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I suspect that primary care clinicians who treat patients with gout usually concentrate on drug therapy, but two reports remind us also to address behaviors and lifestyle-related factors.
Korean researchers used a national health service database to examine associations between metabolic syndrome and gout; they identified 1.3 million men (age range, 20–39) with no history of gout who had three general health checkups during a 5-year period. At each checkup, the researchers recorded the presence or absence of metabolic syndrome (i.e., having at least 3 of 5 traditional components: abdominal obesity, low HDL cholesterol level, and elevated blood pressure, fasting glucose, and triglycerides). During 4-year follow-up, people who met metabolic sy…