Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake

Takashi Koguchi

doi:doi:10.11648/j.ajhr.20210905.15

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Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake

Takashi Koguchi

Published in American Journal of Health Research (Volume 9, Issue 5)

Received: 1 August 2021 Accepted: 1 September 2021 Published: 10 September 2021

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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 shows the relationship between the number of gout patients and food intake in Japanese people and suggests modification of food intake for the 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 foods. The relationship between the number of gout patients and food intake in Japanese people was examined. Modification of food intake for the prevention of gout is suggested as follows: limiting the intake of meat, organ meats high in purine content (e.g., liver, kidney), confectioneries (sugary foods including desserts and sweets), and sugar-sweetened beverages; limiting alcohol beverage consumption; limiting or decreasing intake of oils and fats, and seasonings and condiments (soy paste, soy sauce, and sauce); encourage intake of fiber-rich foods (e.g., cereals, whole grains, high-fiber bread), eggs, milk and dairy products (especially low-fat dairy products), legumes, seeds and nuts, fruit, vegetables, and coffee. The above dietary habits for the prevention of gout with proper choices of foods may also play a helpful role in the prevention of gout.

Published in	American Journal of Health Research (Volume 9, Issue 5)
DOI	10.11648/j.ajhr.20210905.15
Page(s)	158-175
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

Comorbidities of Gout, Dietary Habits, Food, Gout, Hyperuricemia, Nutrient, Uric Acid

