| Peer-Reviewed

Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption

Received: 1 August 2021     Accepted: 1 September 2021     Published: 10 September 2021
Views:       Downloads:
Abstract

In Japan, most of gout patients are adults, and the prevalence of gout has increased markedly since the 1960s. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Monitoring the intake of nutrients and foods in Japanese people is essential in the prevention of gout. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. In this article, the author suggests the importance of micronutrient (vitamin and mineral) intake and alcohol consumption for prevention of gout in Japanese people referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2016) and the data of the National Health and Nutrition Survey in Japan (1946-2017) for the intake of micronutrients. The relationship between the number of gout patients and micronutrient intake in Japanese people was examined. Modification of micronutrient intake for the prevention of gout in Japanese people (especially adults) is suggested as follows: limiting or decreasing salt intake; increase intake of vitamin A, vitamin B1, vitamin B2, vitamin B6, calcium, potassium, magnesium, and zinc; and limiting alcohol consumption.

Published in American Journal of Health Research (Volume 9, Issue 5)
DOI 10.11648/j.ajhr.20210905.14
Page(s) 143-157
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Alcohol, Dietary Habits, Gout, Hyperuricemia, Mineral, Uric Acid, Vitamin

References
[1] Koguchi, T. (2021) Modification of dietary habits for prevention of gout in Japanese people: Gout and the Japanese diet. Am J Health Res, (in press).
[2] Koguchi, T. (2021) Modification of dietary habits for prevention of gout in Japanese people: Gout and macronutrient intake. Am J Health Res, (in press).
[3] Ministry of Health, Labour and Welfare. Household Statistics Office. (2020) Comprehensive Survey of Living Conditions [Internet]. Available from: https://www.mhlw.go.jp/toukei/list/20-21kekka.html.
[4] The Ministry of Health, Labour and Welfare. Health Service Bureau. (2020) National Health and Nutrition Survey Japan, 1946-2017 [Internet]. Available from: https://www.mhlw.go.jp/bunya/kenkou/kenkou_eiyou_chousa.html.
[5] The Ministry of Health, Labour and Welfare, Japan. (2020) Dietary Reference Intakes for Japanese, 2020 [Internet]. Available from: https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/Overview.pdf.
[6] National Institute of Health and Nutrition [Internet]. Available from: www.nibiohn.go.jp/eiken/kenkounippon21/eiyouchousa/keinen_henka_time.html.
[7] The Council for Science and Technology, Ministry of Education, Culture, Sports, Science and Technology in Japan. (2020) Standard tables of food composition in Japan -2020- (Eighth Revised Edition), Report of the Subdivision Resources [Internet]. Available from: https://www.mext.go.jp/content/20201225-mxt_kagsei-mext_01110_011.pdf.
[8] U.S. Department of Health & Human Services. National Institutes of Health. Office of Dietary Supplements. Dietary Supplement Fact Sheets [Internet]. Available from: Dietary Supplement Fact Sheets (nih.gov).
[9] Zykova, S. N., Storhaug, H. M., Toft, I., Chadban, S. J., Jenssen, T. G., & White, S. L. (2015) Cross-sectional analysis of nutrition and serum uric acid in two Caucasian cohorts: the AusDiab Study and the Tromsø study. Nutr J, 14, 49.
[10] Lyu, L. C., Hsu, C. Y., Yeh, C. Y., Lee, M. S., Huang, S. H., & Chen, C. L. (2003) A case-control study of the association of diet and obesity with gout in Taiwan. Am J Clin Nutr, 78, 690-701.
[11] Mitch, W. E., Johnson, M. W., Kirshenbaum, J. M., & Lopez, R. E. (1981) Effect of large oral doses of ascorbic acid on uric acid excretion by normal subjects. Clin Pharmacol Ther, 29, 318-321.
