February 26, 2019 at 8:35 pm #8825Ucatsexas .Participant
I just read in the NYTimes that there is a strong connection between gout and sleep Apnea. I have both and believe there is a connection.
“New research has found that obstructive sleep apnea — a disorder in which breathing stops and starts during sleep — is associated with an increased risk for gout, a common cause of painful arthritis.
Scientists studied 15,879 patients with apnea and 63,296 matched controls without, following them for an average of almost six years. Over that time, 4.9 percent of people with apnea developed gout, compared with 2.6 percent of those without the disorder.
Both disorders are associated with obesity, high blood pressure, diabetes and other conditions, but after controlling for these and other factors the independent association of apnea with gout was still evident. The study is in Arthritis & Rheumatology.
The mechanism is unclear, but reduced oxygen supply during sleep encourages the production of uric acid, and the accumulation of uric acid crystals in the joints is what causes the inflammation and pain of gout.
Apnea can be treated with continuous positive airway pressure, or CPAP, in which the patient wears a mask at night to allow easier breathing. There are drugs and diet restrictions used to treat gout.
The lead author, Milica Blagojevic-Bucknall, a lecturer at Keele University in England, said that this observational study does not prove cause and effect. Still, she added, “It’s possible that people who use CPAP could reduce the risk or severity of gout.”
November 1, 2019 at 10:56 am #9089P MbParticipant
I was diagnosed with (mild) SA too – and suffer with gout.
I am *convinced* there is a link there that needs investigation.
‘Better joints in the morning’ was the first thing I noted after going onto CPAP: it was a dead cert that I’d had a good night on the machine.
Were I a doctor I’d do a mandatory sleep study when anyone presented with gout – and probably one or two other chronic conditions too:
For ‘overweight people tend towards diabetes and gout’ read ‘overweight people tend to breathe less well at night, which encourages diabetes and gout’ – perhaps?
Could be a research project in there 🙂
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