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Gout in Older Adults
Evaluating traditional and genetic factors
Traditional and genetic risk factors in middle age may be useful for identifying those at risk of gout in older age, according to a study of adults enrolled in a clinical study between 1987 and 1989 with ongoing follow-up. Researchers found:
• Cumulative incidence of gout from middle age to age 65 was 8.6% in men and 2.5% in women.
• By age 75, cumulative incidence was 11.8% in men and 5.0% in women.
• In middle age, increased adiposity, beer intake, protein intake, smoking status, hypertension, diuretic use, and kidney function were associated with increased gout risk in older age.
• Also in middle age, a 100 µmol/L increase in genetic urate score was associated with a 3.29-fold increased gout risk in older age.
Citation: Burke BT, Kӧttgen A, Law A, et al. Gout in older adults: The Atherosclerosis Risk in Communities study. [Published online ahead of print December 28, 2015]. J Gerontol A Biol Sci Med Sci. doi:10.1093/gerona/glv120.