[12] Sutton, J. L., Basu, T. K., & Dickerson, J. W. (1983) Effect of large doses of ascorbic acid in man on some nitrogenous components of urine. Hum Nutr Appl Nutr, 37, 136-140.
[13] Stein, H. B., Hasan, A., & Fox, I. H. (1976) Ascorbic acid-induced uricosuria. A consequency of megavitamin therapy. Ann Intern Med, 84, 385-388.
[14] Huang, H. Y., Appel, L. J., Choi, M. J., Gelber, A. C., Charleston, J., Norkus, E. P., & Miller, E. R. 3 rd. (2005) The effects of vitamin C supplementation on serum concentrations of uric acid: results of a randomized controlled trial. Arthritis Rheum, 52, 1843-1847.
[15] Juraschek, S. P., Miller, E. R. 3rd., & Gelber, A. C. (2011) Effect of oral vitamin C supplementation on serum uric acid: a meta-analysis of randomized controlled trials. Arthritis Rheum, 63, 1295-1306.
[16] Zhang, Z., Harman, J. L., Coresh, J., Köttgen, A., McAdams-DeMarco, M. A., Correa, A., Young, B. A., Katz, R., & Rebholz, C. M. (2018) The dietary fructose: vitamin C intake ratio is associated with hyperuricemia in African-American adults. J Nutr, 148, 419-426.
[17] Beydoun, M. A., Fanelli-Kuczmarski, M. T., Canas, J-A., Beydoun, H. A., Evans, M. K., & Zonderman, A. B. (2018) Dietary factors are associated with serum uric acid trajectory differentially by race among urban adults. Br J Nutr, 120, 935-945.
[18] So, M. W., Lim, D-H., Kim, S-H., & Lee, S. (2020) Dietary and nutritional factors associated with hyperuricemia: The seventh Korean National Health and Nutrition Examination Survey. Asia Pac J Clin Nutr, 29, 609-617.
[19] Gao, X., Curhan, G., Forman, J. P., Ascherio, A., & Choi, H. K. (2008) Vitamin C intake and serum uric acid concentration in men. J Rheumatol, 35, 1853-1858.
[20] Yu, K-H., See, L-C., Huang, Y-C., Yang, C-H., & Sun, J-H. (2008) Dietary factors associated with hyperuricemia in adults. Semin Arthritis Rheum, 37, 243-250.
[21] Doherty, M. (2009) New insights into epidemiology of gout. Rheumatology (Oxford), 48 (suppl 2), ii2-ii8.
[22] Torralba, K. D., De Jesus, E., & Rachabattula, S. (2012) The interplay between diet, urate transporters and the risk for gout and hyperuricemia: current and future directions. Int J Rheum Dis, 15, 499-506.
[23] Choi, H. K., Gao, X., & Curhan, G. (2009) Vitamin C intake and the risk of gout in men: A prospective study. Arch Intern Med, 169, 502-507.
[24] Enomoto, A., Kimura, H., Chairoungdua, A., Shigeta, Y., Jutabha, P., Cha, S. H., Hosoyamada, M., Takeda, M., Sekine, T., & Igarashi, T. (2002) Molecular identification of a renal urate anion exchanger that regulates blood urate levels. Nature, 417, 447-452.
[25] Hayden, M. R., & Tyagi, S. C. (2004) Uric acid: A new look at an old risk marker for cardiovascular disease, metabolic syndrome, and type 2 diabetes mellitus: The urate redox shuttle. Nutr Metab (Lond), 1, 10.
[26] Jordan, K. M., Cameron, J. S., Snaith, M., Zhang, W., Doherty, M., Seckl, J., Hingorani, A., Jaques, R., Nuki, G., British Society for Rheumatology and British Health Professionals in Rheumatology Standards., & Guidelines and Audit Working Group (SGAWG) (2007) British Society for Rheumatology and British health professionals in rheumatology guideline for the management of gout. Rheumatology, 46, 1372-1374.
[27] FitzGerald, J. D., Dalbeth, N., Mikuls, T., Brignardello-Petersen, R., Guyatt, G., Abeles, A. M., Gelber, A. C., Harrold, L. R., Khanna, D., King, C., Levy, G., Libbey, C., Mount, D., Pillinger, M. H., Rosenthal, A., Singh, J. A., Sims, J. E., Smith, B. J., Wenger, N. S., Bae, S. S., Danve, A., Khanna, P. P., Kim, S. C., Lenert, A., Poon, S., Qasim, A., Sehra, S. T., Sharma, T. S. K., Toprover, M., Turgunbaev, M., Zeng, L., Zhang, M. A., Turner, A. S., & Neogi, T.(2020) 2020 American College of Rheumatology guideline for the management of gout. Arthritis Care Research, 72, 744-760.
