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Analysis of dietary vitamin C intake levels and the risk of hyperuricemia and gout based on cross-sectional studies and bi-directional Mendelian randomization

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机构: [1]Yunnan Univ Chinese Med, Sch Clin Med 1, Kunming 650500, Yunnan, Peoples R China [2]Yunnan Univ Chinese Med, Affiliated Hosp 1, Dept Rheumatol, Kunming 650021, Yunnan, Peoples R China [3]Yunnan Prov Hosp Tradit Chinese Med, Yunnan Prov Clin Med Res Ctr Rheumatism TCM, Kunming, Yunnan, Peoples R China [4]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Dept Rheumatol & Immunol, Kunming, Yunnan, Peoples R China [5]Kunming Univ Sci & Technol, Affiliated Hosp, Kunming, Yunnan, Peoples R China
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关键词: cross-sectional study gout hyperuricemia Mendelian randomization NHANES vitamin C

摘要:
Objective: This study aimed to explore the link between dietary vitamin C intake and hyperuricemia/gout, utilizing Mendelian randomization to assess causality. Methods: We analyzed cross-sectional data from the National Health and Nutrition Examination Survey (2007-2018) to investigate the association. Mendelian randomization studies, using genetic data from genome-wide association surveys, were conducted to infer causality between vitamin C intake and hyperuricemia/gout. The weighted logistic regression analysis and the instrumental variable based on the inverse-variance weighting served as the primary analytical tool, with sensitivity analyses to ensure robustness. Results: After adjusting for covariates, a stable association was observed between vitamin C intake and hyperuricemia/gout risk. Those consuming >111.75 mg of vitamin C generally had a lower risk. Vitamin C intake recommendations of 75-525 mg and 75-225 mg appeared effective for hyperuricemia and gout, respectively. Mendelian randomization analysis revealed a negative association between vitamin C intake and hyperuricemia (OR = 0.985, 95% CI = 0.973-0.997, p = .015) and gout (OR = 0.857, 95% CI = 0.797-0.921, p < .001). Reverse Mendelian randomization indicated no reverse causality. Conclusion: We hypothesize that a dietary vitamin C intake of 75-525 mg or 75-225 mg may reduce the risk of hyperuricemia and gout, respectively. Further research with larger samples is required to confirm this.

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大类 | 4 区 医学
小类 | 4 区 风湿病学
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出版当年[2023]版:
Q2 RHEUMATOLOGY
最新[2023]版:
Q2 RHEUMATOLOGY

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第一作者机构: [1]Yunnan Univ Chinese Med, Sch Clin Med 1, Kunming 650500, Yunnan, Peoples R China
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通讯机构: [1]Yunnan Univ Chinese Med, Sch Clin Med 1, Kunming 650500, Yunnan, Peoples R China [2]Yunnan Univ Chinese Med, Affiliated Hosp 1, Dept Rheumatol, Kunming 650021, Yunnan, Peoples R China [3]Yunnan Prov Hosp Tradit Chinese Med, Yunnan Prov Clin Med Res Ctr Rheumatism TCM, Kunming, Yunnan, Peoples R China
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