Gout & crystal arthritis

Dietary Diversity and Risk of Developing Gout: A Cohort Study of 161,213 Participants

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Our findings support dietary recommendations that advocate for moderately diverse diets rich in specific healthy foods as an effective measure for gout prevention, especially in high-risk populations.

Study context

Population
Participants of a large prospective cohort (54.32% female; mean age 56.5 years)2,004 gout cases
Participants
161,213 participants
Exposure
Intermediate and high vs low diet diversity score (DDS); intake of five major food groups
Outcome
Incident gout (ICD-10 code)
Follow-up
Median 13.26 years
Methodological detailsCox proportional hazard models, restricted cubic spline regressions, weighted polygenic risk score
  • Cox proportional hazard models
  • Restricted cubic spline regressions
  • Weighted polygenic risk score

Main finding

As reported in the abstract

Incident gout, fully adjusted
Hazard ratio (95% CI)P value
Intermediate DDS
0.798(0.707–0.900)
all P < 0.05
High DDS
0.807(0.701–0.928)
all P < 0.05

Observational data: associations, not effects.

Further findings

Incident gout by food group consumption, fully adjusted

HR (95% CI)P value
Grain products0.852 (0.789–0.919)all P < 0.05
Dairy products0.889 (0.846–0.933)all P < 0.05
Vegetables0.960 (0.927–0.993)all P < 0.05
Fruits0.924 (0.879–0.972)all P < 0.05

Incident gout with dairy products in high genetic risk subgroup

HR (95% CI)P value
Dairy products0.885 (0.832–0.942)P = 1.089 × 10-4

Original publication

Dietary Diversity and Risk of Developing Gout: A Cohort Study of 161,213 Participants. Arthritis Care Res (Hoboken). Published 25 March 2026. doi:10.1002/acr.70012

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