Analysis of dietary vitamin C intake levels and the risk of hyperuricemia and gout based on cross-sectional studies and bi-directional Mendelian randomization
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.
基金:
Science Research Foundation of Education Department of Yunnan Province (2024Y380)
第一作者机构:[1]Yunnan Univ Chinese Med, Sch Clin Med 1, Kunming 650500, Yunnan, Peoples R China
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Peng Zi-Ning,Wang Xing-Qiang,Deng Qian,et al.Analysis of dietary vitamin C intake levels and the risk of hyperuricemia and gout based on cross-sectional studies and bi-directional Mendelian randomization[J].INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES.2024,27(6):doi:10.1111/1756-185X.15235.
APA:
Peng, Zi-Ning,Wang, Xing-Qiang,Deng, Qian,Yan, Wei-Tian,Zhao, Wei-Qing...&Peng, Jiang-Yun.(2024).Analysis of dietary vitamin C intake levels and the risk of hyperuricemia and gout based on cross-sectional studies and bi-directional Mendelian randomization.INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES,27,(6)
MLA:
Peng, Zi-Ning,et al."Analysis of dietary vitamin C intake levels and the risk of hyperuricemia and gout based on cross-sectional studies and bi-directional Mendelian randomization".INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES 27..6(2024)