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DASH Diet May Reduce Gout Risk

Eating a low-salt, fruit- and vegetable-rich, and low-red-meat diet may reduce the risk of developing gout, according to the results of a large prospective cohort study published online in the BMJ. These data suggest that the [Dietary Approaches to Stop Hypertension (DASH)] diet could offer an attractive dietary strategy that would be useful in the prevention of gout and its comorbidities in high risk patients with hyperuricemia. 

The DASH diet is high in fruits, vegetables, and low-fat dairy, but low in sodium, red meat, and saturated fat. It has been shown to reduce the risk for cardiovascular disease, stroke, and kidney stones. Now, the authors show that an added bonus of following a DASH-like diet is that it may lower the risk of developing gout.

The researchers analyzed dietary data from more than 44,000 men aged 40 to 75 years participating in the Health Professionals Follow-up Study. The men were followed for 26 years. Men whose diets were more similar to DASH had a reduced risk for gout (adjusted relative risk for extreme fifths, 0.68; 95% confidence interval [CI], 0.57 - 0.80;P value for trend < .001).

low-purine diet is not very palatable, and is difficult to follow. The DASH diet, which patients report is enjoyable and something they are willing to follow, may offer a healthful and easier to disseminate alternative to the low-purine diet.

 

http://www.medscape.com/viewarticle/879780

BMJ. 2017;357:j1794.