The Dash diet helps to reduce the gourage risk

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Reference Rai SK, Fung TT, LU N, et al. The Dietary Approaches to Stop Hypertension (DASH), the western diet and the gout risk of men: prospective cohort study. BMJ. 2017; 357: J1794. Design prospective cohort study objective It should be searched for connections between the dash diet (Dietary Approaches to Stop Hypertension), western nutrition and the gourage risk in men. Participants in a total of 44,444 men from ongoing Longitudinal Health Professionals Follow-Up Study (HPFS) were included in this cohort. When HPFS was founded in 1986, the men were mostly white (91 %) and between 40 and 75 years old. In every 2-year evaluation cycle since the beginning of the HPF ...
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reference

Rai SK, Fung TT, LU N, et al. The Dietary Approaches to Stop Hypertension (DASH), the western diet and the gout risk of men: prospective cohort study. bmj . 2017; 357: J1794.

draft

prospective cohort study

objective

It should be searched for connections between the Dash diet (Dietary Approaches to Stop Hypertension), western nutrition and the gourage risk in men.

participant

A total of 44,444 men from the current Longitudinal Health Professionals Follow-Up Study (HPFS) were locked in this cohort. When HPFS was founded in 1986, the men were mostly white (91 %) and between 40 and 75 years old. In every 2-year evaluation cycle since the beginning of the HPF, there has been a right of participation of over 90 %. This study only included men who provided complete information about eating habits and had no gout in the history.

study parameters evaluated

Data from questionnaires for food frequency were used to create both a dash nutrition pattern and a score for western nutritional patterns for each participant. The dash nutrition pattern is rich in fruit, vegetables, nuts, legumes, low-fat dairy products and whole grains and arm of sodium, sweetened drinks and red and processed meat. A western nutritional pattern is rich in red and processed meat, fried food, simple carbohydrates and sweets.

target parameter

The primary endpoint was the gout risk; The risk was evaluated on the basis of the preliminary survey criteria of the American College of Rheumatology, whereby potential confounder (e.g. age, body mass index) was adapted [BMI] high blood pressure and alcohol consumption).

important knowledge

Compared to men with a higher value for the western nutritional pattern, the men with a higher dash nutritional pattern had a significantly lower risk of developing gout, both in age-age and multivariabling regression models and after adaptation to other risk factors associated with gout, such as z alcohol consumption and body mass index (BMI).

The Dash diet is particularly fascinating because it appeals to frequent comorbidities related to gout.

In order to estimate the relative risk, the researchers categorized the results of the nutritional patterns in fifth. The gout-risic score for men in the highest fifth compared to the lowest fifth was 0.68 ( p <0.001) in the DASH group and 1.42 ( p = 0.005) in the group with western diet. Men with a higher western nutritional pattern had a significantly increased risk of developing gout. A high BMI, high alcohol consumption and high coffee consumption were also associated with an increased risk. Men in the top fifth of the Dash Group consumed less alcohol and coffee, tended to be older and had a lower BMI.

practice implications

Interestingly, this year is the 20th anniversary of the introduction of the Dietary Approaches to Stop Hypertension (DASH) diet, which is an important nutritional progress in the field of cardiovascular health. 1 According to the National Institutes of Health (NIH), the DASH diet contains more fruits, vegetables, fat-free or Low -fat milk and dairy products, whole grain products, fish, poultry, beans, seeds, and nuts, with less sodium, sweets, sugary drinks, fats and red meat. 2

In the past 2 decades, clinical studies have repeatedly shown that the Dash diet can help reduce blood pressure. 1 This present study complements the emerging research results that the DASH diet associated with lower uric acid levels in serum compared to the American standard diet, which indicates that DASH is a useful intervention in patients Could be gout or a risk for the development of gout.

gout is a form of arthritis that can cause severe pain, swelling, redness and inflammation of a joint, often of the large toe joint. Around 6 million adults in the United States have gout, and it mainly affects men aged 40 to 50 years. 5 The appearance of gout has increased steadily in many parts of the world, including the United States.

In addition to anti -inflammatory over -the -counter medication for acute attacks, clinicians often recommend dietary changes to reduce the risk and reduce relapses. The "gold standard" recommendation is to avoid purine-rich foods such as processed meat, gravy and beer. 7 However, some studies indicate that purine-rich foods are not the problem, and indicate that sophisticated fructose could be a culprit.

The Dash diet is particularly fascinating because it appeals to frequent comorbidities related to gout. People with gout have a higher rate of cardiovascular comorbidities, including high blood pressure on which the Dash diet is specifically geared. In addition, gout patients have a 63 % increased risk of metabolic syndrome. 10.11 As the researchers emphasize of this present study, although individual nutritional risk factors for hyperurica and gout have been identified, a "piece of approach to change the different but limited number of specific nutritional risk factors is often ineffective and impractical ”. 12 In addition, the purinre diet without instructions can lead to a healthy calorie replacement to a carbohydrate -rich diet that further increases the risk of a metabolic syndrome.

As with every diet, compliance and sustainability are letting and fishing points when it comes to effectiveness. In a study with patients with high blood pressure, the participants actually enjoyed the dash diet so much that they explained that they were ready to continue them in the long term.

This present study provides further evidence that the typical American nutrition worsens the gout risk and lifts, and shows that the Dash diet is a practical and sustainable intervention for these patients. It may not be the only diet that is able to do so, but this is the first prospective study that indicates that the Dash diet can reduce the risk of gourage.

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