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]	Koguchi, T. (2021) Modification of dietary habits for prevention of gout in Japanese people: Gout and micronutrient intake or alcohol consumption. Am J Health Res, (in press).
[4]	Koguchi, T. (2018) Essentials of dietary habits for prevention and suppression of hyperuricemia. Curr Top Pharmacol, 22, 77-133.
[5]	The 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.
[6]	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.
[7]	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.
[8]	National Institute of Health and Nutrition [Internet]. Available from: www.nibiohn.go.jp/eiken/kenkounippon21/eiyouchousa/keinen_henka_time.html.
[9]	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.
[10]	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).
[11]	National Health and Medical Research Council (NHMRC), Australian Government. Australian Guide to Healthy Eating, Eat for Health, Australian Dietary Guidelines, 2013 [Internet]. Available from: https://www.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n55_australian_dietary_guidelines.pdf.
[12]	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.
[13]	Major, T. J., Topless, R. K., Dalbeth, N., & Merriman, T. R. (2018) Evaluation of the diet wide contribution to serum urate levels: meta-analysis of population based cohorts. BMJ, 363, k3951.
[14]	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.
[15]	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.
[16]	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.
[17]	Hosojima, M., Kaseda, R., Kondo, H., Fujii, M., Kubota, M., Watanabe, R., Tanabe, N., Kadowaki, M., Suzuki, Y., & Saito, A. (2016) Beneficial effects of rice endosperm protein intake in Japanese men with risk factors for metabolic syndrome: a randomized, crossover clinical trial. BMC Nutr, 2, 25.
[18]	Chuang, S. Y., Lee, S. C., Hsieh, Y. T., & Pan, W. H. (2011) Trends in hyperuricemia and gout prevalence: Nutrition and Health Survey in Taiwan from 1993-1996 to 2005-2008. Asia Pac J Clin Nutr, 20, 301-308.
[19]	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.
[20]	Ministry of Health, Labour and Welfare and Ministry of Agriculture, Forestry and Fisheries. 2010, Japanese Food Guide Spinning Top, Tokyo. [Internet]. Available from: http://www.maff.go.jp/j/balance_guide/b_sizai/attach/pdf/index-56.pdf.
[21]	Brulé, D., Sarwar, G., & Savoie, L. (1992) Changes in serum and urinary uric acid levels in normal human subjects fed purine-rich foods containing different amounts of adenine and hypoxanthine. J Am Coll Nutr, 11, 353-358.
[22]	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.
[23]	Kontogianni, M. D., Chrysohoou, C., Panagiotakos, D. B., Tsetsekou, E., Zeimbekis, A., Pitsavos, C., & Stefanadis, C. (2012) Adherence to the Mediterranean diet and serum uric acid: the ATTICA study. Scand J Rheumatol, 41, 442-449.
[24]	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.
[25]	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.
[26]	Choi, H. K., Liu, S., & Curhan, G. (2005) Intake of purine-rich foods, protein, and dairy products and relationship to serum levels of uric acid: The Third National Health and Nutrition Examination Survey. Arthritis Rheum, 52, 283-289.
[27]	Haldar, S., Rowland, I. R., Barnett, Y. A., Bradbury, I., Robson, P. J., Powell, J., & Fletcher, J. (2007) Influence of habitual diet on antioxidant status: a study in a population of vegetarians and omnivores. Eur J Clin Nutr, 61, 1011-1022.
[28]	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.
[29]	Desideri, G., Puig, J. G., & Richette, P. (2015) The management of hyperuricemia with urate deposition. Curr Med Res Opin, 31 (Suppl 2), 27-32.
[30]	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.
[31]	Han, Q-X., Zhang, D., Zhao, Y-L., Liu, L., Li, J., Zhang, F., Luan, F-X., Liu, D-W., Liu, Z-S., Cai, G-Y., Chen, X-M., & Zhu, H-Y. (2019) Risk factors for hyperuricemia in Chinese centenarians and near- centenarians. Clinical Interventions in Aging, 14, 2239-2247.
[32]	Zhu, J. N., Qi, X. Y., Tan, Y., & Lyu, X. H. (2016) Dietary factors associated with hyperuricemia and glycolipid metabolism disorder in middle-aged and elderly people. Sichuan. Da Xue Xue Bao Yi Xue Ban, 47, 68-72 (in Chinese).
[33]	Guasch-Ferré, M., Bulló, M., Babio, N., Martínez-González, M. A., Estruch, R., Covas, M-I., Wärnberg, J., Arós, F., Lapetra, J., Serra-Majem, L., Basora, J., & Salas-Salvadó, J. (2013) Mediterranean diet and risk of hyperuricemia in elderly participants at high cardiovascular risk. J Gerontol A Biol Sci Med Sci, 68, 1263-1270.
[34]	Doherty, M. (2009) New insights into epidemiology of gout. Rheumatology (Oxford), 48 (suppl 2), ii2-ii8.
[35]	Nickolai, B., & Kiss, C. (2016) Nutritional therapy of gout. Ther Umsch, 73, 153-158.
