Gout & crystal arthritis

Weight Loss for Patients With Gout and Concomitant Obesity: A Proof‐of‐Concept Randomized Trial

Arthritis RheumatolPublished Randomised controlled trial

Primary result · Change in body weightResult — go to the resultDifference −7.7 kg 95% CI −10.7 to −4.7

Authors' conclusion

An intensive dietary intervention was safe and effectively lowered body weight in people with obesity and gout, but the weight loss did not directly translate into effects on SU level, fatigue, and pain.

Study context

Population
Individuals with obesity and gout, Denmark (mean age 60.3 years; mean BMI 35.6; 97% men)ITT population
Participants
61 individuals
Comparison
Low-energy diet vs control diet
  • Low-energy dietn = 29
  • Control dietn = 32reference
Primary endpoint
Change in body weight
Follow-up
16 weeks
Methodological detailsnonmasked, parallel-group, proof-of-concept, Enrolment between December 1, 2018, and June 1, 2019
  • Nonmasked
  • Parallel-group
  • Proof-of-concept
  • Enrolment between December 1, 2018, and June 1, 2019

Primary result

As reported in the abstract

Difference

−7.7 kg

95% CI −10.7 to −4.7

P < 0.001

Change by group

Low-energy diet

−15.4

kg

Control diet

−7.7

kg

Low-energy dietvs Control diet
difference −7.7 kg (95% CI −10.7 to −4.7); P < 0.001

Secondary outcomes

Change in serum urate (SU) level and fatigue (key secondary) · 16 weeks

Differences between groups could not be confirmed, despite results potentially in favour of low-energy diet

Pain (key secondary) and gout flares · 16 weeks

No differences observed between groups

Safety

Serious adverse events and deaths

None occurred during the trial

Original publication

Weight Loss for Patients With Gout and Concomitant Obesity: A Proof‐of‐Concept Randomized Trial. Arthritis Rheumatol. Published 20 February 2024. doi:10.1002/art.42790

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