Sugar-sweetened beverage consumption and change in gout risk, with stratification by SLC2A9 genotype
Obs | Δ In gout risk, 95% CI (odds ratio)* | p | βInteraction (95% CI)† | p | ||
---|---|---|---|---|---|---|
NZ European Caucasian | Unstratified | 563 | 1.20 (1.03 to to 1.40) | 0.020 | 0.021 (−0.016 to 0.058) | 0.27 |
C allele non-carrier | 373 | 1.16 (0.95 to 1.43) | 0.14 | |||
C allele carrier | 148 | 1.27 (0.96 to 1.67) | 0.091 | |||
NZ Ma¯ori | Unstratified | 463 | 1.11 (0.98 to 1.27) | 0.11 | −0.064 (−0.12 to −0.011) | 0.018 |
C allele non-carrier | 396 | 1.19 (1.03 to 1.37) | 0.019 | |||
C allele carrier | 51 | 0.76 (0.49 to 1.16) | 0.20 | |||
NZ Pacific Islander | Unstratified | 489 | 1.13 (1.01 to 1.27) | 0.030 | 0.073 (−0.018 to 0.16) | 0.12 |
C allele non-carrier | 454 | 1.11 (0.99 to 1.25) | 0.039 | |||
C allele carrier | 27 | 1.71 (0.85 to 3.42) | 0.13 | |||
ARIC | Unstratified | 6721 | 1.09 (0.94 to 1.27) | 0.26 | 0.00028 (−0.0067 to 0.0072) | 0.94 |
G allele non-carrier‡ | 4082 | 1.05 (0.88 to 1.26) | 0.58 | |||
G allele carrier | 2639 | 1.16 (0.88 to 1.54) | 0.29 | |||
All Populations Combined | Unstratified | 8236 | 1.13 (1.06 to 1.20) | 1.9×10−4 | −0.013§ (−0.022 to −0.003) | 0.010 |
Minor allele non-carrier‡ | 5305 | 1.12 (1.05 to 1.21) | 0.001 | |||
C allele carrier | 2888 | 1.15 (0.98 to 1.34) | 0.082 |
*Change in gout risk per increase in consumption category adjusted by age, sex, BMI, alcohol (continuous variable), fruit intake (continuous variable), kidney disease, high blood pressure, relatedness and sample set where combined.
†SSB/day ordinal (ordered) variables (0, 1, 2, 3, 4, 5, 6) were created as described in the supplementary material and used as a continuous variable to derive the SSB by genotype interaction term with risk of gout as outcome.
‡ARIC genotyped with rs11942223 surrogate rs6449173 (major allele A, minor allele C).
§Interaction term by Mantel Haenszel meta-analysis was 0.000 (−0.033 to 0.034), p=0.99 (the p value of the Q test for heterogeneity was 0.025).
ARIC, Atherosclerosis Risk in Communities; NZ, New Zealand; Obs, Observations; SSB, sugar (sucrose)-sweetened beverage.