Gout & crystal arthritis

Consumption of Total and Specific Alcoholic Beverages and Long-Term Risk of Gout Among Men and Women

JAMA Netw OpenPublished Prospective cohort study

Authors' conclusion

In this cohort study, higher consumption of several specific alcoholic beverages was associated with a higher risk of gout among both sexes.

Study context

Population
UK Biobank participants aged 37 to 73 years free of gout at baseline (2006–2010), followed through December 31, 2021UK Biobank
Participants
401,128 participants
Exposure
Alcohol consumption vs never drinking, by sex
  • Menn = 179,828
  • Womenn = 221,300
Outcome
Incident gout, identified using hospital records
Methodological detailsmultivariable Cox proportional hazards regression, sex-specific analyses, consideration of reverse causation bias, Followed up through December 31, 2021; analysed August 2023 to June 2024
  • Multivariable Cox proportional hazards regression
  • Sex-specific analyses
  • Consideration of reverse causation bias
  • Followed up through December 31, 2021; analysed August 2023 to June 2024

Main finding

As reported in the abstract

Incident gout, current vs never drinkers
Hazard ratio (95% CI)
Current drinkers (men)vs Never drinkers (men)
1.69(1.30–2.18)
Current drinkers (women)vs Never drinkers (women)
0.83(0.67–1.03)

Observational data: associations, not effects.

Further findings

Beer or cider consumption

OutcomeMenWomen
Incident gout with higher total alcohol consumption among current drinkers
HR2.05 (95% CI, 1.84-2.30)1.34 (95% CI, 1.12-1.61)
Incident gout per 1 pint per day of beer or cider
HR1.60 (95% CI, 1.53-1.67)1.62 (95% CI, 1.02-2.57)

Incident gout per 1 pint per day of beer or cider

Champagne or white wine, beer or cider, and spirits each associated with higher gout risk in both sexes

Light to moderate consumption of specific beverages

Some inverse associations with gout eliminated after adjusting for other beverages and excluding those at risk of reverse causation

Original publication

Consumption of Total and Specific Alcoholic Beverages and Long-Term Risk of Gout Among Men and Women. JAMA Netw Open. Published 1 August 2024. doi:10.1001/jamanetworkopen.2024.30700

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