Abstract
The association between gout and the phenotype that we now recognize as metabolic syndrome has been recognized for thousands of years. With aging population, increasing prevalence of risk factors for metabolic syndrome, the number of people in the general population with metabolic syndrome and gout is large and is rising over time. This chapter summarizes contemporary literature on this topic as well as provides the latest data on the incidence and prevalence of metabolic syndrome in gout in the US. The potential pathophysiological links between metabolic syndrome and gout such as oxidative stress, and inflammation is discussed in the context of the epidemiologic data.
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Abbreviations
- BC:
-
Before Christ
- CHAOS:
-
Coronary artery disease hypertension, atherosclerosis, obesity, and stroke
- CKD:
-
Chronic kidney disease
- CKD EPI:
-
Chronic Kidney Disease Epidemiology Collaboration
- LDL:
-
Low-density lipoprotein
- MRFIT:
-
Multiple Risk Factor Intervention Trial
- NCEP:
-
National Cholesterol Education Program
- NHANES:
-
National Health and Nutrition Examination Survey
- SIR:
-
Standardized incidence ratios
References
Bhattacharjee S (2009) A brief history of gout. Int J Rheum Dis 12(1):61–63
Campion EW, Glynn RJ, DeLabry LO (1987) Asymptomatic hyperuricemia. Risks and consequences in the Normative Aging Study. Am J Med 82(3):421–426
Tausche AK, Unger S, Richter K et al (2006) [Hyperuricemia and gout: diagnosis and therapy]. Internist (Berl) 47(5):509–520, quiz 521
Enomoto A, Kimura H, Chairoungdua A et al (2002) Molecular identification of a renal urate anion exchanger that regulates blood urate levels. Nature 417(6887):447–452
Sarafidis PA, Nilsson PM (2006) The metabolic syndrome: a glance at its history. J Hypertens 24(4):621–626
Camus JP (1966) [Gout, diabetes, hyperlipemia: a metabolic trisyndrome]. Rev Rhum Mal Osteoartic 33(1):10–14
Alberti KG, Eckel RH, Grundy SM et al (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120(16):1640–1645
Grundy SM, Cleeman JI, Daniels SR et al (2005) Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 112(17):2735–2752
Koehler C, Ott P, Benke I et al (2007) Comparison of the prevalence of the metabolic syndrome by WHO, AHA/NHLBI, and IDF definitions in a German population with type 2 diabetes: the Diabetes in Germany (DIG) Study. Horm Metab Res 39(9):632–635
Haller H (1977) [Epidermiology and associated risk factors of hyperlipoproteinemia]. Z Gesamte Inn Med 32(8):124–128
Krishnan E, Svendsen K, Neaton JD et al (2008) Long-term cardiovascular mortality among middle-aged men with gout. Arch Intern Med 168(10):1104–1110
Chen SY, Chen CL, Shen ML (2007) Manifestations of metabolic syndrome associated with male gout in different age strata. Clin Rheumatol 26(9):1453–1457
Vazquez-Mellado J, Garcia CG, Vazquez SG et al (2004) Metabolic syndrome and ischemic heart disease in gout. J Clin Rheumatol 10(3):105–109
Choi HK, Ford ES, Li C et al (2007) Prevalence of the metabolic syndrome in patients with gout: the Third National Health and Nutrition Examination Survey. Arthritis Rheum 57(1):109–115
Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS) (2012) National Health and Nutrition Examination Survey. 2009-2010. http://www.cdc.gov/nchs/nhanes.htm. Accessed 12 Feb 2012
Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Laboratory Manual. 2009-2010. http://www.cdc.gov/nchs/nhanes/nhanes2009-2010/labdoc_f.htm. Accessed 12 Feb 2012
Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Questionnaire. 2009-2010. http://www.cdc.gov/nchs/nhanes/nhanes2009-2010/quex09_10.htm. Accessed 12 Feb 2012
Gelber AC, Klag MJ, Mead LA et al (1997) Gout and risk for subsequent coronary heart disease. The Meharry-Hopkins Study. Arch Intern Med 157(13):1436–1440
McAdams MA, Maynard JW, Baer AN et al (2011) Reliability and sensitivity of the self-report of physician-diagnosed gout in the campaign against cancer and heart disease and the atherosclerosis risk in the community cohorts. J Rheumatol 38(1):135–141
Baker JF, Krishnan E, Chen L et al (2005) Serum uric acid and cardiovascular disease: recent developments, and where do they leave us? Am J Med 118(8):816–826
Zhu Y, Pandya BJ, Choi HK (2011) Prevalence of gout and hyperuricemia in the US general population: the National Health and Nutrition Examination Survey 2007-2008. Arthritis Rheum 63(10):3136–3141
