Gout & crystal arthritis

Dose-Response Relationship Between Alcohol Consumption and Gout Risk: Do Subtypes of Alcoholic Beverages Make a Difference?

J RheumatolPublished Prospective cohort study

Main finding · Incident gout, female individualsResult — go to the resultHazard ratio 0.78 95% CI 0.65–0.94

Authors' conclusion

Our study suggested a J-shaped dose-response relationship between drinking and gout risk in female individuals, but not in male individuals. For specific alcoholic beverages, light consumption of red wine and fortified wine was associated with reduced gout risk.

Study context

Population
UK Biobank participants with weekly alcoholic beverage consumption collected5,728 incident gout cases
Participants
331,865 participants
Exposure
Alcohol consumption (overall and by beverage subtype) vs no association reference, in relation to gout risk
Outcome
Incident gout
Follow-up
Mean 11.7 years
Methodological detailsUK Biobank, Cox regression, restricted cubic splines, subgroup analysis across demographic characteristics
  • UK Biobank
  • Cox regression
  • Restricted cubic splines
  • Subgroup analysis across demographic characteristics

Main finding

Incident gout, female individuals

Hazard ratio

0.78

95% CI 0.65–0.94

P = 0.01

Alcohol consumption (overall and by beverage subtype)vs no association reference, in relation to gout risk
HR 0.78 (95% CI 0.65–0.94); P = 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Dose-response by beverage subtype

Light red wine and fortified wine could reduce gout risk
Beer or cider, champagne or white wine, and spirits increased gout risk at any dose

Original publication

Dose-Response Relationship Between Alcohol Consumption and Gout Risk: Do Subtypes of Alcoholic Beverages Make a Difference? J Rheumatol. Published 15 May 2024. doi:10.3899/jrheum.2024-0065

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