| Home--News Gout Surge Blamed on Sweet Drinks 
 
 Sugary drinks have been blamed for a surge in cases of the painful 
              joint disease goutBBCFebruary 1, 2008 
            
            Men who consume two or more sugary soft drinks a day have an 85% higher 
            risk of gout compared with those who drink less than one a month, 
            a study suggests. 
            
            Cases in the US have doubled in recent decades and it seems fructose, 
            a type of sugar, may be to blame, the British Medical Journal study 
            reports. 
            
            UK experts said those with gout would be advised to cut out sugary 
            drinks. 
            
            About 1.5% of the UK population currently suffers from gout and there 
            has been an increase in numbers over the last 30 years - although 
            the condition is more associated with Victorian times. 
            
            The symptoms of painful, swollen joints, mainly in the lower limbs, 
            are caused when uric acid crystallises out of the blood into the joints. 
            
            US and Canadian researchers said the increase in cases had coincided 
            with a substantial rise in the consumption of soft drinks. 
            
            Previous research had also shown that fructose increases levels of 
            uric acid in the bloodstream. 
            
            Diet 
            
            To look in more detail, the team carried out a 12-year study of 46,000 
            men aged 40 years and over with no history of gout, asking them regular 
            questionnaires about their diet. 
            
            Over the period, 755 newly diagnosed cases of gout were reported. 
            
            The risk of developing the condition was significantly increased with 
            an intake level of five to six servings of sugary soft drink per week. 
            
            This link was independent of other risk factors for gout such as body 
            mass index, age, high blood pressure and alcohol intake. 
            
            Diet soft drinks did not increase the risk of gout but fruit juice 
            and fructose rich fruits (apples and oranges) were associated with 
            a higher risk, the researchers said. 
            
            But this finding needs to be balanced against the benefit of fruit 
            and vegetables in preventing other chronic disorders like heart disease 
            and stroke. 
            
            Dr Hyon Choi, from the University of British Columbia, in Vancouver 
            said dietary advice for gout had focused on restricting purine-rich 
            foods, such as red meat and beer. 
            
            He said practitioners should advise patients with gout to reduce their 
            fructose intake. 
            
            "I can think of some situations, for example in severe treatment failure 
            gout, where reducing sweet fruits, such as oranges and apples could 
            help," he added. 
            
            Dr Andrew Bamji, president of the British Society for Rheumatology, 
            said anecdotally cases of gout appeared to be rising. 
            
            "When you think about it, it makes a lot of sense in that fructose 
            inhibits the excretion of uric acid. 
            
            "I will certainly change my advice to patients and I suspect the number 
            drinking fructose is quite large."
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