Individuals with gout are more likely to have Metabolic Syndrome, which is a collection of risk factors that increase the risk for type 2 diabetes by 5 fold, triple the risk for heart disease and overall increase the risk of death. Furthermore, elevated blood uric acid levels are associated with an increased risk for heart disease regardless of the presence of other risk factors. As a result, patients with gout must not only make efforts to manage gout, but also protect themselves from associated conditions by regularly visiting their physicians, taking medication as required, exercising regularly and eating well.
Metabolic syndrome is defined as any three of the following risk factors:
- Central obesity: waist circumference ≥ 102 cm or 40 inches (men), ≥ 88 cm or 36 inches (women)
- Elevated triglycerides ≥ 1.7 mmol/L (150 mg/dl)
- Low HDL cholesterol (“good cholesterol”) < 1.0 mmol/L (40 mg/dL) for men; and < 1.3 mmol/L (50 mg/dL) for women
- High blood pressure: ≥ 130/85 mmHg
- Fasting plasma glucose ≥ 6.1 mmol/L (110 mg/dl)