Lifestyle factors can significantly impact the occurrence and recurrence of gout.
Factor
Increased Risk
Decreased Risk
obesity
BMI > 28 kg per sq m
lose weight
type of alcohol used
beer, spirits to a lesser extent
wine
alcohol intake
increased
reduce alcohol
protein intake
meat or fish
reduce meat or fish intake
dairy intake
none or low
have at least one portion of a low fat dairy product per day (one glass skim milk, other)
A low purine diet is usually not recommended since adherence is poor. Choi et al (2004) did not find a correlation between purine-rich vegetables and risk of gout.
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