[36]	Choi, H. K., Atkinson, K., Karlson, E. W., Willett, W., & Curhan, G. (2004) Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med, 350, 1093-1103.
[37]	Teng, G. G., Pan, A., Yuan, J. M., & Koh, W. P. (2015) Food sources of protein and risk of incident gout in the Singapore Chinese Health Study. Arthritis Rheumatol, 67, 1933-1942.
[38]	Zhu, Y., Pandya, B. J., & Choi, H. K. (2011) Prevalence of gout and hyperuricemia in the US general population: the National Health and Nutrition Examination Survey 2007-2008. Arthritis Rheum, 63, 3136-3141.
[39]	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.
[40]	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.
[41]	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.
[42]	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.
[43]	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.
[44]	Kramer, H. (2019) Diet and chronic kidney disease. Adv Nutr, 10, S367-S379.
[45]	Rebholz, C. M., Crews, D. C., Grams, M. E., Steffen, L. M., Levey, A. S., Miller, E. R. 3 rd., Appel, L. J., & Coresh, J. (2016) DASH (Dietary Approaches to Stop Hypertension) diet and risk of subsequent kidney disease. Am J kidney Dis, 68, 853-861.
[46]	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.
[47]	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.
[48]	Yu, J. W., Yang, T. G., Diao, W. H., Cai, X. Q., Li, T., Zhong, H., Hu, D. L., Chen, C. Q., & Chen, Z. X. (2010) Epidemiological study on hyperuricemia and gout in Foshan areas, Guangdong province. Chin J Epidemiol, 31, 860-862.
[49]	Ren, Z., Huang, C., Momma, H., Cui, Y., Sugiyama, S., Niu, K., & Nagatomi, R. (2016) The consumption of fish cooked by different methods was related to the risk of hyperuricemia in Japanese adults: A 3-year follow-up study. Nutr Metab Cardiovasc Dis, 26, 778-785.
[50]	Wang, Y., Yan, S., Li, C., Zhao, S., Lv, J., Wang, F., Meng, D., Han, L., Wang, Y., & Miao, Z. (2013) Risk factors for gout developed from hyperuricemia in China: a five-year prospective cohort study. Rheumatol Int, 33, 705- 710.
[51]	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).
[52]	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.
[53]	American Diabetes Association (2019) Lifestyle management: standards of medical care in diabetes-2019. Diabetes Care, 42, S46-S60.
[54]	Terkeltaub, R., & Edwards, N. L. (2013) Gout: Diagnosis and management of gouty arthritis and hyperuricemia. 3rd edition, p. 1-336. Professional Communications, Inc. NY.
[55]	Chang, W. C. (2011) Dietary intake and the risk of hyperuricemia, gout and chronic kidney disease in elderly Taiwanese men. Aging Male, 14, 195-202.
[56]	Dalbeth, N., Wong, S., Gamble, G. D., Horne, A., Mason, B., Pool, B., Fairbanks, L., McQueen, F. M., Cornish, J., Reid, I. R., & Palmano, K. (2010) Acute effect of milk on serum urate concentrations: a randomized controlled crossover trial. Ann Rheum Dis, 69. 1677-1682.
[57]	Carabin, I. G., Lyon, M. R., Wood, S., Pelletier, X., Donazzolo, Y., & Burdock, G. A. (2009) Supplementation of the diet with the functional fiber PolyGlycoplex is well tolerated by healthy subjects in a clinical trial. Nutr J, 8, 9.
[58]	Dalbeth, N. and Palmano, K. (2011) Effects of dairy intake on hyperuricemia and gout. Curr Rheumatol Rep, 13, 132-137.
[59]	Ghadirian, P., Shatenstein, B., Verdy, M., & Hamet, P. (1995) The influence of dairy products on plasma uric acid in women. Eur J Epidemiol, 11, 275-281.
[60]	Hunter, D. C., Brown, R., Green, T., Thomson, C., Skeaff, M., Williams, S., Todd, J. M., Lister, C. E., McGhie, T., Zhang, J., Martin, H., Rippon, P., Stanley, R., & Skinner, M. A. (2012) Changes in markers of inflammation, antioxidant capacity and oxidative stress in smokers following consumption of milk, and milk supplemented with fruit and vegetable extracts and vitamin C. Int J Food Sci Nutr, 63, 90-102.
[61]	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.
[62]	Moi, J. H., Sriranganathan, M. K., Falzon, I., Edwards, C. J., van der Heijde, D. M., & Buchbinder, R. (2014) Lifestyle interventions for the treatment of gout: a summary of 2 Cochrane systematic reviews. J Rheumatol, Suppl 92, 26-32.
[63]	Garrel, D. R., Verdy, M., PetitClerc, C. Martin, C., Brulé, D., & Hamet, P. (1991) Milk-and soy-protein ingestion; Acute effect on serum uric acid concentration. Am J Clin Nutr, 53, 665-669.
[64]	Dalbeth, N., Ames, R., Gamble, G. D., Horne, A., Wong, S., Kuhn-Sherlock, B., MacGibbon, A., McQueen, F. M., Reid, I. R., & Palmano, K. (2012) Effects of skim milk powder enriched with glycomacropeptide and G600 milk fat extract on frequency of gout flares: a proof-of-concept randomised controlled trial. Ann Rheum Dis, 71, 929-934.
[65]	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.
[66]	INRA (2021) Phenol-Explorer database [Internet]. Available from: http://phenol-explorer.eu/compounds.
