Thank you Mazzaroth man, weird indeed, and very interesting!
I’ve added the images from that study to your post. Also, I had a look for some related studies, and I found 2 similar studies about gout and smoking.
– From Oman in 2008 Serum Uric Acid in Smokers. The authors point out that risk of heart disease rises as uric acid falls. So, probably not a good idea!
– From Britain, in 2014 Cigarette smoking is associated with a reduction in the risk of incident gout: results from the Framingham Heart Study original cohort. I’m uncertain what the authors are suggesting when they say “We do not intend to suggest people take up smoking in order to prevent gout.”
Interestingly, in 2006, EULAR, the European rheumatologists, recommended: “3. Associated comorbidity and risk factors such as hyperlipidaemia, hypertension, hyperglycaemia, obesity and smoking should be addressed as an important part of the management of gout.”
Although there is no direct evidence to support smoking as a risk factor for gout, smoking strongly associates with alcohol consumption, which may in turn associate with gout. Importantly, however, smoking is a modifiable risk factor for cardiac and peripheral vascular disease, as well as many other diseases, and therefore needs to be addressed in a holistic approach to patient management.
So, expect smoking to become compulsory for European gout sufferers any day soon. (Let’s keep Brexit in General Discussion ).
I don’t need to include images because I’ve linked to full reports. But, here’s one anyway: