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Effect of urine pH on uric acid excretion by manipulating food materials.

Nucleosides, nucleotides & nucleic acids
December 1, 2011
A Kanbara et al. (2 authors)
Clinical TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether dietary intervention, specifically acidic and alkaline diets, could influence serum and urine uric acid levels to prevent hyperuricemia.

Results Summary

The study found that acidic diets increased serum uric acid levels while decreasing uric acid excretion, whereas alkaline diets facilitated uric acid excretion. The ratio of uric acid clearance to creatinine clearance was lower for acidic diets, indicating reduced excretion efficiency.

Population

Not specified (likely Japanese participants, given the context of the Japanese Government's health promotion program).

Effective Dosage

Not specified

Duration

3 days

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
acidic diet
increase
serum uric acid
-
-
increase
#1
acidic diet
decrease
uric acid excretion
-
-
decrease
#2
acidic diet
decrease
relative R (uric acid clearance/creatinine clearance ratio)
-
-
became smaller
#3
alkaline diet
increase
uric acid excretion
-
-
facilitates
#4
dietary intervention
decrease
hyperuricemia
-
-
may well be the safest and the most economical way for the prevention
#5
Abstract

A potential utilization of dietary intervention for reducing hyperuricemia was tested by managing food materials. Within the framework of the Japanese Government's health promotion program, we made recipes that consisted of more protein-rich and less vegetable/fruit-rich materials for the acidic diet and others composed of less protein-rich and more vegetable/fruit-rich materials for the alkaline diet. We have shown that urine alkalization facilitates uric acid excretion. In this study, it has been clarified with simultaneous measurements of both serum and urine uric acid concentration that acidic diets increase serum uric acid together with a decrease of uric acid excretion. The ratio (R) of uric acid clearance/creatinine clearance was calculated. On the third experimental day, the relative R, referring to that of the first day for the acidic diet, became smaller than that for the alkaline diet, indicating that in acidic urine, uric acid excretion is limited by more active reabsorption, compared with that in alkaline urine. Taken together, we tentatively conclude that dietary intervention may well be the safest and the most economical way for the prevention of hyperuricemia.

Medical Subject Headings (MeSH)
DietFemaleFoodHumansHydrogen-Ion ConcentrationUric AcidYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations9
Citations/Year0.6
Relative Citation Ratio0.33
NIH Percentile17.4%
Research Impact Scores
APT Score0.25
Weight Score1.16
Normalized Score0.64
Related Supplements
Effect of urine pH on uric acid excretion by manipulating fo... | Panacea Index