Wang Huakai, Zhang Chao, Sun Yuxin, Sun Sirui, Wang Zhe, Xiang Honggang
Department of General Surgery, Pudong New Area People's Hospital, Shanghai, China.
Qingdao Medical College, Qingdao University, Qingdao , China.
PLoS One. 2025 Mar 13;20(3):e0317490. doi: 10.1371/journal.pone.0317490. eCollection 2025.
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.
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.
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.
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.
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。
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。
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。
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。