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December 28, 2010
In Today's Issue
- Weight Loss Expert Loses 70lbs of Ugly Fat...
- Warning: For Those Who Drink Sweetened Drinks...
- Overweight? Shocking Proof that it may not be your fault
Weight Loss Expert Loses 70lbs of Ugly Fat...
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Warning: For Those Who Drink Sweetened Drinks...
Dear Reader,
A new study finds that women who drink fructose-rich beverages (sweetened soda or juices) are at increased risk for gout, a condition that has the distinction of being known throughout history.
Though the ancient didn't understand much about it, today we know that gout is a type of inflammatory arthritis that in the U.S. has gone from 16 cases per 100,000 in 1977 to 42 per cases 100,000 in 1996. This time period also saw a huge rise in soda and fructose consumption. It now appears that fructose rich beverages can cause a buildup of uric acid in the blood and this leads to gout.
Too much uric acid causes the formation of tiny crystals of urate that then deposit in tissues of the body, especially the joints. It's a chronic, progressive disease that can bring joint destruction, kidney stones and decreased functioning of the kidneys themselves.
For the work, the researchers analyzed data from 78,906 women who took part in the prospective cohort study known as the Nurses' Health Study and had no history of gout at the start of the study.
Over the following 22 years, 778 of the subjects were diagnosed with gout using standards that met the American College of Rheumatology criteria for the condition. Those who drank one serving per day of sweetened beverages were 74% more likely to develop gout than those who drank less than one of these drinks per month. Those who drank two or more servings a day had a 2.4 times higher risk of the painful condition.
What's more, the women who took in a serving of orange juice (6 ounces) were 41% more likely to develop gout. Those who drank 2 or more servings had a 2.4 times greater risk. Women in the highest fifth of daily fructose intake were 62% more likely to develop gout than those in the lowest fifth.
You are at risk for gout if you're obese, gained a lot of weight in your youth, a moderate to heavy drinker of alcohol, have high blood pressure or abnormal kidney function.
Some medicines can also cause elevated levels of uric acid in the blood. Certain diseases also lead to excess production of uric acid, conditions like leukemia, lymphoma and hemoglobin disorders. Abnormally low thyroid hormones have also been identified as contributing to gout.
If you have gout, there are some things that will precipitate an acute attack. Things like being dehydrated, injuring the joint, fever, eating to excess; heavy alcohol intake or recent surgery can all have an impact.
The joints most commonly affected are at the base of the big toe, the ankles, knees, wrists, fingers and elbows. An acute attack comes with a rapid onset of pain in the joint, followed by warmth, swelling, a reddish discoloration and incredible tenderness.
Continues below...
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Warning: For Those Who Drink Sweetened Drinks... Continued...
Your doctor will suspect gout if you have a history of attacks of arthritis,
especially at the base of your toes. Gout usually attacks one joint at a time.
The most reliable test for gout is to find uric acid crystals in a sample of
the joint fluid with a test that can be done in your doctor's office under local
anesthesia. A rheumatologist is the best specialist to perform this type of evaluation.
Treatment of gout has two goals. First is to stop the acute inflammation of the
joint. This usually involves measures and medications that bring down inflammation.
Second to address the long-term management of the disease so you won't have to
deal with another flare up. This calls for keeping your fluid intake up, losing
weight, making changes to your diet (cutting or limiting purine rich foods like
shellfish, organ meat and sweetbreads), cutting how much alcohol (beer and liquor)
you drink along with taking medications that reduce the uric acid level in the
bloodstream.
The study was released online in advance of publication in the Journal of the
American Medical Association. The work was also presented at the American College
of Rheumatology annual scientific meeting in Atlanta.
To your good health,
Kirsten Whittaker
Daily Health Bulletin Editor
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Sources:
http://www.medicinenet.com/script/main/art.asp?articlekey=121969
MedicineNet info on gout:
http://www.medicinenet.com/gout/article.htm
News release, Journal of the American Medical Association, November 10, 2010:
http://pubs.ama-assn.org/media/2010jer/1110.dtl#6
Journal of the American Medical Association, November 24, 2010:
http://jama.ama-assn.org/cgi/content/abstract/304/20/2270
American College of Rheumatology scientific meeting:
http://www.rheumatology.org/about/newsroom/2010/2010_01_31.asp
Info on the Nurses" Health Study:
http://www.channing.harvard.edu/nhs/
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