Age difference in the combined effect of soda drinks consumption and body adiposity on hyperuricemia in US adults
Abstract Objective: To evaluate age-related differences in the independent/combined association of added sugar intake from soda and body adiposity with hyperuricemia in gender stratified US adults. Design: Consumption of added sugar from soda was calculated from 24-h dietary interviews and categorized into none, regular, and excessive consumption. Hyperuricemia was defined as serum uric acid levels >7 mg/dL in men and >6 mg/dL in women. Multiple regression models with interaction terms and logistic models adjusted for covariates were conducted under survey-data modules. Setting: National Health and Nutrition Examination Survey during 2007-2016. Participants: 15,338 adults without gout, failing kidneys, an eGFR<30 or diabetes were selected. Results: The age stratified prevalence rate of hyperuricemia was 18.8-20.4% in males and 6.8-17.3% in females. Hyperuricemia prevalence of approximately 50% was observed in young and middle age males who consumed excessive added sugar from soda. Excessive added sugar intake was observed to be associated with a 1.5- to 2.0- fold and 2.0- to 2.3- fold increased risk of the probability of hyperuricemia in young and middle age males and middle age females, respectively. Study participants, regardless of age or gender, who were obese and consumed excessive added sugar from soda had the highest risk of having hyperuricemia. Conclusion: Our study revealed that the association between hyperuricemia and consumption of excessive added sugar from soda may vary by age and gender. Obese adults who consumed excessive added sugar from soda had the highest risk of hyperuricemia, a finding that was found across all age-specific groups for both genders.