[67]	Yamakita, J., Yamamoto, T., Moriwaki, Y., Takahashi, S., Tsutsumi, Z., & Higashino, K. (1998) Effect of Tofu (bean curd) ingestion and on uric acid metabolism in healthy and gouty subjects. Adv Exp Med Biol, 431, 839-842.
[68]	Liu, J., Sun, L. L. He, L. P., Ling, W. H., Liu, Z. M., & Chen, M. (2014) Soy food consumption, cardiometabolic alterations and carotid intima-media thickness in Chinese adults. Nutr Metab Cardiovasc Dis, 24, 1097-1104.
[69]	Esmaillzadeh, A., & Azadbakht, L. (2012) Legume consumption is inversely associated with serum concentrations of adhesion molecules and inflammatory biomarkers among Iranian women. J Nutr, 142, 334-339.
[70]	Bitzer, Z. T., Wopperer, A. L., Chrisfield, B. J., Tao, L., Cooper, T. K., Vanamala, J., Elias, R., Hayes, J. E., & Lambert, J. D. (2017) Soy protein concentrate mitigates markers of colonic inflammation and loss of gut barrier function in vitro and in vivo. J Nutr Biochem, 40, 201-208.
[71]	Souza, R. G., Gomes, A. C., Naves, M. M., & Mota, J. F. (2015) Nuts and legume seeds for cardiovascular risk reduction: scientific evidence and mechanisms of action. Nutr Rev, 73, 335-347.
[72]	Bazzano, L. A., He, J., Ogden, L. G., Loria, C., Vupputuri, S., Myers, L., & Whelton, P. K. (2001) Legume consumption and risk of coronary heart disease in US men and women: NHANES I Epidemiologic Follow-up Study. Arch Intern Med, 161, 2573-2578.
[73]	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.
[74]	Wang, C., Guo, X-F., Yang, T., Zhao, T. & Li, D. (2021) Nut intake and hyperuricemia risk in young adults. Public Health Nutr, 15, 1-19.
[75]	Saag, K. G., & Choi, H. K. (2006) Epidemiology, risk factors, and lifestyle modifications for gout. Arthritis Res Ther, 8 (suppl 1), S2.
[76]	Schlesinger, N. (2005) Dietary factors and hyperuricemia. Curr Pharm Des, 11, 4133-4138.
[77]	Chan, M., Kelly, J., & Tapsell, L. (2017) Dietary modeling of foods for advanced CKD based on general healthy eating guidelines: What should be on the plate? Am J Kidney Dis, 69, 436-450.
[78]	Blau, L. W. (1950) Cherry diet control for gout and arthritis. Tex Rep Biol Med, 8, 309-311.
[79]	Jacob, R. A., Spinozzi, G. M., Simon, V. A., Kelley, D. S., Prior, R. L., Hess-Pierce, B., & Kader, A. A. (2003) Consumption of cherries lowers plasma urate in healthy women. J Nutr, 133, 1826-1829.
[80]	Haidari, F., Mohammad Shahi, M., Keshavarz, S. A., & Rashidi, M. R. (2009) Inhibitory effects of tart cherry (prunus cerasus) juice on xanthine oxidoreductase activity and its hypouricemic and antioxidant effects on rats. Mal J Nutr, 15, 53-64.
[81]	Martin, K. R., Bopp, J., Burrell, I., & Hook, G. (2011) The effect of 100% tart cherry juice on serum uric acid levels, biomarkers of inflammation and cardiovascular disease risk factors. FASEB J, 25 (Meeting Abstract Supplement), 339.2.
[82]	Usharani, P., Nutalapati, C., Pokuri, V. K., Kumar, C. U., & Taduri, G. (2016) A randomized, double-blind, placebo-, and positive-controlled clinical pilot study to evaluate the efficacy and tolerability of standardized aqueous extracts of Terminalia chebula and Terminalia bellerica in subjects with hyperuricemia. Clinical Pharmacology: Advances and Applicvations, 8, 51-59.
[83]	Zhang, Y., Neogi, T., Chen, C., Chaisson, C., Hunter, D. J., & Choi, H. K. (2012) Cherry consumption and decreased risk of recurrent gout attacks. Arthritis Rheum, 64, 4004-4011.
[84]	Schlesinger, N., Rabinowitz, R., & Schlesinger, M. (2012) Pilot studies of cherry juice concentrate for gout flare prophylaxis. J Arthritis, 1, 1-5.
[85]	Jakše, B., Jakše, B., Pajek, M., & Pajek, J. (2019) Uric acid and plant-based nutrition. Nutrients, 11, 1736.
[86]	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.
[87]	Nutrition and Your Health. 1990, Dietary Guidelines for American. 3 rd ed. U.S. Department of Agriculture, US Dept of Health and Human Services; 1990. Home and Garden Bulletin 232. Washington, D.C.
[88]	Flynn, T. J., Cadzow, M., Dalbeth, N., Jones, D. B., Stamp, L. K., Hindmarsh, J. H., Todd, A. S., Walker, R. J., Topless, R., & Merriman, T. R. (2015) Positive association of tomato consumption with serum urate: support for tomato consumption as an anecdotal trigger of gout flares. BMC Musculoskelet Disord, 16, 196.
[89]	Vinha, A. F., Barreira, S. V., Costa, A. S., Alves, R. C., & Oliveira, M. B. P. (2014) Pre-meal tomato (Lycopersicon esculentum) intake can have anti-obesity effects in young women? Int J Food Sci Nutr, 65, 1019-1026.
[90]	Lee, C-Y. J., Isaac, H. B., Huang, S. H., Long, L. H., Wang, H., Gruber, J., Ong, C. N., Kelly, R. P., & Halliwell, B. (2009) Limited antioxidant effect after consumption of a single dose of tomato sauce by young males, despite a rise in plasma lycopene. Free Radic Res, 43, 622-628.
