Hormonal
High consumption of meat and seafood increases the risk of gout in men, whereas high consumption of dairy products, particularly low-fat dairy, decreases the risk.
If you are a man at risk for or have gout, focus your dietary changes on reducing meat and seafood intake, as these are linked to higher risk. Conversely, increasing your intake of low-fat dairy products (like skim milk and low-fat yogurt) is associated with a lower risk of gout. You do not need to restrict purine-rich vegetables or total protein intake.
Higher levels of meat and seafood consumption are associated with an increased risk of gout, whereas a higher level of consumption of dairy products is associated with a decreased risk.
Why this rating
Large prospective cohort study (47,150 men), 12-year follow-up, rigorous case confirmation (ACR criteria), multivariate adjustment.
Source
Purine-Rich Foods, Dairy and Protein Intake, and the Risk of Gout in Men
Hyon K. Choi et al. · New England Journal of Medicine · 2004
DOI 10.1056/nejmoa035700
More from this paper
- High intake of seafood is associated with a significantly increased risk of gout, with the effect being stronger in men with a body mass index (BMI) less than 25 compared to those with a BMI of 25 or higher.Strong
- Consumption of purine-rich vegetables (peas, beans, lentils, spinach, mushrooms, oatmeal, cauliflower) is not associated with an increased risk of gout.Strong
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