Gout & crystal arthritis

Association of Chronic Kidney Disease With Increased Glucose Uptake–Associated Metabolic Activity of Visceral Adipose and Subcutaneous Adipose Tissue in Patients With Gout

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

Elevated glucose uptake-associated metabolic activity in both VAT and SAT was observed in patients with gout, which may contribute to CKD progression among patients with both gout and CKD.

Study context

Population
Patients who underwent positron emission tomography (PET)/CT scans, University of California San Diego patient database120 with gout
Participants
221 patients
Exposure
Gout vs no gout
  • Goutn = 120
Outcome
Mean VAT and SAT SUVmax on 18F-FDG PET/CT
Methodological detailsinverse probability of weighting adjustment, multivariable linear regression
  • Inverse probability of weighting adjustment
  • Multivariable linear regression

Main finding

As reported in the abstract

Mean VAT and SAT SUVmax (IPW-adjusted)

Β (mean visceral adipose tissue (VAT) SUVmax)

0.09

95% CI 0.04–0.15

Gout

Β (mean subcutaneous adipose tissue (SAT) SUVmax)

0.06

95% CI 0.01–0.12

Gout

Observational data: associations, not effects.

Further findings

Change in estimated glomerular filtration rate (eGFR) over 5 years after PET/CT per higher SUVmax, gout with chronic kidney disease (CKD) stage ≥3 (subgroup) · 5 years following PET/CT scans

β, mean VAT SUVmax
−1.76 (95% CI −3.50 to −0.01)
β, mean SAT SUVmax
−2.97 (95% CI −5.61 to −0.32)

Original publication

Association of Chronic Kidney Disease With Increased Glucose Uptake–Associated Metabolic Activity of Visceral Adipose and Subcutaneous Adipose Tissue in Patients With Gout. Arthritis Care Res (Hoboken). Published 9 May 2025. doi:10.1002/acr.25540

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