[28] Stamp, L. K., O’Donnell, J. L., Frampton, C., Drake, J. M., Zhang, M., & Chapman, P. T. (2013) Clinically insignificant effect of supplemental vitamin C on serum urate in patients with gout. Arthritis Rheum, 65, 1636-1642.
[29] World Health Organization (2012) Guideline Sodium Intake for Adults and Children. Genova: WHO.
[30] National Institutes of Biomedical Innovation, Health and Nutrition. (2017) The National Health and Nutrition Survey Japan, 2015. Tokyo Daiichi Shuppan Publishing Co., Ltd.
[31] GBD 2013 Risk Factors Collaborators. (2015) Global, regional and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 386, 2287-2323.
[32] Japanese Society of Nephrology. (2018) Evidence-based clinical practice guideline for CKD 2018. Pp. 1-133. Tokyo Igakusha. Tokyo.
[33] Ikizler, T. A., Burrowes, J. D., Byham-Gray, L. D., Campbell, K. L., Carrero, J-J., Chan, W., Fouque, D., Friedman, A. N., Ghaddar, S., Goldstein-Fuchs, D. J., Kaysen, G. A., Kopple, J. D., Teta, D., Wang, A. Y-M., & Cuppari, L. (2020) KDOQI clinical practice guideline for nutrition in CKD: 2020 update. Am J Kidney Dis, 76, S1-S107.
[34] American Diabetes Association (2019) Lifestyle management: standards of medical care in diabetes-2019. Diabetes Care, 42, S46-S60.
[35] Khanna, D., Fitzgerald, J. D., Khanna, P. P., Bae, S., Singh, M. K., Neogi, T., Pillinger, M. H., Merill, J., Lee, S., Prakash, S., Kaldas, M., Gogia, M., Perez-Ruiz, F., Taylor, W., Lioté, F., Choi, H., Singh, J. A., Dalbeth, N., Kaplan, S., Niyyar, V., Jones, D., Yarows, S. A., Roessler, B., Kerr, G., King, C., Levy, G., Furst, D. E., Edwards, N. L., Mandell, B., Schumacher, H. R., Robbins, M., Wenger, N., & Terkeltaub, R. (2012) 2012 American College of Rheumatology guidelines for management of gout. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care Research, 64, 1431-1446.
[36] Türk, C., Neisius, A., Petrik, A., Seitz, C., Skolarikos, A., Thomas, K., Donaldson, J. F., Drake, T., Grivas, N., & Ruhayel, Y. (2018) EAU Guidelines on Urolithiasis. European Association of Urology 2018. EAU Guidelines. Edn. Presented at the EAU Annual Congress London 2018. ISBN 978-94-92671-01-1. EAU Guidelines office, Arnhem, The Netherlands [Internet]. Available from: http://uroweb.org/guidelines/compilations-of-all-guidelines/.
[37] Japanese Urological Association., Japanese Society of Endourology., Japanese Society on Urolithiasis Research. (2013) Guidelines for Management of Urolithiasis.: 2 nd edition. pp. 93-116, Kanehara shuppan, Tokyo (in Japanese).
[38] Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., Wainford, R. D., Williams, B., & Schutte, A. E. (2020) 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension, 75, 1334-1357.
[39] Umemura, S., Arima, H., Arima, S., Asayama, K., Dohi, Y., Hirooka, Y., Horio, T., Hoshide, S., Ikeda, S., Ishimitsu, T., Ito, M., Ito, S., Iwashima, Y., Kai, H., Kamide, K., Kanno, Y., Kashihara, N., Kawano, Y., Kikuchi, T., Kitamura, K., Kitazono, T., Kohara, K., Kudo, M., Kumagai, H., Matsumura, K., Matsuura, H., Miura, K., Mukoyama, M., Nakamura, S., Ohkubo, T., Ohya, Y., Okura, T., Rakugi, H., Saitoh, S., Shibata, H., Shimosawa, T., Suzuki, H., Takahashi, S., Tamura, K., Tomiyama, H., Tsuchihashi, T., Ueda, S., Uehara, Y., Urata, H., & Hirawa, N. (2019) The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019). Hypertens Res, 42, 1235-1481.
[40] Araki, E., Goto, A., Kondo, T., Noda, M., Noto, H., Origasa, H., Osawa, H., Taguchi, A., Tanizawa, Y., Tobe, K., & Yoshioka, N. (2020) Japanese clinical practice guideline for diabetes 2019. Diabetology International, 11, 165-223.
[41] Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M-T., Corrà, U., Cosyns, B., Deaton, C., Graham, I., Hall, M. S., Hobbs, F. D. R., Løchen, M-L., Löllgen, H., Marques-Vidal, P., Perk, J., Prescott, E., Redon, J., Richter, D. J., Sattar, N., Smulders, Y., Tiberi, M., van der Worp, H. B., van Dis, I., & Verschuren, W. H. M.(2016) 2016 European Guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J, 37, 2315-2381.
