Gout & crystal arthritis

Genetic susceptibility, walking activity and the risk of incident gout

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Higher walking activity was associated with a lower risk of gout across all levels of genetic predisposition, with the strongest effects observed in individuals with high genetic susceptibility.

Study context

Population
Gout-free participants aged 40–70 years from the UK Biobank (mean age 61.9 years; 57.3% women)672 developed gout
Participants
86,930 participants
Exposure
Moderate and high vs low walking activity, within each polygenic risk scores (PRS) stratum
Outcome
Incident gout
Follow-up
7-year follow-up
Methodological detailsPRS-stratified (tertiles), 7-day accelerometer recordings
  • PRS-stratified (tertiles)
  • 7-day accelerometer recordings

Main finding

As reported in the abstract

Incident gout, high PRS stratum · 7 years
Each group vs low walkingHazard ratio (95% CI)
Moderate walking7-year RD −0.64% (95% CI −1.00%, −0.27%)
0.68(0.53–0.87)
High walking7-year RD −0.81% (95% CI −1.18%, −0.45%)
0.55(0.40–0.75)

Observational data: associations, not effects.

Further findings

Higher walking intensity associated with reduced gout risk across all PRS strata, more pronounced in high PRS stratum
P for additive interaction = 0.05

Original publication

Genetic susceptibility, walking activity and the risk of incident gout. Rheumatology (Oxford). Published 26 December 2025. doi:10.1093/rheumatology/keaf690

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