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A Study of Metabolic Parameters in Patients with Gout: A Single Center Study from Nepal
Binit Vaidya1, Rikesh Baral1, Lakpa Dolma Lama1
1National Center for Rheumatic Diseases, Kathmandu, Nepal.
Insights
Metabolic syndrome and its components are highly prevalent in gout patients, particularly middle-aged men. Integrated management strategies for gout should include metabolic syndrome screening and treatment.
Area of Science:
- Rheumatology
- Endocrinology
- Metabolic Diseases
Background:
- Gout is a common inflammatory arthritis.
- Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes.
Purpose of the Study:
- To determine the prevalence of deranged metabolic parameters in patients diagnosed with gout.
Main Methods:
- A prospective, cross-sectional observational study was conducted.
- 523 adult gout patients were enrolled using ACR/EULAR 2015 criteria.
- Metabolic syndrome diagnosis followed National Cholesterol Education Program criteria.
Main Results:
- 97% of gout patients were male, with a mean age of 49.1 years.
- High prevalence of overweight (mean BMI 27.0 kg/m2), dyslipidemia (45.1%), and hypertension (24.6%).
- 60.6% met 2 criteria and 30.6% met 3 criteria for metabolic syndrome.
Conclusions:
- Gout frequently affects middle-aged men.
- Metabolic syndrome and its components are common in gout patients.
- Gout management should incorporate metabolic syndrome screening and treatment.
Background And Aims:
To study the prevalence of deranged metabolic parameters in patients with gout.
Methods:
This was a prospective, cross-sectional observational study conducted at a tertiary level rheumatology center in Nepal. Patients over 18 years and diagnosed as gout using the ACR/EULAR 2015 classification criteria were included in the study. Known cases of chronic kidney disease, liver disease and heart diseases were excluded. Baseline demographic data along with records of weight, waist circumference, lipid profile, glucose profile, blood pressure measurement, serum uric acid level and inflammatory markers were taken. Diagnosis of metabolic syndrome (MS) was made according to the National Cholesterol Education Program criteria. Approval was obtained from the ethical review board of the National Center for Rheumatic Diseases.
Results:
A total of 523 patients with gout were enrolled in the study, out of which 97.0% were male. The mean age at diagnosis was 49.1±12.8 years. Most of the patients were overweight with a mean BMI of 27.0±3.6 kg/m2. About 8.1% had preexisting diabetes mellitus, 24.6% had hypertension, 5.1% had hypothyroidism and 45.1% had dyslipidemia. Patients fulfilling 2 out of 5 criteria of MS were 60.6% whereas 30.6% fulfilled 3 out of 5 criteria.
Conclusion:
Gout was commonly observed in middle-aged men. The prevalence of metabolic syndrome and its components was high in patients with gout. Management of gout should also include screening and management of the metabolic syndrome.