Choi, HK. A Prescription for Lifestyle Change in Patients with Hyperuricemia and Gout. Curr Opin Rheumatol 22(2)165-72.
This study pointed out lifestyle and dietary recommendations for gout patients since gout is often associated with the metabolic syndrome and an increased future risk of cardiovascular disease (CVD) and mortality. It concluded that weight reduction with daily exercise and limiting intake of red meat and sugary beverages would help reduce uric acid levels and consequently the risk of gout, insulin resistance, and comorbidities. Heavy alcohol consumption should be avoided, whereas moderate consumption, sweet fruits, and seafood intake, particularly oily fish, should be tailored to the individual, considering their anticipated health benefits against CVD. The researchers also found that dairy products, vegetables, nuts, legumes, fruits (less sugary ones), and whole grains are healthy choices for the comorbidities of gout and may also help prevent gout by reducing insulin resistance. Coffee and vitamin C supplementation could be considered as preventive measures as these can lower urate levels, as well as the risk of gout and some of its comorbidities.