Vnitr Lek 2021, 67(2):e25-e28 | DOI: 10.36290/vnl.2021.030

Non-pharmacological treatment of gout

Dávid Líška
Univerzita Mateja Bela, Filozofická fakulta, Katedra telesnej výchovy a športu, Bánská Bystrica

Gout is a metabolically-related joint disease, characterized by recurrent episodic arthritis. The recent epidemiological study suggests that the incidence of hyperuricemia and gout in many countries has risen especially in recent decades. A possible explanation may be a decreased physical activity level and changes in eating habits. The patient's lifestyle is one of the key factors contributing to the development of hyperuricemia. For patients, an important part of therapy is non-pharmacological treatment through changes in lifestyle factors such as dietary measures, weight control, and adequate hydration and exercise. Lifestyle changes can lead to beneficial health changes in patients. The relationships between serum uric acid levels, hyperuricemia, obesity, and metabolic syndrome are well established. Higher serum uric acid concentration positively correlates with body mass index (BMI) and metabolic syndrome. The reduction of BMI may lead to improved hyperuricemia in patients. Other important changes include stopping alcohol consumption, reducing the intake of sweetened beverages, increasing the intake of dairy products, no eating organ meats, sea fish, sausages. Proper hydration is also an important part of the treatment.

Keywords: gout, non-pharmacological treatment, nutrition, exercise.

Published: April 21, 2021  Show citation

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Líška D. Non-pharmacological treatment of gout. Vnitr Lek. 2021;67(2):e25-28. doi: 10.36290/vnl.2021.030.
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    References

