Urine pH is an indicator of dietary acid-base load, fruit and vegetables and meat intakes:results from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk population study

Welch, Ailsa A, Mulligan, Angela, Bingham, Sheila A and Khaw, Kay-Tee (2008) Urine pH is an indicator of dietary acid-base load, fruit and vegetables and meat intakes:results from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk population study. British Journal of Nutrition, 99 (6). pp. 1335-1343. ISSN 0007-1145

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Abstract

Evidence exists that a more acidic diet is detrimental to bone health. Although more precise methods exist for measurement of acid-base balance, urine pH reflects acid-base balance and is readily measurable but has not been related to habitual dietary intake in general populations. The present study investigated the relationship between urine pH and dietary acid-base load (potential renal acid load; PRAL) and its contributory food groups (fruit and vegetables, meats, cereal and dairy foods). There were 22,034 men and women aged 39-78 years living in Norfolk (UK) with casual urine samples and dietary intakes from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk FFQ. A sub-study (n 363) compared pH in casual samples and 24 h urine and intakes from a 7 d diary and the FFQ. A more alkaline diet (low PRAL), high fruit and vegetable intake and lower consumption of meat was significantly associated with a more alkaline urine pH before and after adjustment for age, BMI, physical activity and smoking habit and also after excluding for urinary protein, glucose, ketones, diagnosed high blood pressure and diuretic medication. In the sub-study the strongest relationship was found between the 24 h urine and the 7 d diary. In conclusion, a more alkaline diet, higher fruit and vegetable and lower meat intake were related to more alkaline urine with a magnitude similar to intervention studies. As urine pH relates to dietary acid-base load its use to monitor change in consumption of fruit and vegetables, in individuals, warrants further investigation.

Item Type:	Article
Uncontrolled Keywords:	adult,age distribution,aged,ascorbic acid,biological markers,diet,europe,european continental ancestry group,female,food habits,fruit,health surveys,humans,hydrogen-ion concentration,male,meat,middle aged,neoplasms,prospective studies,regression analysis,sex distribution,smoking,urine,vegetables,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User:	EPrints Services
Date Deposited:	25 Nov 2010 11:11
Last Modified:	19 Oct 2023 00:45
URI:	https://ueaeprints.uea.ac.uk/id/eprint/13954
DOI:	10.1017/S0007114507862350

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