运动调控尿酸的作用机制.

BACKGROUND: Excessive accumulation of uric acid in the body can lead to diseases such as hyperuricemia and gout, which is a risk factor for cardiovascular and renal dysfunction. Many sports medicine organizations at home and abroad advocate the formulation of exercise prescription to prevent and treat chronic diseases, but this method has not been effectively carried out in the prevention and treatment of hyperuricemia. OBJECTIVE: Based on an overview of the formation of hyperuricemia and the regulation of uric acid by exercise and its related mechanisms, to condense a program suitable for popular exercise to prevent and assist in the treatment of hyperuricemia, and to propose precautions to be taken when exercising for patients with different stages of hyperuricemia. METHODS: PubMed and CNKI were searched for relevant literature published before October 2023 using the keywords of “uric acid, gout, aerobic exercise, strength training, high-intensity interval training, obesity” in English and Chinese, respectively. Initial screening was done by reading the titles and abstracts to exclude repetitive studies and literature with irrelevant content, and finally 64 papers were included for review. RESULTS AND CONCLUSION: The formation of hyperuricemia is caused by excessive synthesis of uric acid by the liver, insufficient excretion by the kidneys, or both. Exercise can improve the uric acid level in the body by regulating the activity of antioxidant enzymes, the expression of uric acid excretion protein and lipid metabolism. Aerobic exercise, strength training, high-intensity intermittent exercise can effectively regulate uric acid levels, reduce inflammation, promote the expression of uric acid excretion protein and lipid metabolism, and achieve good results in the prevention and treatment of hyperuricemia. Currently, there is a lack of research on the mechanisms underlying direct regulation of uric acid levels by exercise, and future studies need to explore in greater depth the possible mechanisms of regulation of uric acid levels by exercise and refine the effects of different exercise modalities on patients with different characteristics of hyperuricemia. [ABSTRACT FROM AUTHOR]