[91]	Abete, I., Perez-Cornago, A., Navas-Carretero, S., Bondia-Pons, I., Zulet, M. A., & Martinez, J. A. (2013) A regular lycopene enriched tomato sauce consumption influences antioxidant status of healthy young subjects: A crossover study. J Funct Foods, 5, 28-35.
[92]	Engelhard, Y. N., Gazer, B., & Paran, E. (2006) Natural antioxidants from tomato extract reduce blood pressure in patients with grade-1-hypertenaion: A double-blind, placebo-controlled pilot study. Am Heart J, 151, 100.
[93]	Jacob, K., Periago, M. J., Bohm, V., & Berruezo, G. R. (2008) Influence of lycopene and vitamin C from tomato juice on biomarkers of oxidative stress and inflammation. Br J Nutr, 99, 137-146.
[94]	Cao, G., Russell, R. M., Lischner, N., & Prior, R. (1998) Serum antioxidant capacity is increased by consumption of strawberries, spinach, red wine or vitamin C in elderly women. J Nutr, 128, 2383-2390.
[95]	Kaneko, K., Aoyagi, Y., Fukuuchi, T., Inazawa, K., & Yamaoka, N. (2014) Total purine and purine base content of common foodstuffs for facilitating nutritional therapy for gout and hyperuricemia. Biol Pharm Bull, 37, 709-721.
[96]	Burton Goldberg Group. (1994) Alternative Medicine: The Definitive Guide, Future Medicine Publishing Co., Puyallup, WA.
[97]	Sánchez-Moreno, C., Cano, M. P., de Ancos, B., Plaza, L., Olmedilla, B., Granado, F., & Martín, A. (2004) Consumption of high-pressurized vegetable soup increases plasma vitamin C and decreases oxidative stress and inflammatory biomarkers in healthy humans. J Nutr, 134, 3021-3025.
[98]	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/.
[99]	World Health Organization (2007) Prevention of cardiovascular disease. Guidelines for assessment and management of cardiovascular risk. pp. 1-86. WHO Press. Geneva, Switzerland.
[100]	Australian Government, Department of Health and Aging. The Go for 2 Fruit & 5 Vegetables^TM Campaign [Internet]. Available from: https://healthywa.wa.gov.au/Articles/F_I/Go-for-2-and-5.
[101]	US Department of Agriculture. (2005) Dietary guidelines for Americans. Center for Nutrition Policy and Promotion, USDA. Washington, DC.
[102]	The Ministry of Agriculture, Forestry and Fisheries. (2020) WASHOKU, traditional dietary cultures of the Japanese [Internet]. Available from: https://www.maff.go.jp/e/japan_food/washoku/pdf/wasyoku_english.pdf.
[103]	Costa-Bauza, A., Grases, F., Calvó, P., Rodriguez, A., & Prieto, R. M. (2018) Effect of consumption of cocoa-derived products on uric acid crystallization in urine of healthy volunteers. Nutrients, 10, 1516.
[104]	Grases, F., Rodriguez, A., & Costa-Bauza, A. (2014) Theobromine inhibits uric acid crystallization. A potential application in the treatment of uric acid nephrolithiasis. PLoS ONE, 9, e111184.
[105]	Basu, S., McKee, M., Galea, G., & Stuckler, D. (2013) Relationship of soft drink consumption to global overweight, obesity, and diabetes: a cross-national analysis of 75 countries. Am J Public Health, 103, 2071-2077.
[106]	Choi, J. W. J., Ford, E. S., Gao, X., & Choi, H. K. (2008) Sugar-sweetened soft drinks, diet soft drinks, and serum uric acid level: The third national health and nutrition examination survey. Arthritis. Rheum, 59, 109-116.
[107]	Merriman, T. R., Dalbeth, N., & Johnson, R. J. (2014) Sugar-sweetened beverages, urate, gout and genetic interaction. Pac Health Dialog, 20, 31-38.
[108]	Nguyen, S., Choi, H. K., Lustig, R. H., & Hsu, C. Y. (2009) Sugar-sweetened beverages, serum uric acid, and blood pressure in adolescents. J Pediatr, 154, 807-813.
[109]	Meneses-Leon, J., Denova-Gutiérrez, E., Castañón-Robles, S., Granados-Garcia, V., Talavera, J. O., Rivera-Paredez, B., Huitrón-Bravo, G. G., Cervantes-Rodriguez, M., Quiterio-Trenado, M., Rudolph, S. E., & Salmerón, J. (2014) Sweetened beverage consumption and the risk of hyperuricemia in Mexican adults: a cross-sectional study. BMC Public Health, 14, 445.
[110]	Bae, J., Chun, B. Y., Park, P. S., Choi, B. Y., Kim, M. K., Shin, M. H., Lee, Y. H., Shin, D. H., & Kim, S. K. (2014) Higher consumption of sugar-sweetened soft drinks increases the risk of hyperuricemia in Korean population: The Korean Multi-Rural Communities Cohort Study. Semin. Arthritis Rheum, 43, 654-661.
[111]	Ebrahimpour-Koujan, S., Saneei, P., Larijani, B., & Esmaillzadeh, A. (2020) Consumption of sugar sweetened beverages and dietary fructose in relation to risk of gout and hyperuricemia: a systematic review and meta-analysis. Crit Rev Food Sci Nutr, 60, 1-10.
[112]	Choi, H. K., Willett, W., & Curhan, G. (2010) Fructose-rich beverages and the risk of gout in women. JAMA, 304, 2270-2278.
[113]	Johnson, R. J., Nakagawa, T., Sánchez-Lozada, L. G., Shafiu, M., Sundaram, S., Le, M., Ishimoto, T., Sautin, Y. Y., & Lanaspa, M. A. (2013) Sugar, uric acid, and the etiology of diabetes and obesity. Diabetes, 62, 3307-3315.
