Gout attack: Sugary drinks are not recommended

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  • In addition to alcohol and some foods rich in purines, gout patients should avoid sugary drinks.
  • Diet is not the only risk factor for gout, genetics may also be present.

Gout is a chronic disease that affects approximately 0.9% of the French population, with the elderly being most affected. It is caused by abnormally high levels of uric acid in the blood and the deposition of tiny crystals of uric acid in the joints and surrounding tissues, causing inflammation. This condition results in flare-ups called “gout attacks.” Patients then experience joint pain with redness, warmth and swelling in the affected area. Most often, the big toe is most affected in men. In women, other joints can be abused. In addition to the pain caused by inflammation, it also increases the risk of developing cardiovascular disease.

lifestyle

During a gout attack, the doctor prescribes medications and often recommends lifestyle changes to the patient to keep the level of uric acid in the blood below a certain threshold. Since this acid comes from the breakdown of purines, the molecules found in many foods, it is generally necessary to modify your diet. Beer, strong alcohol and products such as red meat, organ meats, deli meats, seafood, mackerel, sardines and herring should be avoided, as they are high in purines. Moreover, experts, in the medical journal RecipeAnd the He warned against avoiding sugary drinks such as soft drinks, fruit juices and artificial nectar. “Fructose metabolism, like alcohol, Extends to Increased production of uric acid,” according to the editorial board.

To come to this conclusion, experts rely on two studies that were conducted on tens of thousands of people. “After controlling for a variety of factors that can influence gout risk, including alcohol consumption and body mass index, these studies showed nearly twice the risk of gout in people who consumed more than one sugary drink per day compared to those who didn’t., is it written. Finally, the Patients suffering from gout attacks are advised to reduce or even avoid drinks that contain added sugars, such as soft drinksLet’s not forget that, in principle, sugary drinks, even “light”, are harmful to your health. Scientists often associate it with an increased risk of diabetes, obesity, or even cardiovascular disease.

The role of genetics

The health insurance already lists sugary drinks on its site as a risk factor for gout. “Gout is caused by an abnormal and chronic increase in the level of uric acid in the blood, which is explained by the intake of food in large quantities of purines, especially due to a defect in the elimination of uric acid by the kidneys. When the concentration of uric acid exceeds the solubility limit, uric acid crystals (sodium borate) Shaping and stabilizing in and around joints. Uric acid It comes from the breakdown of purines found in many foods (Protein-rich foods, alcohol, beer, sugary drinks, etc.). Then it is excreted by the kidneys in the urine.Is it written that way.

However, diet is not the only risk factor for gout. In October 2018, a study was published in BMJ It has been suggested that genetics plays a larger role in the emergence of this common disease. During their research, the scientists studied the medical records of 8,414 healthy men and 8,346 women. By analyzing blood uric acid levels, they noted that each of the foods associated with higher levels contributed less than 1% to the difference in uric levels. However, genetic analysis of the participants showed common genetic factors that explained nearly a quarter (23.9%) of the variance in pedigree.

Our data challenge popular perceptions that gout is primarily caused by diet, showing for the first time that genetic variants contribute to gout much more than dietary exposure.”Scientists said. And therefore, “Most patients with hyperuricemia and gout are unmodifiable‘, they conclude, that patients are no longer to blame and that members of families in which a person has gout is followed more carefully.

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