Levey AS, Stevens LA, Schmid CH et al (2009) A new equation to estimate glomerular filtration rate. Ann Intern Med 150(9):604–612
Chobanian AV, Bakris GL, Black HR et al (2003) The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 289(19):2560–2572
American Diabetes Association (2011) Diagnosis and classification of diabetes mellitus. Diabetes Care 34(Suppl 1):S62–S69
Krishnan E, Lingala B, Bhalla V (2012) Low-level lead exposure and the prevalence of gout: an observational study. Ann Intern Med 157(4):233–241
Centers for Disease Control and Prevention (CDC) (2004) National Center for Health Statistics (NCHS): NHANES Laboratory Procedure Manual: Lead Cadmium Mercury. http://www.cdc.gov/nchs/data/nhanes/nhanes_07_08/PbCd_E_met_lead_cadmium.pdf. Accessed 15 Mar 2011
Centers for Disease Control and Prevention (CDC) (2012) National Center for Health Statistics (NCHS). NHANES – Analytical Guidelines. 2010. http://www.cdc.gov/nchs/nhanes.htm. Accessed 12 Feb 2012
Anderson R, Rosenberg H (1998) Age standardization of death rates: implementation of the year 2000 Standard. In: Statistics NCoH (ed) National vital statistics reports, vol 47
Sherwin R, Kaelber CT, Kezdi P et al (1981) The multiple risk factor intervention trial (MRFIT) II. The development of the protocol. Prev Med 10(4):402–425
Zukel WJ, Paul O, Schnaper HW (1981) The multiple risk factor intervention trial (MRFIT). I. Historical perspective. Prev Med 10(4):387–401
Neaton JD, Grimm RH Jr, Cutler JA (1987) Recruitment of participants for the multiple risk factor intervention trial (MRFIT). Control Clin Trials 8(4 Suppl):41S–53S
Krishnan E, Kwoh C, Schumacher HR et al (2007) Hyperuricemia and incidence of hypertension among men without metabolic syndrome. Hypertension 49:1–2
Krishnan E, Baker JF, Furst DE et al (2006) Gout and the risk of acute myocardial infarction. Arthritis Rheum 54(8):2688–2696
Krishnan E (2008) Gout and coronary artery disease: epidemiologic clues. Curr Rheumatol Rep 10(3):249–255
Arromdee E, Michet CJ, Crowson CS et al (2002) Epidemiology of gout: is the incidence rising? J Rheumatol 29(11):2403–2406
Wallace SL, Robinson H, Masi AT et al (1977) Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 20(3):895–900
Squadrito GL, Cueto R, Splenser AE et al (2000) Reaction of uric acid with peroxynitrite and implications for the mechanism of neuroprotection by uric acid. Arch Biochem Biophys 376(2):333–337
Corry DB, Eslami P, Yamamoto K et al (2008) Uric acid stimulates vascular smooth muscle cell proliferation and oxidative stress via the vascular renin-angiotensin system. J Hypertens 26(2):269–275
Kanellis J, Kang DH (2005) Uric acid as a mediator of endothelial dysfunction, inflammation, and vascular disease. Semin Nephrol 25(1):39–42
Khosla UM, Zharikov S, Finch JL et al (2005) Hyperuricemia induces endothelial dysfunction. Kidney Int 67(5):1739–1742
Kato M, Hisatome I, Tomikura Y et al (2005) Status of endothelial dependent vasodilation in patients with hyperuricemia. Am J Cardiol 96(11):1576–1578
Patterson RA, Horsley ET, Leake DS (2003) Prooxidant and antioxidant properties of human serum ultrafiltrates toward LDL: important role of uric acid. J Lipid Res 44(3):512–521
Farquharson CA, Butler R, Hill A et al (2002) Allopurinol improves endothelial dysfunction in chronic heart failure. Circulation 106(2):221–226
George J, Carr E, Davies J et al (2006) High-dose allopurinol improves endothelial function by profoundly reducing vascular oxidative stress and not by lowering uric acid. Circulation 114(23):2508–2516
Staprans I, Pan XM, Rapp JH et al (2005) The role of dietary oxidized cholesterol and oxidized fatty acids in the development of atherosclerosis. Mol Nutr Food Res 49(11):1075–1082
Tsutsumi Z, Moriwaki Y, Takahashi S et al (2004) Oxidized low-density lipoprotein autoantibodies in patients with primary gout: effect of urate-lowering therapy. Clin Chim Acta 339(1–2):117–122
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Krishnan, E. (2013). Metabolic Syndrome and Gout. In: Alcaraz, M., Gualillo, O., Sánchez-Pernaute, O. (eds) Studies on Arthritis and Joint Disorders. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-6166-1_13
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DOI: https://doi.org/10.1007/978-1-4614-6166-1_13
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