Study on the Role of Diet in Gout Management and Its Mechanism
DOI:
https://doi.org/10.54097/gzghyk47Keywords:
Grout, dietary factor, dietary pattern.Abstract
Gout is a metabolic disease caused by hyperuricemia, which is closely related to diet. With the increasing incidence of gout and hyperuricemia, more and more studies have begun to explore the role of diet in the management of gout. Current research suggests that a low-purine diet, as well as avoiding alcohol intake, can help lower uric acid levels and reduce gout attacks. However, there is a research gap regarding specific dietary factors and dietary patterns and their long-term effects on people with gout. This paper analyzes the latest research on dietary guidance for gout and discusses the effects of different dietary factors and patterns on uric acid metabolism. The results of the study showed that the Mediterranean diet, the DASH diet, was more helpful in reducing uric acid levels. In addition, this paper also put forward more detailed dietary suggestions on the influence and mechanism of different factors in diet on gout. This study provides a theoretical basis for future personalized diet programs for gout patients, but the metabolic differences among different individuals and the effects of long-term dietary intervention are still insufficient. Future studies should further explore the relationship between diet, genetic factors and metabolic mechanisms to better guide clinical practice.
Downloads
References
[1] Collaborators, G. G. Global, regional, and national burden of gout, 1990-2020, and projections to 2050: a systematic analysis of the global burden of disease study 2021. The Lancet Rheumatology, 2024, 8 (6).
[2] Zhang, M., Zhu, X., Wu, J., Huang, Z., Zhang, X., Xue, Y., Zhou, M. Prevalence of Hyperuricemia Among Chinese Adults: Findings from Two Nationally Representative Cross-Sectional Surveys in 2015 – 16 and 2018 – 19. SSRN Electronic Journal, 2021.
[3] Guo, Zhilei, Wang Wei, Wang Zhihong, et al. Evaluation of the Effect of Clinical Pharmacists' Involvement in Gout Chronic Disease Management: A Prospective Randomized Controlled Study. Medical Journal, 2020, 39 (02): 164 - 168.
[4] Li, Rongrong, Yu, Kang, Li, Chunwei. Dietary factors and risk of gout and hyperuricemia: a meta-analysis and systematic review. Asia Pacific Journal of Clinical Nutrition, 2018, 27(6): 1344 - 1356.
[5] Jamnik, J., Rehman, S., Blanco Mejia, S., de Souza, R. J., Khan, T. A., Leiter, L. A., Wolever, T. M., Kendall, C. W., Jenkins, D. J., Sieve piper, J. L. Fructose intake and risk of gout and hyperuricemia: a systematic review and meta-analysis of prospective cohort studies. BMJ Open, 2016, 6 (10): e013191.
[6] Effects of acute fructose loading on levels of serum uric acid—a pilot study. European Journal of Clinical Investigation, 2019.
[7] Sun, S. Z., Empie, M. W. Fructose Metabolism in Humans—What Isotopic Tracer Studies Tell Us. Nutrients, 2012, 9: 89.
[8] Jensen, T., Abdelmalek, M. F., Sullivan, S., Nadeau, K. J., Green, M., Roncal, C., Nakagawa, T., Kuwabara, M., Sato, Y., Kang, D.-H., et al. Fructose and Sugar: A Major Mediator of Nonalcoholic Fatty Liver Disease. Journal of Hepatology, 2018, 68: 1063 – 1075.
[9] National Health and Family Planning Commission Food Safety Standards and Monitoring Assessment Division, National Food Safety Risk Assessment Center, Expert Group for the Compilation of Guidelines on Hyperuricemia and Gout Diet, Fang Haiqin, Jiang Ping, Wang Yongjun, et al. Guidelines for the Dietary Management of Hyperuricemia and Gout (2024 Edition). Health Research, 2024, 53 (3): 352 - 356.
[10] Nakagawa, T., Lanaspa, M. A., Johnson, R. J. The effects of fruit consumption in patients with hyperuricemia or gout. Rheumatology (Oxford), 2019, 58 (7): 1133 - 1141.
[11] Huang, Yefei, Yang Kehua, Chen Shuhong, et al. Guidelines for Patients with Hyperuricemia/Gout. Chinese Journal of Internal Medicine, 2020, 59 (07): 519 - 527.
[12] Effects of Low-Fat, Mediterranean, or Low-Carbohydrate Weight Loss Diets on Serum Urate and Cardiometabolic Risk Factors: A Secondary Analysis of the Dietary Intervention Randomized Controlled Trial (DIRECT). Diabetes Care, 2020, 43 (11): 2812 - 2820.
[13] VANHL, P., PEACEMANA, K., KWASNYM, et al. Dietary approaches to stop hypertension diet and activity to limit gestational weight: maternal offspring metabolics family intervention trial, a technology-enhanced randomized trial. American Journal of Preventive Medicine, 2018, 55 (5): 603 - 614.
[14] Tao, Yali, Zhang Xiaoxia, Li Shimei. Study on the Effect of Dietary Patterns for Hypertension Control on Serum Uric Acid. Chongqing Medicine, 2019, 48 (21): 3658 - 3661.
[15] Stewart, D. J., Langlois, V., Noone, D. Hyperuricemia and Hypertension: Links and Risks. Integrative Blood Pressure Control, 2019, 12: 43 – 62.
[16] Yokose, C., McCormick, N., Choi, H. K. Dietary and lifestyle-centered approach in gout care and prevention. Current Rheumatology Reports, 2021, 23 (7): 51.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Highlights in Science, Engineering and Technology

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.