[114]	Pham, N. M., Yoshida, D., Morita, M., Yin, G., Toyomura, K., Ohnaka, K., Takayanagi, R., & Kono, S. (2010) The relation of coffee consumption to serum uric acid in Japanese men and women aged 49-76 years. J Nutr Metab, 2010, 930757.
[115]	Choi, H. K., & Curhan, G. (2007) Coffee, tea, and caffeine consumption and serum uric acid level: The third national health and nutrition examination survey. Arthritis Rheum, 57, 816-821.
[116]	Kiyohara, C., Kono, S., Honjo, S., Todoroki, I., Sakurai, Y., Nishiwaki, M., Hamada, H., Nishikawa, H., Koga, H., Ogawa, S., & Nakagawa, K. (1999) Inverse association between coffee drinking and serum uric acid concentrations in middle-aged Japanese males. Br J Nutr, 82, 125-130.
[117]	Choi, H. K., Willett, W., & Curhan, G. (2007) Coffee consumption and risk of incident gout in men: A prospective study. Arthritis Rheum, 56, 2049-2055.
[118]	Choi, H. K., & Curhan, G. (2010) Coffee consumption and risk of incident gout in women: the Nurses’ Health Study. Am J Clin Nutr, 92, 922-927.
[119]	Juraschek, S. P., Kowell, L. C., Miller, E. R., & Gelber, A. C. (2013) Dose-response association of uncontrolled blood pressure and cardiovascular disease risk factors with hyperuricemia and gout. PLoS One, 8, e56546.
[120]	Poole, R., Kennedy, O. J., Roderick, P., Fallowfield, J. A., Hayes, P. C., & Parkes, J. (2017) Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes. BMJ, 359, j5024.
[121]	Zhang Y, Yang T, Zeng C, Wei, J., Li, H., Xiong, Y. L., Yang, Y., Ding, X., & Lei, G.: Is coffee consumption associated with a lower risk of hyperuricaemia or gout? A systematic review and meta-analysis. (2016) BMJ Open, 6, e009809.
[122]	Panza, V. S., Wazlawik, E., Ricardo Schütz, G., Comin, L., Hecht, K. C., & da Silva, E. L. (2008) Consumption of green tea favorably affects oxidative stress markers in weight-trained men. Nutrition, 24, 433-442.
[123]	Bahorun, T., Luximon-Ramma, A., Gunness, T. K., Sookar, D., Bhoyroo, S., Jugessur, R. Reebye, D., Googoolye, K., Crozier, A., & Aruoma, O. I. (2010) Black tea reduces uric acid and C-reactive protein levels in humans susceptible to cardiovascular diseases. Toxicology, 278, 68-74.
[124]	Teng, G. G., Tan, C. S., Santosa, A., Saag, K. G., Yuan, J. M., & Koh, W. P. (2013) Serum urate levels and consumption of common beverages and alcohol among Chinese in Singapore. Arthritis Care Res, 65, 1432-1440.
[125]	Li, X., Song, P., Li, J., Wang, P., & Li, G. (2015) Relationship between hyperuricemia and dietary risk factors in Chinese adults: a cross-sectional study. Rheumatol Int, 35, 2079-1089.
[126]	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.
[127]	Towiwat, P., & Li, Z. G. (2015) The association of vitamin C, alcohol, coffee, tea, milk and yogurt with uric acid and gout. Int J Rheum Dis, 18, 495-501.
[128]	Kela, U., Vijayvargiya, R., & Trivedi, C. P. (1980) Inhibitory effects of methylxanthines on the activity of xanthine oxidase. Life Sci, 27, 2109-2119.
[129]	Tsai, Y. T., Liu, J. P., Tu, Y, K., Lee, M. S., Chen, P. R., Hsu, H. C., Chen, M. F., & Chien, L. L. (2012) Relationship between dietary patterns and serum uric acid concentrations among ethnic Chinese adults in Taiwan. Asia Pac J Clin Nutr, 21, 263-270.
[130]	Pérez-Jiménez, J. (2010) Identification of the 100 richest dietary sources of polyphenols an application of the Phenol-Explorer database. Eur J Clin Nutr, 64, Suppl 3, S112-120.
[131]	European Food Safety Authority (EFSA). (2015) Scientific opinion on the safety of caffeine. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). EFSA Journal, 13, 4102.
[132]	All Japan Coffee Association (2021) Coffee of consumption in Japan [Internet]. Available from: http://coffee.ajca.or.jp/wp-content/uploads/2019/06/data04_2019-06b.pdf.
[133]	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.
[134]	van der Gaag, M. S., van den Berg, R., van den Berg, H., Schaafsma, G., & Hendriks, H. F. (2000) Moderate consumption of beer, red wine and spirits has counteracting effects on plasma antioxidants in middle-aged men. Eur J Clin Nutr, 54, 586-591.
[135]	Yamamoto, T., Moriwaki, Y., Ka, T., Inokuchi, T., Takahashi, S., Tsutsumi, Z., Fukuchi, M., & Hada, T. (2004) Effect of purine-free low-malt liquor (happo-shu) on the plasma concentrations and urinary excretion of purine bases and uridine—comparison between purine-free and regular happo-shu. Horm Metab Res, 36, 231-237.
[136]	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.
[137]	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.
[138]	Gaffo, A. L., Roseman, J. M., Jacobs, D. R. Jr., Lewis, C. E., Shlkany, J. M., Mikuls, T. R., Jolly, P. E., & Saag, K. G. (2010) Serum urate and its relationship with alcoholic beverage intake in men and women: findings from the Coronary Artery Risk Development in Young Adults (CARDIA) cohort. Ann Rheum Dis, 69, 1965-1970.