[42] World Health Organization (2007) Prevention of cardiovascular disease. Guidelines for assessment and management of cardiovascular risk. pp. 1-86. WHO Press. Geneva, Switzerland.
[43] Zgaga, L., Theodoratou, E., Kyle, J., Farrington, S. M., Agakov, F., Tenesa, A., Walker, M., McNeill, G., Wright, A. F., Rudan, I., Dunlop, M. G., & Campbell, H. (2012) The association of dietary intake of purine-rich vegetables, sugar-sweetened beverages and dairy with plasma urate, in a cross-sectional study. PLoS One, 7, e38123.
[44] Wang, Y. L., Zeng, C., Wei, J., Yang, T., Li, H., Deng, Z. H., Yang, Y., Zhang, Y., Ding, X., Xie, D. X., Yang, T. B., & Lei, G. H. (2015) Association between dietary magnesium intake and hyperuricemia. PLoS One, 10, e0141079.
[45] Xie, D-X., Xiong, Y-L., Zeng, C., Wei, J., Yang, T., Li, H., Wang, Y-L., Gao, S-G., Li, Y-S., & Lei, G-H. (2015) Association between low dietary zinc and hyperuricaemia in middle-aged and older males in China: a cross-sectional study. BMJ Open, 5, e008637.
[46] Xia, Y., Wu, Q., Wang, H., Zhang, S., Jiang, Y., Gong, T., Xu, X., Chang, Q., Niu, K., & Zhao, Y. (2020) Global, regional and national burden of gout:, 1990-2017: a systematic analysis of the Global Burden of Disease Study. Rheumatology (Oxford), 59, 1529-1538.
[47] Sun, S. Z., Flickinger, B. D., Williamson-Hughes, P. S., & Empie, M. W. (2010) Lack of association between dietary fructose and hyperuricemia risk in adults. Nutr Metab (Lond), 7, 16.
[48] Williams, P. T. (2008) Effects of diet, physical activity and performance, and body weight on incident gout in ostensibly healthy, vigorously active men. Am J Clin Nutr, 87, 1480-1487.
[49] Loenen, H. M. J. A., Eshuis, H., Löwik, M. R. H., Schouten, E. G., Hulshof, K. F. A. M., Odink, J., & Kok, F. J. (1990) Serum uric acid correlates in elderly men and women with special reference to body composition and dietary intake (Dutch Nutrition Surveillance System). J Clin Epidemiol, 43, 1297-1303.
[50] Villegas, R., Xiang, Y. -B., Elasy, T., Xu, W. H., Cai, H., Cai, Q., Linton, M. F., Fazio, S., Zheng, W., & Shu, X. -O. (2012) Purine-rich foods, protein intake, and the prevalence of hyperuricemia: the Shanghai Men’s Health Study. Nutr Metab Cardiovasc Dis, 22, 409-416.
[51] Shadick, N. A., Kim, R., Weiss, S., Liang, M. H., Sparrow, D., & Hu, H. (2000) Effect of low level lead exposure on hyperuricemia and gout among middle aged and elderly men: the normative aging study. J Rheumatol, 27, 1708-1712.
[52] Choi, H. K., & Curhan, G. (2004) Beer, liquor, and wine consumption and serum uric acid level; The Third National Health and Nutrition Examination Survey. Arthritis Rheum, 51, 1023-1029.
[53] Campion, E. W., Glynn, R. J., & DeLabry, L. O. (1987) Asymptomatic hyperuricemia: Risks and consequences in the Normative Aging Study. Am J Med, 82, 421-426.
[54] Li, R., Yu, K., & Li, C. (2018) Dietary factors and risk of gout and hyperuricemia: a meta-analysis and systematic review. Asia Pac J Clin Nutr, 27, 1344-1356.
[55] Liu, H., Zhang, X. M., Wang, Y. L., & Liu, B. C. (2014) Prevalence of hyperuricemia among Chinese adults: a national cross-sectional survey using multistage, stratified sampling. J Nephrol, 27, 653-658.
[56] Desideri, G., Puig, J. G., & Richette, P. (2015) The management of hyperuricemia with urate deposition. Curr Med Res Opin, 31 (Suppl 2), 27-32.
[57] Emmerson, B. T. (1996) The management of gout. N Engl J Med, 334, 445-451.
[58] Fam, A. G. (2002) Gout, diet, and the insulin resistance syndrome. J Rheumatol, 29, 1350-1355.
[59] Faller, J., & Fox, I. H. (1982) Ethanol-induced hyperuricemia.; Evidence for increased urate production by activation of adenine nucleotide turnover. N Engl J Med, 307, 1598-1602.
