A Elisabeth Hak1, Hyon K Choi. 1. Departments of Internal Medicine and Rheumatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Abstract
PURPOSE OF REVIEW: This review summarizes recent epidemiologic research findings on gout, and attempts to put them into the context of clinical and public health decision-making aimed at prevention and improved management of gout. RECENT FINDINGS: A large prospective study found that coffee consumption was inversely associated with risk of gout and that consumption of sugar-sweetened soft drinks or fructose was strongly associated with an increased gout risk. Studies based on the Third National Health and Nutrition Examination Survey (NHANES III) suggest that these consumptions affect serum uric acid levels parallel to the direction of gout risk. Furthermore, data from NHANES III show a remarkably high prevalence of the metabolic syndrome among individuals with gout. Prospective studies found an increased risk of myocardial infarction and cardiovascular mortality in gout patients. SUMMARY: Lifestyle and dietary recommendations for gout patients should consider other health benefits, since gout is often associated with major chronic disorders such as the metabolic syndrome and an increased risk for cardiovascular disease and mortality. In addition to recent dietary recommendations, gout patients should be advised to limit fructose intake. The inverse link between coffee and the risk of gout suggests that coffee could be allowed among gout patients.
PURPOSE OF REVIEW: This review summarizes recent epidemiologic research findings on gout, and attempts to put them into the context of clinical and public health decision-making aimed at prevention and improved management of gout. RECENT FINDINGS: A large prospective study found that coffee consumption was inversely associated with risk of gout and that consumption of sugar-sweetened soft drinks or fructose was strongly associated with an increased gout risk. Studies based on the Third National Health and Nutrition Examination Survey (NHANES III) suggest that these consumptions affect serum uric acid levels parallel to the direction of gout risk. Furthermore, data from NHANES III show a remarkably high prevalence of the metabolic syndrome among individuals with gout. Prospective studies found an increased risk of myocardial infarction and cardiovascular mortality in goutpatients. SUMMARY: Lifestyle and dietary recommendations for goutpatients should consider other health benefits, since gout is often associated with major chronic disorders such as the metabolic syndrome and an increased risk for cardiovascular disease and mortality. In addition to recent dietary recommendations, goutpatients should be advised to limit fructose intake. The inverse link between coffee and the risk of gout suggests that coffee could be allowed among goutpatients.
Authors: Michael A Becker; H Ralph Schumacher; Luis R Espinoza; Alvin F Wells; Patricia MacDonald; Eric Lloyd; Christopher Lademacher Journal: Arthritis Res Ther Date: 2010-04-06 Impact factor: 5.156
Authors: Tim Finkenstaedt; Andrei Manoliou; Martin Toniolo; Kai Higashigaito; Gustav Andreisek; Roman Guggenberger; Beat Michel; Hatem Alkadhi Journal: Eur Radiol Date: 2016-02-04 Impact factor: 5.315