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膳食维生素 E 摄入量与美国成年人高尿酸血症呈负相关:NHANES 2009-2014。

Dietary Vitamin E Intake Was Inversely Associated with Hyperuricemia in US Adults: NHANES 2009-2014.

机构信息

Department of Nutrition and Food Hygiene, School of Public Health, Qingdao University, Qingdao, China.

Department of Microorganism Test, Qingdao Municipal Center for Disease Control and Prevention, Qingdao, China.

出版信息

Ann Nutr Metab. 2020;76(5):354-360. doi: 10.1159/000509628. Epub 2020 Sep 21.

Abstract

INTRODUCTION

Current evidence on the association between dietary vitamin E intake and hyperuricemia risk is limited and conflicting.

OBJECTIVE

The aim of the study was to assess the association of dietary vitamin E intake with hyperuricemia in US adults.

METHODS

We conducted a cross-sectional study using data from the National Health and Nutrition Examination Survey, 2009-2014. Dietary vitamin E intake was evaluated through two 24-h dietary recall interviews. Logistic regression and restricted cubic spline models were used to examine the association between dietary vitamin E intake and hyperuricemia.

RESULTS

Overall, 12,869 participants were included. The prevalence of hyperuricemia was 19.35%. After adjustment for age, gender, BMI, race, educational level, smoking status, alcohol consumption, physical activity, total daily energy intake, total cholesterol, protein intake, glomerular filtration rate, serum Cr, use of uric acid drugs, and drug abuse, the odds ratio (95% confidence interval) of hyperuricemia for the highest tertile of dietary vitamin E intake was 0.77 (0.63-0.96) compared with that of the lowest tertile. In men, dietary vitamin E intake and hyperuricemia were negatively correlated. In stratified analyses by age (20-39, 40-59, and ≥60 years), dietary vitamin E intake was inversely associated with hyperuricemia only among participants aged ≥60 years. Dose-response analyses showed that dietary vitamin E intake was inversely associated with hyperuricemia in a nonlinear manner.

CONCLUSION

Dietary vitamin E intake was negatively correlated with hyperuricemia in US adults, especially among males and participants aged ≥60 years.

摘要

简介

目前关于膳食维生素 E 摄入与高尿酸血症风险之间关联的证据有限且存在矛盾。

目的

本研究旨在评估美国成年人膳食维生素 E 摄入与高尿酸血症之间的关联。

方法

我们使用 2009-2014 年国家健康和营养调查的数据进行了一项横断面研究。通过两次 24 小时膳食回忆访谈评估膳食维生素 E 摄入。使用逻辑回归和限制立方样条模型来检验膳食维生素 E 摄入与高尿酸血症之间的关联。

结果

共有 12869 名参与者纳入研究。高尿酸血症的患病率为 19.35%。在校正年龄、性别、BMI、种族、教育水平、吸烟状况、饮酒、身体活动、总日能量摄入、总胆固醇、蛋白质摄入、肾小球滤过率、血清 Cr、尿酸药物使用和药物滥用等因素后,与最低三分位相比,膳食维生素 E 摄入最高三分位的高尿酸血症发生比值比(95%置信区间)为 0.77(0.63-0.96)。在男性中,膳食维生素 E 摄入与高尿酸血症呈负相关。在按年龄(20-39、40-59 和≥60 岁)分层分析中,仅在≥60 岁的参与者中,膳食维生素 E 摄入与高尿酸血症呈负相关。剂量-反应分析显示,膳食维生素 E 摄入与高尿酸血症之间呈非线性负相关。

结论

膳食维生素 E 摄入与美国成年人的高尿酸血症呈负相关,尤其是在男性和≥60 岁的参与者中。

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