[60] Puig, J. G., & Fox, I. H. (1984) Ethanol-induced of adenine nucleotide turnover.; Evidence for a role of acetate. J Clin Invest, 74, 936-941.
[61] Drum, D. E., Goldman, P. A., & Jankowski, C. B. (1981) Elevation of serum uric acid as a clue to alcohol abuse. Arch Intern Med, 141, 477-479.
[62] Yü, T. F., Sirota, J. H., & Berger, L. (1957) Effect of sodium lactate infusion on urate clearance in man. Proc Soc Exp Biol Med, 96, 809-813.
[63] Whitehead, T. P., Clarke, C. A., & Whitfield, A. G. (1978) Biochemical and haematological markers of alcohol intake. 1. 978-981.
[64] Zhang, Y., Woods, R., Chaisson, C. E., Neogi, T., Niu, J., McAlndon, T. E., & Hunter, D. (2006) Alcohol consumption as a trigger of recurrent gout attacks. Am J Med, 119, 800, e13-18.
[65] Sigie, T., Imatou, T., Miyazaki, M., & Une, H. (2005) The effect of alcoholic beverage type on hyperuricemia in Japanese male office workers. J. Epidemiol, 15, 41-47.
[66] Xiong, Z., Zhu, C., Qian, X., Zhu, J., Wi, Z., & Chen, L. (2013) Serum uric acid is associated with dietary and lifestyle factors in elderly women in suburban Guangzhou in Guangdong province of south China. J Nutr Hralth Aging, 17, 30-34.
[67] Choi, H. K., Atkinson, K., Karlson, E. W., Willett, W., & Curhan, G. (2004) Alcohol intake and risk of incident gout in men: a prospective study. Lancet, 363, 1277-1281.
[68] Soriano, L. C., Rothenbacher, D., Choi, H. K., & Rodriguez, G. (2011) Contemporary epidemiology of gout in the UK general population. Arthritis Res Ther, 13, R39.
[69] Wang M, Jiang X, Wu W., & Zhang, D. (2013) A meta-analysis of alcohol consumption and the risk of gout. Clin Rheumatol, 32, 1641-1648.
[70] Yamamoto, T., Moriwaki, Y., & Takahashi, S. (2005) Effect of ethanol on metabolism of purine bases (hypoxanthine, xanthine, and uric acid). Clin Chim Acta, 356, 35-57.
[71] Koguchi, T. (2018) Essentials of dietary habits for prevention and suppression of hyperuricemia. Curr Top Pharmacol, 22, 77-133.
[72] Roman, Y. M. (2019) Perspectives on the epidemiology of gout and hyperuricemia. Hawaii J Med Public Health, 78, 71-76.
[73] Eastmond, C. J., Garton, M., Robins, S., & Riddoch, S. (1995) The effects of alcoholic beverages on urate metabolism in gout sufferers. Br J Rheumatol, 34, 756-759.
[74] Choi, H. K., Mount, D. B., Reginato, A. M., American College of Physicians; American Physiological Society (2005) Pathogenesis of gout. Ann. Intern. Med, 143, 499-516.
[75] Zhang, Y., Chen, C., Choi, H., Chaisson, C., Hunter, D., Niu, J., & Neogi, T. (2012) Purine-rich foods intake and recurrent gout attacks. Ann Rheum Dis, 71, 1448-1453.
[76] Terkeltaub, R., & Edwards, N. L. (2013) Gout: Diagnosis and management of gouty arthritis and hyperuricemia. 3rd edition, p. 1-336. Professional Communications, Inc. NY.
[77] Hisatome, I., Ichida, K., Mineo, I., Ohtahara, A., Ogino, K., Kuwabara, M., Ishizaka, N., Uchida, S., Kurajoh, M., Kohagura, K., Sato, Y., Taniguchi, A., Tsuchihashi, T., Terai, C., Nakamura, T., Hamaguchi, T., Hamada, T., Fujimori, S., Masuda, I., Moriwaki, Y., Yamamoto, T. on behalf of guideline development group. (2018) Japanese Society of Gout and Uric & Nucleic Acids Guidelines for Management of Hyperuricemia and Gout: 3 rd edition. SHINDAN TO CHIRYO SHA, Inc. pp. 1-169. Tokyo (in Japanese).
[78] Richette, P., Doherty, M., Pascual, E., Barskova, V., Becce, F., Castaneda-Sanabria, J. Coyfish, M., Guillo, S., Jansen, T. L., Jansens, H., Lioté, F., Mallen, C., Nuki, G., Perez-Ruiz, F., Pimentao, J., Punzi, L., Pywell, T., So, A., Tausche, A. K., Uhlig, T., Zavada, J., Zhang, W., Tubach, F., & Bardin, T. (2017) 2016 updated EULAR evidence-based recommendations for the management of gout. Ann Rheum Dis, 76, 29-42.
Cite This Article
  • APA Style

