Several factors increase the risk of developing gout, including:
- Gender: Gout is more common in men than in women, particularly before menopause. However, the risk in women increases after menopause, possibly due to hormonal changes.
- Age: The risk of gout increases with age. It is more common in older adults, with the highest prevalence observed in individuals aged 60 and older.
- Genetics: Family history and genetics play a significant role in the development of gout. Individuals with a family history of gout are at higher risk of developing the condition themselves.
- Diet: Consuming foods high in purines, such as red meat, organ meats (liver, kidney), seafood (sardines, anchovies), and sugary beverages, can increase uric acid levels in the blood and raise the risk of gout.
- Obesity: Excess body weight, particularly abdominal obesity, is a significant risk factor for gout. Obesity is associated with insulin resistance, which can impair uric acid excretion by the kidneys and increase the risk of hyperuricemia.
- Alcohol consumption: Drinking alcohol, particularly beer and spirits, can raise uric acid levels in the blood and increase the risk of gout. Wine consumption may also contribute to gout risk, although to a lesser extent.
- Medical conditions: Certain medical conditions and comorbidities increase the risk of gout, including hypertension (high blood pressure), diabetes, metabolic syndrome, chronic kidney disease, and cardiovascular disease.
- Medications: Certain medications can increase uric acid levels in the blood or impair its excretion by the kidneys, increasing the risk of gout. These medications may include diuretics (water pills), low-dose aspirin, cyclosporine, and certain chemotherapy drugs.
- Joint injury or surgery: Joint injury, trauma, or surgery can trigger gout attacks in susceptible individuals, as the inflammatory response can lead to the release of uric acid crystals from the affected joints.
- Lead exposure: Exposure to lead, either through occupational or environmental sources, can increase the risk of gout by interfering with uric acid metabolism and excretion.
It’s important to note that not everyone with one or more of these risk factors will develop gout. However, individuals with multiple risk factors should be particularly vigilant about managing their overall health and lifestyle to reduce their risk of developing gout.