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Takashi Koguchi. (2021). Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake. American Journal of Health Research, 9(5), 158-175. https://doi.org/10.11648/j.ajhr.20210905.15

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Takashi Koguchi. Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake. Am. J. Health Res. 2021, 9(5), 158-175. doi: 10.11648/j.ajhr.20210905.15

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Takashi Koguchi. Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake. Am J Health Res. 2021;9(5):158-175. doi: 10.11648/j.ajhr.20210905.15

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@article{10.11648/j.ajhr.20210905.15,
  author = {Takashi Koguchi},
  title = {Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake},
  journal = {American Journal of Health Research},
  volume = {9},
  number = {5},
  pages = {158-175},
  doi = {10.11648/j.ajhr.20210905.15},
  url = {https://doi.org/10.11648/j.ajhr.20210905.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20210905.15},
  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 shows the relationship between the number of gout patients and food intake in Japanese people and suggests modification of food intake for the 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 foods. The relationship between the number of gout patients and food intake in Japanese people was examined. Modification of food intake for the prevention of gout is suggested as follows: limiting the intake of meat, organ meats high in purine content (e.g., liver, kidney), confectioneries (sugary foods including desserts and sweets), and sugar-sweetened beverages; limiting alcohol beverage consumption; limiting or decreasing intake of oils and fats, and seasonings and condiments (soy paste, soy sauce, and sauce); encourage intake of fiber-rich foods (e.g., cereals, whole grains, high-fiber bread), eggs, milk and dairy products (especially low-fat dairy products), legumes, seeds and nuts, fruit, vegetables, and coffee. The above dietary habits for the prevention of gout with proper choices of foods may also play a helpful role in the prevention of gout.},
 year = {2021}
}

