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成年人饮食中n3和n6脂肪酸的摄入量与高尿酸血症呈负相关。

Inverse association of dietary consumption of n3 and n6 fatty acids with hyperuricemia among adults.

作者信息

Wang Huakai, Zhang Chao, Sun Yuxin, Sun Sirui, Wang Zhe, Xiang Honggang

机构信息

Department of General Surgery, Pudong New Area People's Hospital, Shanghai, China.

Qingdao Medical College, Qingdao University, Qingdao , China.

出版信息

PLoS One. 2025 Mar 13;20(3):e0317490. doi: 10.1371/journal.pone.0317490. eCollection 2025.

Abstract

BACKGROUND

The precise link between dietary consumption of n-3 and n-6 fatty acids and hyperuricemia remains equivocal. Accordingly, the purpose of the current investigation is to clarify any possible associations between the consumption of n-3 and n-6 fatty acids and hyperuricemia in the context of American adults.

MATERIALS AND METHODS

The present investigation employed a cross-sectional design, comprising a sample of 21,120 American adults above the age of 20 from the National Health and Nutrition Examination Survey (NHANES) waves between 2007 and 2016. The dietary consumption of n-3 and n-6 fatty acids was measured through two 24-h dietary recall interviews. To assess the relationships of dietary consumption of n3 and n6 fatty acids with hyperuricemia, we applied multivariable logistic regression, t tests, chi-square tests, and restricted cubic spline. To determine the robustness of our findings, sensitivity analyses were also carried out.

RESULTS

The results of the multivariable logistic regression models indicated a significant correlation between dietary consumption of n3 and n6 fatty acids and hyperuricemia. The ORs with 95% CIs of hyperuricemia for the highest tertile versus lowest tertile of dietary consumption of n3 and n6 fatty acids were 0.76 (0.66, 0.88) (p < 0.001) and 0.72 (0.64, 0.82) (p < 0.001), respectively. Moreover, dose‒response analyses revealed a linear relationship between n-3 and n-6 fatty acid consumption and the risk of hyperuricemia.

CONCLUSION

The findings of this study indicate a significant inverse correlation between the dietary consumption of n3 and n6 fatty acids and hyperuricemia in the US adult population. Notably, there was no significant relationship between the n6:n3 ratio and hyperuricemia.

摘要

背景

饮食中n-3和n-6脂肪酸的摄入与高尿酸血症之间的确切联系仍不明确。因此,本研究的目的是在美国成年人中阐明n-3和n-6脂肪酸摄入与高尿酸血症之间的任何可能关联。

材料与方法

本研究采用横断面设计,样本来自2007年至2016年国家健康与营养检查调查(NHANES)中21120名20岁以上的美国成年人。通过两次24小时饮食回顾访谈来测量n-3和n-6脂肪酸的饮食摄入量。为了评估n-3和n-6脂肪酸饮食摄入量与高尿酸血症的关系,我们应用了多变量逻辑回归、t检验、卡方检验和限制性立方样条。为了确定研究结果的稳健性,还进行了敏感性分析。

结果

多变量逻辑回归模型的结果表明,n-3和n-6脂肪酸的饮食摄入量与高尿酸血症之间存在显著相关性。n-3和n-6脂肪酸饮食摄入量最高三分位数与最低三分位数相比,高尿酸血症的OR值及95%置信区间分别为0.76(0.66,0.88)(p<0.001)和0.72(0.64,0.82)(p<0.001)。此外,剂量反应分析显示n-3和n-6脂肪酸摄入量与高尿酸血症风险之间存在线性关系。

结论

本研究结果表明,在美国成年人群中,n-3和n-6脂肪酸的饮食摄入量与高尿酸血症之间存在显著负相关。值得注意的是,n-6:n-3比值与高尿酸血症之间没有显著关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b866/11906074/96faf5d672d0/pone.0317490.g001.jpg

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