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Cherry consumption and decreased risk of recurrent gout attacks
Yuqing Zhang1, Tuhina Neogi, Clara Chen
1Boston University, Boston, MA 02118, USA. yuqing@bu.edu
Insights
Consuming cherries, including cherry extract, significantly lowers the risk of recurrent gout attacks. This natural intervention shows promise for managing gout symptoms and reducing flare-ups.
Area of Science:
- Rheumatology
- Nutritional Science
- Epidemiology
Background:
- Gout is a common form of inflammatory arthritis characterized by recurrent attacks of severe joint pain.
- Dietary factors are known to influence gout attacks, but specific food recommendations remain an area of active research.
Purpose of the Study:
- To investigate the association between cherry intake and the risk of recurrent gout attacks in individuals diagnosed with gout.
- To evaluate the impact of both whole cherry consumption and cherry extract supplementation on gout attack frequency.
Main Methods:
- A case-crossover study design was employed, prospectively following 633 individuals with gout for one year.
- Participants reported gout attacks and potential risk factor exposures, including cherry intake, over 2-day periods before attacks and control periods.
- Conditional logistic regression analysis was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for gout attacks associated with cherry consumption.
Main Results:
- Cherry intake over a 2-day period was linked to a 35% reduced risk of gout attacks (OR 0.65; 95% CI 0.50-0.85).
- Cherry extract intake demonstrated a similar inverse association, with a 45% lower risk (OR 0.55; 95% CI 0.30-0.98).
- The protective effect of cherries was consistent across various subgroups and was significantly enhanced when combined with allopurinol, reducing gout attack risk by 75% (OR 0.25; 95% CI 0.15-0.42).
Conclusions:
- Cherry intake, in both whole fruit and extract forms, is associated with a significantly lower risk of recurrent gout attacks.
- These findings support the inclusion of cherries as a dietary strategy for managing gout.
- Further research may explore the specific bioactive compounds in cherries responsible for these anti-gout effects.
Objective:
To study the relationship between cherry intake and the risk of recurrent gout attacks among individuals with gout.
Methods:
We conducted a case-crossover study to examine the associations of a set of putative risk factors with recurrent gout attacks. Individuals with gout were prospectively recruited and followed up online for 1 year. Participants were asked to provide the following information regarding gout attacks: the onset date of the gout attack, symptoms and signs, medications (including antigout medications), and exposure to potential risk factors (including daily intake of cherries and cherry extract) during the 2-day period prior to the gout attack. We assessed the same exposure information over 2-day control periods. We estimated the risk of recurrent gout attacks related to cherry intake using conditional logistic regression. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated.
Results:
Our study included 633 individuals with gout. Cherry intake over a 2-day period was associated with a 35% lower risk of gout attacks compared with no intake (multivariate OR 0.65 [95% CI 0.50-0.85]). Cherry extract intake showed a similar inverse association (multivariate OR 0.55 [95% CI 0.30-0.98]). The effect of cherry intake persisted across subgroups stratified by sex, obesity status, purine intake, alcohol use, diuretic use, and use of antigout medications. When cherry intake was combined with allopurinol use, the risk of gout attacks was 75% lower than during periods without either exposure (OR 0.25 [95% CI 0.15-0.42]).
Conclusion:
These findings suggest that cherry intake is associated with a lower risk of gout attacks.
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