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  1. Home
  2. Global And Regional Burden Of Gout In Middle-aged Adults, 1990-2021, With Projections To 2046: An Observational Study Analysis For Gbd 2021.
  1. Home
  2. Global And Regional Burden Of Gout In Middle-aged Adults, 1990-2021, With Projections To 2046: An Observational Study Analysis For Gbd 2021.

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Global and regional burden of gout in middle-aged adults, 1990-2021, with projections to 2046: An observational study

Yanxia Ren1, Shuang Zhang2, Tianxiao Hu1

  • 1Department of Endocrinology and Metabolism, NO 903 Hospital of PLA Joint Logistic Support Force, Hangzhou, China.

Medicine
|December 10, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

The global burden of gout in middle-aged adults has significantly increased since 1990, with prevalence and disability rising. Projections show continued growth, especially in men, highlighting the need for targeted prevention.

Keywords:
GBD 2021Global Burden of DiseaseYLDsepidemiologygout

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Area of Science:

  • Epidemiology
  • Public Health
  • Rheumatology

Background:

  • Gout prevalence in middle-aged populations is rising globally.
  • Comprehensive data on gout's global burden and epidemiological trends in this demographic is lacking.
  • This study addresses this gap by focusing on middle-aged adults.

Purpose of the Study:

  • To examine the global trends of gout incidence, prevalence, and years lived with disability (YLDs) in middle-aged populations.
  • To analyze temporal, sex, geographic, and Socio-demographic Index (SDI) patterns of gout.
  • To project future gout burden trends.

Main Methods:

  • Utilized the Global Burden of Disease (GBD) 2021 database.
  • Employed Joinpoint regression, Estimated Annual Percentage Change, decomposition analysis, and Nordpred predictive modeling.
  • Conducted multidimensional stratification by sex, geography, and SDI.
  • Main Results:

    • Global gout burden in middle-aged adults significantly increased from 1990-2021 (prevalence +154%, incidence +147%, YLDs +153%).
    • Age-standardized rates showed an upward trend, with highest rates in High SDI regions and High-income North America.
    • Gout burden was higher in men than women, with projections indicating continued rise by 2046, particularly in men.

    Conclusions:

    • The global burden of gout in middle-aged adults has substantially increased, with significant regional disparities and a correlation with higher SDI.
    • Future projections indicate a continued upward trend, emphasizing the need for targeted prevention strategies.
    • This research uniquely focuses on the often-overlooked middle-aged population affected by gout.