RT Journal Article T1 Association Among Polyphenol Intake, Uric Acid, and Hyperuricemia: A Cross-Sectional Analysis in a Population at High Cardiovascular Risk. A1 Rubin-Garcia, Maria A1 Vitelli-Storelli, Facundo A1 Alvarez-Alvarez, Laura A1 Martinez-Gonzalez, Miguel Angel A1 Salas-Salvado, Jordi A1 Corella, Dolores A1 Hernaez, Alvaro A1 Martinez, J Alfredo A1 Alonso-Gomez, Angel M A1 Wärnberg, Julia A1 Vioque, Jesus A1 Romaguera, Dora A1 Lopez-Miranda, Jose A1 Estruch, Ramon A1 Tinahones, Francisco J A1 Serra-Majem, Luis I A1 Cano-Ibañez, Naomi A1 Tur, Josep A A1 Marcos-Delgado, Alba A1 Tresserra-Rimbau, Anna A1 Pinto, Xavier A1 Delgado-Rodriguez, Miguel A1 Matia-Martin, Pilar A1 Vidal, Josep A1 Vazquez, Clotilde A1 Daimiel, Lidia A1 Ros, Emili A1 Vazquez-Ruiz, Zenaida A1 Babio, Nancy A1 Barragan, Rocio A1 Castañer-Niño, Olga A1 Razquin, Cristina A1 Tojal-Sierra, Lucas A1 Gomez-Gracia, Enrique A1 Gonzalez-Palacios, Sandra A1 Morey, Marga A1 Garcia-Rios, Antonio A1 Castro-Barquero, Sara A1 Bernal-Lopez, Maria Rosa A1 Santos-Lozano, Jose Manuel A1 Ruiz-Canela, Miguel A1 Castro-Salomo, Antoni A1 Pascual-Castello, Eva Cristina A1 Moldon, Veronica A1 Bullon-Vela, Vanessa A1 Sorto-Sanchez, Carolina A1 Cenoz-Osinaga, Juan Carlos A1 Gutierrez, Liliana A1 Mengual, Maira A1 Lamuela-Raventos, Rosa Maria A1 Martin-Sanchez, Vicente K1 Hyperuricemia K1 Polyphenols K1 Uric acid AB Background Dietary polyphenol intake has been associated with a decreased risk of hyperuricemia, but most of this knowledge comes from preclinical studies. The aim of the present study was to assess the association of the intake of different classes of polyphenols with serum uric acid and hyperuricemia. Methods and Results This cross-sectional analysis involved baseline data of 6332 participants. Food polyphenol content was estimated by a validated semiquantitative food frequency questionnaire and from the Phenol-Explorer database. Multivariable-adjusted linear regression models with serum uric acid (milligrams per deciliter) as the outcome and polyphenol intake (quintiles) as the main independent variable were fitted. Cox regression models with constant follow-up time (t=1) were performed to estimate the prevalence ratios (PRs) of hyperuricemia (≥7 mg/dL in men and ≥6 mg/dL in women). An inverse association between the intake of the phenolic acid class (β coefficient, -0.17 mg/dL for quintile 5 versus quintile 1 [95% CI, -0.27 to -0.06]) and hydroxycinnamic acids (β coefficient, -0.19 [95% CI, -0.3 to -0.09]), alkylmethoxyphenols (β coefficient, -0.2 [95% CI, -0.31 to -0.1]), and methoxyphenols (β coefficient, -0.24 [95% CI, -0.34 to -0.13]) subclasses with serum uric acid levels and hyperuricemia (PR, 0.82 [95% CI, 0.71-0.95]; PR, 0.82 [95% CI, 0.71-0.95]; PR, 0.80 [95% CI, 0.70-0.92]; and PR, 0.79 [95% CI, 0.69-0.91]; respectively) was found. The intake of hydroxybenzoic acids was directly and significantly associated with mean serum uric acid levels (β coefficient, 0.14 for quintile 5 versus quintile 1 [95% CI, 0.02-0.26]) but not with hyperuricemia. Conclusions In individuals with metabolic syndrome, a higher intake of some polyphenol subclasses (hydroxycinnamic acids, alkylmethoxyphenol, and methoxyphenol) was inversely associated with serum uric acid levels and hyperuricemia. Nevertheless, our findings warrant further research. PB Wiley-Blackwell Publishing YR 2022 FD 2022-09-12 LK http://hdl.handle.net/10668/20201 UL http://hdl.handle.net/10668/20201 LA en NO Rubín-García M, Vitelli-Storelli F, Álvarez-Álvarez L, Martínez-González MÁ, Salas-Salvadó J, Corella D, et al. Association Among Polyphenol Intake, Uric Acid, and Hyperuricemia: A Cross-Sectional Analysis in a Population at High Cardiovascular Risk. J Am Heart Assoc. 2022 Oct 18;11(20):e026053 DS RISalud RD Apr 18, 2025