Can losing weight cause a gout attack?

It is important to consult a doctor before starting any weight loss program. Rapid weight loss among patients with gout increases the risk of a gout attack. This is because losing weight quickly can trigger a rapid release of uric acid in the body. Too much uric acid is what causes the painful symptoms of gout.

Your diet is very important in gout; certain foods are known to cause attacks. But a diet that simply eliminates purine-rich foods may not be enough. A better approach, doctors say, is to adopt a healthy, whole-grain form of eating, such as the DASH diet or the Mediterranean diet. Both limit red meat, sugar and processed foods and focus on fresh fruits and vegetables, some whole grains, and healthy fats such as olive oil.

Exercise and weight loss also lower uric acid levels and help prevent gout outbreaks. In a small trial, patients who lost 16 pounds reduced their uric acid levels by 3 points. You can control gout if you really stick to good lifestyle choices, Dr. Bariatric patients have been documented to see an increase in short-term gout attacks.

Rapid weight loss is known to cause uric acid buildup and, after bariatric surgery, a very low calorie diet and rapid weight loss seem to trigger gout attacks. Gout attacks can occur when your diet is too high in protein. With a gout disorder, uric acid crystals are deposited in the joints, where they cause a type of arthritis called gouty arthritis. They can also be deposited in the kidneys, where they can cause kidney stones.

It is believed that reducing uric acid levels through small dietary changes may help reduce the likelihood of future gout attacks. If you're determined to lose weight, it's important to avoid intensive diets at all costs, as losing weight quickly and going hungry for long periods of time can increase uric acid levels in your body and cause you to have an unwanted gout attack. For many years, there has been a misconception that simply changing the diet will help keep gout under control. However, another study conducted at the University of Auckland in New Zealand also suggests that patients with gout who are obese may benefit from bariatric surgery, which will control the crystallization of uric acid in the joints, further prevent gout attacks and reduce inflammation caused by loss of weight.

The problem, however, is that most people suffering from gout find that losing weight through diet and exercise alone is difficult, if not impossible, to do. We tested the hypothesis that people who were losing weight had a higher risk of gout than people who maintained a non-obese BMI over time (“residual risk hypothesis”), meaning that people who have been obese have a higher risk of developing gout than those who have never been obese. Losing weight alone can lower blood levels of uric acid, as well as the number of gout attacks, preventing hyperuricemia, so it's obvious that if you're overweight and gout, immediately consider losing weight with whatever method you want. Third, the definition of gout in epidemiological studies varies and includes, either in isolation or in combination, gout diagnosed by the physician based on history and examination, prescribing practices, and the analysis of health care data sets or coding systems.

While the relationship between obesity and incident gout has been clarified, the influence of weight changes during the transition from early adulthood to middle age and the different patterns of weight change in specific age ranges on the incidence of gout in old age is unknown. People who reported receiving a first diagnosis of gout between 10 years before the survey and the time of the survey were considered to have incident gout. Another feature that can make weight-loss surgery a perfect option for people with obesity who have had trouble controlling their diet and have had recurrent gout is the ability to regularly and efficiently control gout. Fortunately, recent clinical data show a positive relationship between gout and weight-loss surgery, which is giving patients with gout renewed hope to combat this painful condition.

Self-information about gout diagnosed by a physician had a sensitivity of 84%, compared to that of the reference standard, which was defined as a diagnosis of gout upon hospital discharge or the use of specific medications for gout (colchicine, probenecid, allopurinol). . .

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