Mixed
Adherence to the DASH dietary pattern is associated with a significantly lower risk of incident gout in men, independent of traditional risk factors.
For men at risk of gout, adopting a DASH-style diet—emphasizing fruits, vegetables, whole grains, and low-fat dairy while limiting red meat, sweets, and sodium—is associated with a significantly lower risk of developing gout. This approach is preferred over restrictive low-purine diets because it is more sustainable and also improves cardiovascular health.
A higher DASH dietary pattern score was associated with a lower risk for gout (adjusted relative risk for extreme fifths 0.68, 95% confidence interval 0.57 to 0.80, P value for trend <0.001).
Why this rating
Large prospective cohort (44,444 men), long follow-up (26 years), validated dietary assessment, and adjustment for major confounders.
Source
The Dietary Approaches to Stop Hypertension (DASH) diet, Western diet, and risk of gout in men: prospective cohort study
Sharan K Rai et al. · BMJ · 2017
DOI 10.1136/bmj.j1794
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