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TY  - JOUR
T1  - Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake
AU  - Takashi Koguchi
Y1  - 2021/09/10
PY  - 2021
N1  - https://doi.org/10.11648/j.ajhr.20210905.15
DO  - 10.11648/j.ajhr.20210905.15
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 158
EP  - 175
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20210905.15
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 shows the relationship between the number of gout patients and food intake in Japanese people and suggests modification of food intake for the 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 foods. The relationship between the number of gout patients and food intake in Japanese people was examined. Modification of food intake for the prevention of gout is suggested as follows: limiting the intake of meat, organ meats high in purine content (e.g., liver, kidney), confectioneries (sugary foods including desserts and sweets), and sugar-sweetened beverages; limiting alcohol beverage consumption; limiting or decreasing intake of oils and fats, and seasonings and condiments (soy paste, soy sauce, and sauce); encourage intake of fiber-rich foods (e.g., cereals, whole grains, high-fiber bread), eggs, milk and dairy products (especially low-fat dairy products), legumes, seeds and nuts, fruit, vegetables, and coffee. The above dietary habits for the prevention of gout with proper choices of foods may also play a helpful role in the prevention of gout.
VL  - 9
IS  - 5
ER  -

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Takashi Koguchi

Department of Human Education, Kokugakuin Tochigi Junior College, Tochigi, Japan

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Takashi Koguchi. (2021). Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake. American Journal of Health Research, 9(5), 158-175. https://doi.org/10.11648/j.ajhr.20210905.15

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Takashi Koguchi. Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake. Am. J. Health Res. 2021, 9(5), 158-175. doi: 10.11648/j.ajhr.20210905.15

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Takashi Koguchi. Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake. Am J Health Res. 2021;9(5):158-175. doi: 10.11648/j.ajhr.20210905.15

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@article{10.11648/j.ajhr.20210905.15,
  author = {Takashi Koguchi},
  title = {Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake},
  journal = {American Journal of Health Research},
  volume = {9},
  number = {5},
  pages = {158-175},
  doi = {10.11648/j.ajhr.20210905.15},
  url = {https://doi.org/10.11648/j.ajhr.20210905.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20210905.15},
  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 shows the relationship between the number of gout patients and food intake in Japanese people and suggests modification of food intake for the 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 foods. The relationship between the number of gout patients and food intake in Japanese people was examined. Modification of food intake for the prevention of gout is suggested as follows: limiting the intake of meat, organ meats high in purine content (e.g., liver, kidney), confectioneries (sugary foods including desserts and sweets), and sugar-sweetened beverages; limiting alcohol beverage consumption; limiting or decreasing intake of oils and fats, and seasonings and condiments (soy paste, soy sauce, and sauce); encourage intake of fiber-rich foods (e.g., cereals, whole grains, high-fiber bread), eggs, milk and dairy products (especially low-fat dairy products), legumes, seeds and nuts, fruit, vegetables, and coffee. The above dietary habits for the prevention of gout with proper choices of foods may also play a helpful role in the prevention of gout.},
 year = {2021}
}

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TY  - JOUR
T1  - Modification of Dietary Habits for Prevention of Gout in Japanese People: Gout and Food Intake
AU  - Takashi Koguchi
Y1  - 2021/09/10
PY  - 2021
N1  - https://doi.org/10.11648/j.ajhr.20210905.15
DO  - 10.11648/j.ajhr.20210905.15
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 158
EP  - 175
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20210905.15
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 shows the relationship between the number of gout patients and food intake in Japanese people and suggests modification of food intake for the 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 foods. The relationship between the number of gout patients and food intake in Japanese people was examined. Modification of food intake for the prevention of gout is suggested as follows: limiting the intake of meat, organ meats high in purine content (e.g., liver, kidney), confectioneries (sugary foods including desserts and sweets), and sugar-sweetened beverages; limiting alcohol beverage consumption; limiting or decreasing intake of oils and fats, and seasonings and condiments (soy paste, soy sauce, and sauce); encourage intake of fiber-rich foods (e.g., cereals, whole grains, high-fiber bread), eggs, milk and dairy products (especially low-fat dairy products), legumes, seeds and nuts, fruit, vegetables, and coffee. The above dietary habits for the prevention of gout with proper choices of foods may also play a helpful role in the prevention of gout.
VL  - 9
IS  - 5
ER  -

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