Can weight loss cause gout flare-up?

Gout is an inflammatory form of arthritis that can result from genetic or lifestyle factors. While genetics play an important role, being overweight or obese can increase the risk of developing gout and of having recurrent outbreaks. Therefore, losing weight may be beneficial for some people. 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. Weight gain during adulthood was associated with an increased risk of gout. These findings have highlighted that maintaining non-obese weight and losing weight during adulthood is essential for the prevention and treatment of gout in adult life.

People who have gout often suffer from other serious health problems, such as diabetes, high blood pressure, and heart disease. 3 However, losing weight can help reduce the impact of gout and these other conditions, 3,5 Achieving or maintaining a healthy weight can also help alleviate joint pain and improve function and even slow the progression of arthritis, 6.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.

Aspirin, certain diuretics for high blood pressure (and other conditions), and medications for people who have had organ transplants can cause gout. After an exacerbation, review all medications you take with your doctor. If necessary, they should be able to find another option. When you lose weight, you can protect yourself from another flare.

If you lose weight too quickly or too quickly, you could increase your chances of having an attack. Being overweight or obese is associated with the initial development of gout. There is a relationship between a higher body mass index (BMI) and higher levels of uric acid. 5 The connection may continue to play a role even after you have developed gout.

While certain factors related to food, beverages and lifestyle are known as triggers for gout attacks, there are other triggers for gout that should also be considered. The problem is that most people who suffer from gout find it difficult to lose weight through diet and exercise alone. 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. If you have painful gout attacks, talk to your doctor or bariatric surgeon about surgery for gout and weight loss.

The state of gout was determined by a self-report of a previous diagnosis, and the age at the time of diagnosis was used to establish the time of onset of gout. 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. To help prevent gout outbreaks, researchers suggest that people with gout try to avoid stress or take steps to reduce it.

Common triggers for a gout outbreak, such as red meat, alcohol and high-sugar beverages, should be limited or avoided to help reduce the risk of a gout outbreak. This increases the risk of suffering from gout, ten times or more for heavier people, according to Dr. Hyon Choi, gout expert, professor of medicine and director of clinical epidemiology in rheumatology at Massachusetts General Hospital in Boston. 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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