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on June 25, 2007

Hypertension. 2007
Published online before print June 25, 2007, doi: 10.1161/HYPERTENSIONAHA.107.091041
A more recent version of this article appeared on August 1, 2007
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Submitted on March 15, 2007
Revised on April 3, 2007

Intake of Added Sugar and Sugar-Sweetened Drink and Serum Uric Acid Concentration in US Men and Women

Xiang Gao*; Lu Qi; Ning Qiao; Hyon K. Choi; Gary Curhan; Katherine L. Tucker; and Alberto Ascherio

From the Departments of Nutrition (X.G., L.Q., A.A.), and Epidemiology (G.C., A.A.), Harvard University School of Public Health, Boston, Mass; US Department of Agriculture Human Nutrition Research Center (N.Q., K.L.T.), Tufts University, Boston, Mass; Rheumatology Division (H.K.C.), Department of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, Canada; and Channing Laboratory (G.C., H.K.C., A.A.), Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Mass.

* To whom correspondence should be addressed. E-mail: xgao{at}hsph.harvard.edu.

Abstract--Fructose-induced hyperuricemia might have a causal role in metabolic syndrome, hypertension, and other chronic disease. However, no study has investigated whether sugar added to foods or sugar-sweetened beverages, which are major sources of fructose, are associated with serum uric acid concentration in free-living populations. We examined the relationship between the intakes of added sugars and sugar-sweetened beverages and serum uric acid concentrations in the National Health and Nutrition Examination Survey 2001-2002, a nationally representative sample of men and women. We included 4073 subjects (1988 men and 2085 women) >18 years of age in the current study. Dietary intake was assessed by a single 24-hour recall. We used multivariate linear regression to adjust for age, gender, intake of energy and alcohol, body mass index, use of diuretics, {beta}-blockers, and other covariates. Male subjects in the highest intake quartile of estimated intake of added sugars or sugar-sweetened drinks had higher plasma uric acid concentrations than those in the lowest intake quartiles (P<0.001 for both) after adjusting for potential confounders, whereas we did not observe significant associations for females (P for trend>0.2; P for interaction <0.01). Further research is needed to confirm causality of these associations and the observed difference by gender.


Key words: uric acid • beverages • added sugar • fructose • National Health and Nutrition Examination Survey




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