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Uric Acid and Plant-Based Nutrition
Abstract
Plant-based diets (PBDs) are associated with decreased risk of morbidity and mortality associated with important noncommunicable chronic diseases. Similar to animal-based food sources (e.g., meat, fish, and animal visceral organs), some plant-based food sources (e.g., certain soy legume products, sea vegetables, and brassica vegetables) also contain a high purine load. Suboptimally designed PBDs might consequently be associated with increased uric acid levels and gout development. Here, we review the available data on this topic, with a great majority of studies showing reduced risk of hyperuricemia and gout with vegetarian (especially lacto-vegetarian) PBDs. Additionally, type of ingested purines, fiber, vitamin C, and certain lifestyle factors work in concordance to reduce uric acid generation in PBDs. Recent limited data show that even with an exclusive PBD, uric acid concentrations remain in the normal range in short- and long-term dieters. The reasonable consumption of plant foods with a higher purine content as a part of PBDs may therefore be safely tolerated in normouricemic individuals, but additional data is needed in hyperuricemic individuals, especially those with chronic kidney disease.
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“The relationship, however, seems U-shaped. While very low S-UA levels have been associated with neurodegenerative diseases (such as multiple sclerosis, Alzheimer's disease, and Parkinson's disease), cancer, and vascular disease-related dementia, hyperuricaemia has been associated with chronic kidney disease, CVD, type 2 diabetes, and dyslipidaemia [29].”
From Nutritional Status and Cardiovascular Health in Female Adolescent Elite-Level Artistic Gymnasts and Swimmers: A Cross-Sectional Study of 31 Athletes (2021) · cites this paper as [29]
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“However, there is a known association between S-UA and health risk that is biphasic [29].”
From Nutritional Status and Cardiovascular Health in Female Adolescent Elite-Level Artistic Gymnasts and Swimmers: A Cross-Sectional Study of 31 Athletes (2021) · cites this paper as [29]
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Cited by
Jakše, B., Jakše, B., Mis, N. F., Jug, B., Šajber, D., Godnov, U., & Čuk, I. (2021) · Journal of Nutrition and Metabolism · doi:10.1155/2021/8810548 · Cited by 21
Self-citationGao, Y., Li, C., Li, J., Duan, M., Li, X., Zhao, L., Wu, Y., & Gu, S. (2024) · Frontiers in Microbiology · doi:10.3389/fmicb.2024.1498540 · Cited by 9
Metadata
- Authors
- Jakše, B., Jakše, B., Pajek, M., & Pajek, J.
- Affiliations
- Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000 Ljubljana, Slovenia
- Barbara Jakše s.p., 1230 Domžale, Slovenia
- Faculty of Sport, University of Ljubljana, Gortanova 22, 1000 Ljubljana, Slovenia
- Department of Nephrology, University Medical Center Ljubljana, Zaloška 2, 1525 Ljubljana, Slovenia
- ORCID
- Pajek, Jernej
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2019-07-26
- Volume
- 11
- Issue
- 8
- Pages
- 1736
- ISSN
- 2072-6643
- Cited by
- 132
- References
- 8
- Language
- en
- Funders
- Javna Agencija za Raziskovalno Dejavnost RS (P3-0323)
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