    1. Pavelka K. Doporučení České revmatologické společnosti pro léčbu dny Čes. Revmatol. Čes Revmatol. 27(4): 166-176.
    2. Zegzulkova K, Forejtova S. Differential diagnosis of monoarthritis. Casopis Lekaru Ceskych. 2016; 155(6): 299-304. Go to PubMed...
    3. Alušík T, Alušík Š. Traditional medicine and the present: The therapy of gout. Casopis Lekaru Ceskych. 2017; 156(8): 454-457. Go to PubMed...
    4. Senolt L. Hand osteoarthritis. Casopis Lekaru Ceskych. 2016; 155(6): 305-309. Go to PubMed...
    5. Pavelka K. Treat to target in gouty arthritis. Vnitrni Lekarstvi. 2018; 64(2): 185-190. Go to original source... Go to PubMed...
    6. Neogi T, Jansen TLTA, Dalbeth N, Fransen J, Schumacher HR, Berendsen D, et al. 2015 Gout classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis. október 2015; 74(10): 1789-1798. Go to original source... Go to PubMed...
    7. Norkuviene E, Petraitis M, Apanaviciene I, Virviciute D, Baranauskaite A. An optimal ultrasonographic diagnostic test for early gout: A prospective controlled study. J Int Med Res. august 2017; 45(4): 1417-1429. Go to original source... Go to PubMed...
    8. Dehlin M, Jacobsson L, Roddy E. Global epidemiology of gout: prevalence, incidence, treatment patterns and risk factors. Nat Rev Rheumatol. júl 2020; 16(7): 380-390. Go to original source... Go to PubMed...
    9. Oreska S, Tomcfk M. Cardiovascular risk in rheumatic diseases. Casopis Lekaru Ceskych. 2016; 155(6): 324-332. Go to PubMed...
    10. Havlova M, Neumannova K, Švestkova O, Votruba J, Šimovič J, Haluzíkova D. Pulmonary rehabilitation as a part of complex therapy in patients with chronic obstructive pulmonary disease - Emphysema phenotype - After bronchoscopic volme reduction. Rehabilitacia. 2018; 55(4): 260-269.
    11. Beňuš P, Gurín D, Líška D. Efficiency of the Wim Hof method to the response of autonomous system after the load and the impact of enviroment to the performance of sportsmen. Zdravotnicke Listy. 2020; 8(2): 6-15.
    12. Vařeková J, Vrátná E, Daďová K, Fejfarová V, Vařeka T. Movement rehabilitation and its education in patients with diabetes mellitus 2. type. Rehabilitacia. 2019; 56(1): 48-60. Go to original source... Go to PubMed...
    13. Yamashita S, Matsuzawa Y, Tokunaga K, Fujioka S, Tarui S. Studies on the impaired metabolism of uric acid in obese subjects: marked reduction of renal urate excretion and its improvement by a low-calorie diet. Int J Obes. 1986; 10(4): 255-264.
    14. Scott JT, Sturge RA. The effect of weight loss on plasma and urinary uric acid and lipid levels. Adv Exp Med Biol. 1977; 76B: 274-277. Go to original source... Go to PubMed...
    15. Dessein PH, Shipton EA, Stanwix AE, Joffe BI, Ramokgadi J. Beneficial effects of weight loss associated with moderate calorie/carbohydrate restriction, and increased proportional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study. Ann Rheum Dis. júl 2000; 59(7): 539-543. Go to original source... Go to PubMed...
    16. Tsunoda S, Kamide K, Minami J, Kawano Y. Decreases in serum uric acid by amelioration of insulin resistance in overweight hypertensive patients: effect of a low-energy diet and an insulin-sensitizing agent. Am J Hypertens. august 2002; 15(8): 697-701. Go to original source... Go to PubMed...
    17. Choi HK, Curhan G. Soft drinks, fructose consumption, and the risk of gout in men: prospective cohort study. BMJ. 09. február 2008; 336(7639): 309-312. Go to original source... Go to PubMed...
    18. Ebrahimpour-Koujan S, Saneei P, Larijani B, Esmaillzadeh A. Consumption of sugar sweetened beverages and dietary fructose in relation to risk of gout and hyperuricemia: a systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2020; 60(1): 1-10. Go to original source... Go to PubMed...
    19. Wang M, Jiang X, Wu W, Zhang D. A meta-analysis of alcohol consumption and the risk of gout. Clin Rheumatol. november 2013; 32(11): 1641-1648. Go to original source... Go to PubMed...
    20. Kan Y, Zhang Z, Yang K, Ti M, Ke Y, Wu L, et al. Influence of d-Amino Acids in Beer on Formation of Uric Acid. Food Technol Biotechnol. september 2019; 57(3): 418-425. Go to original source... Go to PubMed...
    21. Kakutani-Hatayama M, Kadoya M, Okazaki H, Kurajoh M, Shoji T, Koyama H, et al. Nonpharmacological Management of Gout and Hyperuricemia: Hints for Better Lifestyle. Am J Lifestyle Med. 02. september 2015; 11(4): 321-329. Go to original source... Go to PubMed...
    22. Zgaga L, Theodoratou E, Kyle J, Farrington SM, Agakov F, Tenesa A, et al. The association of dietary intake of purine-rich vegetables, sugar-sweetened beverages and dairy with plasma urate, in a cross-sectional study. PLoS One. 2012; 7(6): e38123. Go to original source... Go to PubMed...
    23. Torralba KD, De Jesus E, Rachabattula S. The interplay between diet, urate transporters and the risk for gout and hyperuricemia: current and future directions. Int J Rheum Dis. december 2012; 15(6): 499-506. Go to original source... Go to PubMed...
    24. Teng GG, Pan A, Yuan J-M, Koh W-P. Food Sources of Protein and Risk of Incident Gout in the Singapore Chinese Health Study. Arthritis Rheumatol. júl 2015; 67(7): 1933-1942. Go to original source... Go to PubMed...
    25. Zhang Y, Neogi T, Chen C, Chaisson C, Hunter DJ, Choi HK. Cherry consumption and decreased risk of recurrent gout attacks. Arthritis Rheum. december 2012; 64(12): 4004-4011. Go to original source... Go to PubMed...
    26. Chen P-E, Liu C-Y, Chien W-H, Chien C-W, Tung T-H. Effectiveness of Cherries in Reducing Uric Acid and Gout: A Systematic Review. Evid Based Complement Alternat Med. 2019; 2019: 9896757. Go to original source... Go to PubMed...
    27. Kiyohara C, Kono S, Honjo S, Todoroki I, Sakurai Y, Nishiwaki M, et al. Inverse association between coffee drinking and serum uric acid concentrations in middle-aged Japanese males. Br J Nutr. august 1999; 82(2): 125-130. Go to original source... Go to PubMed...
    28. Park KY, Kim HJ, Ahn HS, Kim SH, Park EJ, Yim S-Y, et al. Effects of coffee consumption on serum uric acid: systematic review and meta-analysis. Semin Arthritis Rheum. apríl 2016; 45(5): 580-586. Go to original source... Go to PubMed...

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