Evidence map›Paper›PMID 41770751›Full record

ArticlePloS one2026

Association among serum uric acid, hyperactivity, impulsivity and dietary components in adults: a cross-sectional study Uric acid, hyperactivity/impulsivity symptoms, and dietary components in adults.

Roberto A Molina-Campuzano, Mariela Bernabe-Garcia, Felipe Vazquez-Estupiñan, Leonel Jaramillo-Villanueva, Maricela Rodriguez-Cruz, Ricardo Saracco-Alvarez, Claudia Sanchez-Sanchez, Israel Moreno-Moreno, Irma S Y Corlay-Noriega

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Roberto A Molina-CampuzanoUnidad Médica de Consulta de Atención Psiquiátrica, Hospital Psiquiátrico "Morelos". Instituto Mexicano del Seguro Social. México City, Ciudad de México, México.ORCID https://orcid.org/0000-0002-6528-6359
Mariela Bernabe-GarciaMedical Research Unit in Nutrition, UMAE Hospital de Pediatría, Instituto Mexicano del Seguro Social. Mexico City, Ciudad de México, México.ORCID https://orcid.org/0000-0001-9970-2077
Felipe Vazquez-EstupiñanPsychiatric Service, Hospital Angeles Clínica Londres. México City, Ciudad de México, México.
Leonel Jaramillo-VillanuevaDepartment of Mental Health, UMAE Hospital de Pediatría, Instituto Mexicano del Seguro Social. México City, Ciudad de México, México.
Maricela Rodriguez-CruzMedical Research Unit in Nutrition, UMAE Hospital de Pediatría, Instituto Mexicano del Seguro Social. Mexico City, Ciudad de México, México.
Ricardo Saracco-AlvarezBiomedical Research in Mental Health. Instituto Nacional de Psiquiatría, Ramón de la Fuente Muñiz. México City, Ciudad de México, México.ORCID https://orcid.org/0000-0002-0004-1318
Claudia Sanchez-SanchezPsychiatric Service, Hospital Angeles Clínica Londres. México City, Ciudad de México, México.ORCID https://orcid.org/0000-0002-7806-5117
Israel Moreno-MorenoDepartment of Mental Health, UMAE Hospital de Pediatría, Instituto Mexicano del Seguro Social. México City, Ciudad de México, México.
Irma S Y Corlay-NoriegaUnidad Médica de Consulta de Atención Psiquiátrica, Hospital Psiquiátrico "Morelos". Instituto Mexicano del Seguro Social. México City, Ciudad de México, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA positive association has been reported between elevated serum levels of uric acid (UA) with impulsivity and hyperactivity, behavior in murine models, and human psychopathologies. Still, other factors, such as diet composition, have not been considered. This study aims to determine the association between serum UA, impulsivity/hyperactivity symptoms, and dietary components in adults with psychiatric disorders.

methodsA prospective cross-sectional study was conducted on 128 adults who attended a psychiatric service. Fasting serum UA levels were determined by spectrophotometry. Impulsivity and hyperactivity symptoms were evaluated using the Adult ADHD Self-Report Scale (ASRS). Dietary components, including macronutrients, fiber, fructose, added sugar, vitamin C, zinc, copper, n-3 fatty acids, caffeine, and alcohol, were estimated using a 24-hour recall, food models, and nutrition software. Spearman's correlation and general linear models were applied. The last was used to adjust for confounders.

resultsSerum UA levels were positively correlated to symptoms of hyperactivity/impulsivity and hyperactivity (Rho = 0.206, p= 0.020; Rho = 0.194, p= 0.028, respectively). Those correlations remained significant after adjusting for confounders. Every 1 mg/dl increase in serum UA levels predicted an elevation of 1.5 points of the hyperactivity/impulsivity symptoms (p= 0.002; p-model< 0.001) and 1 point of the hyperactivity symptoms (p= 0.003; p-model < 0.001). Hyperactivity/impulsivity symptoms together and separated were positively correlated with depression (Rho = 0.470, Rho = 0.389, Rho = 0.485; all p< 0.001, respectively). Serum UA levels negatively correlated with dietary intake of total fiber, vitamin C, and copper but positively with waist circumference (Rho = -0.297, Rho = -0.185, Rho = -0.212, and Rho = 0.203, all p < 0.05, respectively). Hyperactivity correlated with dietary zinc, while impulsivity correlated with alcohol consumption (Rho = -0.185 and Rho = 0.195, p< 0.05, respectively).

conclusionThe serum UA concentration independently predicts hyperactivity/impulsivity symptoms in adults with psychiatric disorders.

Indexed as

Attention Deficit Disorder with HyperactivityDietHyperkinesisImpulsive BehaviorUric AcidAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesUric Acid

Identifiers

PMID41770751
PMCPMC12952606

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Registered trials

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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.