Cohort study2024

Ultraprocessed food consumption, genetic predisposition, and the risk of gout: the UK Biobank study

Zhang T, Xu X, Chang Q, Lv Y, Zhao Y, Niu K, Chen L, Xia Y

Rheumatology (Oxford, England) · 13 citations

Review labels

No stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
National Natural Science Foundation of China
Government
National Key Research and Development Program of China
University or hospital
Youth Key Talents Program of Wannan Medical College
Government
Doctoral Scientific Research Startup Foundation of Liaoning Province
Nonprofit
Young Elite Scientists Sponsorship Program by the China Association for Science and Technology
University or hospital
345 Talent Project of Shengjing Hospital of China Medical University
Government
Natural Science Major Project of the Anhui Provincial Department of Education
Grants
National Natural Science Foundation of China (82003461); National Natural Science Foundation of China (81903302); National Key Research and Development Program of China (2020YFC2006300)

Based on 7 listed funder(s).

Publication

Published
2023-05-02 · Rheumatology (Oxford) · vol. 63 · issue 1 · pp. 165–173
Publisher
Oxford University Press
Cited
18 citations · more than 94% of similar papers · 4.2× the field average
Impact
Top 10% most cited in its field
References
43 works
Access
Paywalled
Research areas
Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Nutrition, Genetics, and Disease
Keywords
Medicine, Gout, Genetic predisposition, Hazard ratio, Single-nucleotide polymorphism, Internal medicine, Proportional hazards model, Quartile, Biobank, Confidence interval, Genotype, Genetics, Biology, Gene
MeSH
humans, gout, genetic predisposition to disease, diet, prospective studies, biological specimen banks, uk biobank

8 authors

From CN

  • Tingjing ZhangWannan Medical College
  • Xin Ping XuChina Medical University
  • Qing ChangChina Medical University
  • Yanling LvHuazhong University of Science and Technology
  • Yuhong ZhaoChina Medical University
  • Kaijun NiuTianjin University of Traditional Chinese Medicine; Tianjin Medical University

Abstract

Objective

This study aimed to examine the interactions between ultraprocessed food (UPF) consumption and genetic predisposition with the risk of gout.

Methods

This prospective cohort study analysed 181 559 individuals from the UK Biobank study who were free of gout at baseline. UPF was defined according to the NOVA classification. Assessment of genetic predisposition for gout was developed from a genetic risk score of 33 single nucleotide polymorphisms. Cox proportional hazards were used to estimate the associations between UPF consumption, genetic predisposition and the risk of gout.

Results

Among the 181 559 individuals in the study, 1558 patients developed gout over 1 648 167 person-years of follow-up. In the multivariable adjustment model, compared with the lowest quartile of UPF consumption, the hazard ratio (HR) and 95% CI of the highest UPF consumption was 1.16 (1.01, 1.33) for gout risk, and there was a non-linear correlation between UPF consumption and the development of gout. In substitution analyses, replacing 20% of the weight of UPF in the daily intake with an equal amount of unprocessed or minimally processed food resulted in a 13% lower risk of gout (HR: 0.87; 95% CI: 0.79, 0.95). In the joint-effect analysis, the HR (95% CI) for gout was 1.90 (1.39, 2.60) in participants with high genetic predisposition and high UPF consumption, compared with those with low genetic predisposition and low UPF consumption.

Conclusion

In summary, UPF consumption was found to be associated with a higher risk of gout, particularly in those participants with genetic predisposition to gout. Our study indicated that reducing UPF consumption is crucial for gout prevention.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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