄入量的Q2至Q5中HU的调整优势比(OR)分别为0.84(95%置信区间,0.73至0.96)、0.84(0.73至0.97)、0.72(0.62至0.84)和0.64(0.53至0.77)(趋势P<0.0001)。对于女性,叶酸(DFE)摄入量的Q2至Q4中的调整OR分别为0.84(95%置信区间,0.71至0.99)、0.81(0.68至0.96)和0.82(0.68至0.99),趋势P为0.1475。我们的研究结果表明,男性中总叶酸、叶酸、食物叶酸、叶酸(DFE)、维生素B12的摄入量与HU风险呈负相关,但维生素B6并非如此。在女性中发现,总叶酸、食物叶酸和叶酸(DFE)摄入量较高时,HU风险较低,但叶酸、维生素B6、B12的摄入量与女性HU风险之间无关联。