Gout & crystal arthritis

Dose–response relationships of tea and coffee consumption with gout: a prospective cohort study in the UK Biobank

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Consumption of tea or coffee had a strong nonlinear association in gout risk reduction. Hyperuricaemia status had a potential effect modification on the association of coffee intake with gout.

Study context

Population
UK Biobank participants initially free of gout3,053 gout cases
Participants
447,658 participants
Exposure
Tea or coffee consumption vs no tea and coffee drinking
Outcome
Incident gout
Follow-up
Median 13.42 years
Methodological detailsCox proportional hazards models, restricted cubic spline
  • Cox proportional hazards models
  • Restricted cubic spline

Main finding

As reported in the abstract

Each group vs non-drinkersHazard ratio (95% CI)
Tea >6 cups/day23% lower risk
0.77(0.66–0.91)
Coffee >6 cups/day40% lower risk
0.60(0.47–0.77)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Gout by coffee intake and hyperuricaemia (effect modification)≥4 cups/day coffee without hyperuricaemiavs Non-coffee consumers with hyperuricaemiaLowest risk0.34 (0.28–0.41)

Gout by coffee intake and hyperuricaemia (effect modification)

Hyperuricaemia may modify the association between coffee and gout

Original publication

Dose–response relationships of tea and coffee consumption with gout: a prospective cohort study in the UK Biobank. Rheumatology (Oxford). Published 28 January 2023. doi:10.1093/rheumatology/kead019

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