Evidence map›Paper›PMID 31817107›Full record

SynthesisNutrients2019

Dietary Interventions for Gout and Effect on Cardiovascular Risk Factors: A Systematic Review.

Daisy Vedder, Wendy Walrabenstein, Maaike Heslinga, Ralph de Vries, Michael Nurmohamed, Dirkjan van Schaardenburg, Martijn Gerritsen

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Epigenetic and Metabolic Regulation of Macrophages during Gout.Gout, urate, and crystal deposition disease · 2023
    Article
  12. Article
  13. Biodegradation of Uric Acid byMicroorganisms · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Gout.The New England journal of medicine · 2022
    Review
  18. Observational
  19. Article
  20. 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.

Daisy VedderAmsterdam Rheumatology and Immunology Center|Reade, 1056 AB Amsterdam, The Netherlands.ORCID 0000-0003-1715-9555
Wendy WalrabensteinAmsterdam Rheumatology and Immunology Center|Reade, 1056 AB Amsterdam, The Netherlands.
Maaike HeslingaAmsterdam Rheumatology and Immunology Center|Reade, 1056 AB Amsterdam, The Netherlands.
Ralph de VriesMedical Library, Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
Michael NurmohamedAmsterdam Rheumatology and Immunology Center|Reade, 1056 AB Amsterdam, The Netherlands.
Dirkjan van SchaardenburgAmsterdam Rheumatology and Immunology Center|Reade, 1056 AB Amsterdam, The Netherlands.
Martijn GerritsenAmsterdam Rheumatology and Immunology Center|Reade, 1056 AB Amsterdam, The Netherlands.
Reade · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gout is one of the most prevalent inflammatory rheumatic disease. It is preceded by hyperuricemia and associated with an increased risk for cardiovascular disease, both related to unhealthy diets. The objective of this systematic review is to better define the most appropriate diet addressing both disease activity and traditional cardiovascular risk factors in hyperuricemic patients. We included clinical trials with patients diagnosed with hyperuricemia or gout, investigating the effect of dietary interventions on serum uric acid (SUA) levels, gout flares and-if available-cardiovascular risk factors. Eighteen articles were included, which were too heterogeneous to perform a meta-analysis. Overall, the risk of bias of the studies was moderate to high. We distinguished four groups of dietary interventions: Calorie restriction and fasting, purine-low diets, Mediterranean-style diets, and supplements. Overall, fasting resulted in an increase of SUA, whilst small (SUA change +0.3 to -2.9 mg/dL) but significant effects were found after low-calorie, purine-low, and Mediterranean-style diets. Studies investigating the effect on cardiovascular risk factors were limited and inconclusive. Since Mediterranean-style diets/DASH (Dietary Approach to Stop Hypertension) have shown to be effective for the reduction of cardiovascular risk factors in other at-risk populations, we recommend further investigation of such diets for the treatment of gout.

Indexed as

AdultAgedBlood GlucoseBlood PressureBody WeightCardiovascular DiseasesDietary SupplementsFemaleGoutHumansHyperuricemiaLipidsMaleMiddle AgedRisk FactorsUric AcidBlood GlucoseLipidsUric Acidblood pressurecardiovascular diseasecholesterolDASHdietgouthyperuricemiaMediterranean dietmetabolic syndrome xpurine low diet

Identifiers

PMID31817107
PMCPMC6950134
OpenAlexW2994155204

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.