Evidence map›Paper›PMID 26391224›Full record

Observational studyArthritis research & therapy2015

Body mass index modulates the relationship of sugar-sweetened beverage intake with serum urate concentrations and gout.

Nicola Dalbeth, Amanda Phipps-Green, Meaghan E House, Gregory D Gamble, Anne Horne, Lisa K Stamp, Tony R Merriman

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Arthritis research & therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Nicola DalbethDepartment of Medicine, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road, Grafton, Auckland, 1023, New Zealand. n.dalbeth@auckland.ac.nz.
Amanda Phipps-GreenDepartment of Biochemistry, Division of Health Sciences, University of Otago, 710 Cumberland Street, Dunedin, 9016, New Zealand. mandy.phipps-green@otago.ac.nz.
Meaghan E HouseDepartment of Medicine, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road, Grafton, Auckland, 1023, New Zealand. meaghanhouse@gmail.com.
Gregory D GambleDepartment of Medicine, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road, Grafton, Auckland, 1023, New Zealand. gd.gamble@auckland.ac.nz.
Anne HorneDepartment of Medicine, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road, Grafton, Auckland, 1023, New Zealand. a.horne@auckland.ac.nz.
Lisa K StampDepartment of Medicine, Division of Health Sciences, University of Otago, 2 Riccarton Avenue, Christchurch, 8011, New Zealand. Lisa.Stamp@cdhb.health.nz.
Tony R MerrimanDepartment of Biochemistry, Division of Health Sciences, University of Otago, 710 Cumberland Street, Dunedin, 9016, New Zealand. tony.merriman@otago.ac.nz.
University of Auckland · NZUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBoth sugar-sweetened beverage (SSB) intake and body mass index (BMI) are associated with elevated serum urate concentrations and gout risk. The aim of this study was to determine whether the associations of SSB intake with serum urate and gout are moderated by BMI.

methodThe effects of chronic SSB intake on serum urate and gout status were analysed in a large cross-sectional population study. The effects of an acute fructose load on serum urate and fractional excretion of uric acid (FEUA) were examined over 180 minutes in a short-term intervention study. In all analyses, the responses were compared in those with BMI <25 mg/kg(2) (low BMI) and ≥25 mg/kg(2) (high BMI).

resultsIn the serum urate analysis (n = 12,870), chronic SSB intake was associated with increased serum urate in the high BMI group, but not in the low BMI group (P difference = 3.6 × 10(-3)). In the gout analysis (n = 2578), chronic high SSB intake was associated with gout in the high BMI group, but not in the low BMI group (P difference = 0.012). In the acute fructose loading study (n = 76), serum urate was increased in the high BMI group at baseline and throughout the observation period (PBMI group <0.0001), but there were similar acute serum urate increases in both BMI groups in response to the fructose load (P interaction = 0.99). The baseline FEUA was similar between the two BMI groups. However, following the fructose load, FEUA responses in the BMI groups differed (P interaction <0.0001), with increased FEUA at 120 minutes and 180 minutes in the low BMI group and reduced FEUA at 60 minutes in the high BMI group.

conclusionsThese data suggest that BMI influences serum urate and gout risk in response to chronic SSB intake, and renal tubular uric acid handling in response to an acute fructose load. In addition to many other health benefits, avoidance of SSBs may be particularly important in those with overweight/obesity to prevent hyperuricaemia and reduce gout risk. TRIALS REGISTRATION: Australian Clinical Trials Registry ACTRN12610001036000 . Registered 24 November 2010.

Indexed as

BeveragesBody Mass IndexAdultAgedAnalysis of VarianceCross-Sectional StudiesFemaleFructoseGoutHumansMaleMiddle AgedObesityOverweightProspective StudiesRisk AssessmentFructoseUric Acid

Identifiers

PMID26391224
PMCPMC4578754
OpenAlexW1779618985

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.