    Takashi Koguchi. (2021). Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption. American Journal of Health Research, 9(5), 143-157. https://doi.org/10.11648/j.ajhr.20210905.14

    Copy | Download

    ACS Style

    Takashi Koguchi. Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption. Am. J. Health Res. 2021, 9(5), 143-157. doi: 10.11648/j.ajhr.20210905.14

    Copy | Download

    AMA Style

    Takashi Koguchi. Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption. Am J Health Res. 2021;9(5):143-157. doi: 10.11648/j.ajhr.20210905.14

    Copy | Download

  • @article{10.11648/j.ajhr.20210905.14,
      author = {Takashi Koguchi},
      title = {Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption},
      journal = {American Journal of Health Research},
      volume = {9},
      number = {5},
      pages = {143-157},
      doi = {10.11648/j.ajhr.20210905.14},
      url = {https://doi.org/10.11648/j.ajhr.20210905.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20210905.14},
      abstract = {In Japan, most of gout patients are adults, and the prevalence of gout has increased markedly since the 1960s. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Monitoring the intake of nutrients and foods in Japanese people is essential in the prevention of gout. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. In this article, the author suggests the importance of micronutrient (vitamin and mineral) intake and alcohol consumption for prevention of gout in Japanese people referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2016) and the data of the National Health and Nutrition Survey in Japan (1946-2017) for the intake of micronutrients. The relationship between the number of gout patients and micronutrient intake in Japanese people was examined. Modification of micronutrient intake for the prevention of gout in Japanese people (especially adults) is suggested as follows: limiting or decreasing salt intake; increase intake of vitamin A, vitamin B1, vitamin B2, vitamin B6, calcium, potassium, magnesium, and zinc; and limiting alcohol consumption.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Micronutrient Intake or Alcohol Consumption
    AU  - Takashi Koguchi
    Y1  - 2021/09/10
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajhr.20210905.14
    DO  - 10.11648/j.ajhr.20210905.14
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 143
    EP  - 157
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20210905.14
    AB  - In Japan, most of gout patients are adults, and the prevalence of gout has increased markedly since the 1960s. This phenomenon is thought to be attributed to the westernization of the Japanese diet since 1955. Monitoring the intake of nutrients and foods in Japanese people is essential in the prevention of gout. The objective of this article is to propose a preventive method for gout through the evaluation of recent dietary habits in Japanese people. In this article, the author suggests the importance of micronutrient (vitamin and mineral) intake and alcohol consumption for prevention of gout in Japanese people referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2016) and the data of the National Health and Nutrition Survey in Japan (1946-2017) for the intake of micronutrients. The relationship between the number of gout patients and micronutrient intake in Japanese people was examined. Modification of micronutrient intake for the prevention of gout in Japanese people (especially adults) is suggested as follows: limiting or decreasing salt intake; increase intake of vitamin A, vitamin B1, vitamin B2, vitamin B6, calcium, potassium, magnesium, and zinc; and limiting alcohol consumption.
    VL  - 9
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Department of Human Education, Kokugakuin Tochigi Junior College, Tochigi, Japan

  • Sections