2000
DOI: 10.1001/jama.283.18.2404
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Serum Uric Acid and Cardiovascular Mortality

Abstract: Our data suggest that increased serum uric acid levels are independently and significantly associated with risk of cardiovascular mortality.

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Cited by 1,328 publications
(401 citation statements)
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“…Information on diuretics and urate‐lowering agents was lacking in our study. The first National Health and Nutrition Examination Survey indicates that the association between SUA and mortality is independent of diuretic use,5 and we believed that diuretic use may not affect our results. Dietary intake assessment such as food record, 24‐hour dietary recall, or food frequency questionnaire was not implemented in our study.…”
Section: Discussionmentioning
confidence: 73%
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“…Information on diuretics and urate‐lowering agents was lacking in our study. The first National Health and Nutrition Examination Survey indicates that the association between SUA and mortality is independent of diuretic use,5 and we believed that diuretic use may not affect our results. Dietary intake assessment such as food record, 24‐hour dietary recall, or food frequency questionnaire was not implemented in our study.…”
Section: Discussionmentioning
confidence: 73%
“…Our study did not aim to assess the relationship between the change of SUA and mortality risks. A single measurement of SUA to predict outcomes was a simplified and practical approach, similar to what was done by previous researchers 5, 6, 7, 8, 10, 11. Information on diuretics and urate‐lowering agents was lacking in our study.…”
Section: Discussionmentioning
confidence: 98%
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“…168,169,[173][174][175] Hyperuricemia may lead to gout and other diseases and is often related to dietary habits and lifestyle. [175][176][177][178] A high intake of red meat is frequently related to oxidative stress and radical damage in the gastrointestinal tract leading to pathological disorders. 15,20,[37][38][39]179,180 The oxidative damage seems to arise from the formation of the hypervalent meat pigments perferrylmyoglobin (  MbFe(IV)=O) and ferryl myoglobin (MbFe(IV)=O).…”
Section: Introductionmentioning
confidence: 99%
“…169,170,174,183 Both serum and gastrointestinal levels of uric acid may thus be modulated by dietary factors and a high intake of red meat is traditionally considered a risk factor for hyperuricemia and diseases resulting from this condition. [174][175][176][177]184,185 A higher level of uric acid formed in the digestive tract during food digestion could, however, also have positive health effects, since uric acid could be important as a reductant of hypervalent meat pigments. 186 The capability of uric acid and urate to deactivate hypervalent myoglobin through the formation of iron(III) or iron(II) states in effect protecting the gastrointestinal tract and muscles against radical damage has, however, not been studied.…”
Section: Introductionmentioning
confidence: 99%