Gout? is wine or beer worse?

I have a sore hand. Gout.  Which makes writing painful, but not impossible.  And, because I can still hold a glass thank God, allows me still to enjoy the odd wine.

Also suffered these days by 1 in 40 Britons, a rise of 64 % in 15 years, and, even more disturbingly, by more elderly New Zealanders than any other people in the World.

In one of the largest studies of its kind a group of leading American researchers has 12 years charted the effect of alcohol consumption on gout.

The results - Beer: contains the most purines. As few as 2 to 4 beers per week increase the risk of gout by 25%. Those who drink daily increase the risk by  200%.

Wine: The winner when it comes to the drink of choice for gout sufferers. Though wine also contains purines, the study concludes it has no measurable effect on  gout.


Genetics and lifestyle influence the development of gout

Gout arises from the interaction of genetic and environmental factors, with diet playing a significant role. It is more common in males and with increasing age.   Obesity, type 2 diabetes, hypertension and chronic kidney disease that are associated with raised uric acid level also contribute to an increasing prevalence of gout.

The prevalence of gout in NZ, standardized for age, gender and ethnicity is approximately 4% in adults aged over 20 years. However, gout is present in 11.7% and 13.5% of Maori and Pacific males, compared to 3.7% of European males, and 4% of Maori and Pacific females, compared to less than 1% of European females.  Over one-third of Maori men and at least one-quarter of Pacific men aged over 65 years are affected by gout.

Suffering from gout? Check for erectile dysfunction

Gout, a condition characterized by recurrent attacks of acute inflammatory arthritis that results in warmth, pain, swelling, and extreme tenderness in a joint may make men vulnerable to sever erectile dysfunction (ED), a study shows.

"Our results strongly support the proposal to screen all men with gout for the presence of ED," said Naomi Schlesinger, professor at Robert Wood Johnson Medical School in the US.

"Increasing awareness of the presence of ED in gout patients should, in turn, lead to earlier medical attention and treatment for this distressing condition," she added.

Wrong Shoes Make Gout Pain Worse

Some Shoes That Seem Comfortable Can Actually Worsen Foot Pain, Researchers Say
-- Sandals may look comfortable, but they can actually worsen the pain of people with gout.Researchers in New Zealand say people with gout commonly wear the wrong type of shoes, leading to increased pain, impairment, and disability.A group of scientists led by Keith Rome, PhD, of the University of Auckland in New Zealand, signed up 50 gout patients from rheumatology clinics, and assessed their footwear choices.The study showed that many gout patients wore shoes with "poor footwear characteristics that included poor cushioning, lack of support, lack of stability, and motion control," Rome says in an email.About 56% of the participants made good footwear choices, such as athletic sneakers, walking shoes, or oxfords.But 42% of the gout sufferers wore footwear that can aggravate pain, such as sandals, flip-flops, slippers, or moccasins. None of those in the study wore high-heeled shoes and 2% said they wore boots.Old Shoes Pose ProblemsRome tells WebMD that more than 50% of the shoes worn by these patients were a year or more old, and demonstrated excessive wear patterns.Still, when they do get around to buying new shoes, the "patients reported comfort, fit, support, and cost as important factors in choosingtheir own footwear," Rome says.Specifically, 98% of the participants identified comfort as an important factor in selecting footwear, 90% said fit, 79% support, and 60% cost.Cheaper Shoes for Gout Patients Might HelpFurther research needs to be done that will allow doctors and patients to better recognize the best shoes available for comfort that also are economically priced, the researchers write. Gout patients need shoes that are wide enough, have ample cushioning, and allow motion control.More than half of those in the study mentioned cost as a factor in shoe selection, suggesting that cost may influence gout patients to purchase improper footwear.Obesity may also be a factor in pain related to the footwear of gout patients, the researchers write.Rome and his colleagues suggest that proper footwear selection be discussed with gout patients to reduce foot pain and impairment.Previous research has shown that gout is on the increase around the world and is the most common form of inflammatory arthritis affecting men.

The study is published in Arthritis Care & Research, a journal of the American College of Rheumatology.