Gout and Vitamin D - many studies

12 Reasons to believe that Gout is associated with low vitamin D

Reasons to believe that Gout is associated with low vitamin D

  1. Acute gouty arthritis is seasonal. 1998
    • Increased by 32% in Spring (when vitamin D levels are the lowest)
  2. Clinical Trials for Gout and Vitamin D
  3. Vitamin D reduces Rheumatoid arthritis items

  4. Vitamin D reduces Pain items

  5. Vitamin D reduces Inflammation category listing with items

  6. Higher incidence of gout with age (less vitamin D and gastric acid as you get older)

  7. Increased gout at higher Latitude (Gout and Goutiness a 1899 book

  8. Increased gout with soda pop

  9. 2X more Gout if Dark Skin
    • WikiPedia gout is twice as likely in African American males as it is in European Americans
  10. Gout and Calcium and vitamin D
    • Calcium and Vitamin D. The relationship of gout to calcium and vitamin D is complex.
    • Gout is associated with insulin resistance, low vitamin D levels, and inflammation, all of which interfere with muscle synthesis.
    • One study has found that patients with gout have lower vitamin D3 levels correlated with higher urate.
  11. Increased gout recently (along with increased number of people being vitamin D deficient)- both blacks and whites
    • New Zealand 2009 publication
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    • Gout incidence has been increasing (while vitamin D has been decreasing)
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  12. Gout has increased, but appears to be correlated with obesity/ hypertension 2011
    • note: both obesity and hypertension are associated with low vitamin D

Vitamin D and Gout - includes 2 treatment studies using 50,000 IU weekly or twice a week for 2 months - Sept 2023

Can vitamin d cause gout?

Table of Contents

The Link Between Vitamin D and Gout

Vitamin D Deficiency Increases Gout Risk

Can Vitamin D Supplements Help Treat Gout?

How Does Vitamin D Affect Uric Acid Levels?

Uric Acid Production

Uric Acid Excretion

Gut Microbiome Effects

Factors That Can Cause Vitamin D Deficiency

Optimizing Vitamin D Levels to Help Prevent Gout

Key Takeaways: Can Vitamin D Cause Gout?

What is gout?

What causes high uric acid levels?

How is gout diagnosed?

What is the link between vitamin D and gout?

How does vitamin D affect uric acid levels?

Can vitamin D supplements help treat gout?

What causes vitamin D deficiency?

How can I optimize vitamin D levels?

Should I have my vitamin D levels checked?

What is the recommended daily intake of vitamin D?

Are there risks with excessive vitamin D intake?

What other lifestyle measures can help prevent gout attacks?


Note: Perplexity AI was unable to find links to the referenced studies

Note: Topical Vitamin D usually works much better than oral when the problem is near the skin


4X less likely to die of Gout if 40 ng of Vitamin D - Aug 2024

Association of serum 25-hydroxyvitamin D concentrations with all-cause and cause-specific mortality among individuals with gout and hyperuricemia

Nutrition Journal Volume 23, article number 89, https://doi.org/10.1186/s12937-024-00992-8

Ke Liu, Xuanni Lu, Anqi Wang, Weiwei Chen, Ying Chen, Jiayu Li, Xiaohui Sun, Lin Huang, Zhixing He, Chengping Wen, Yingying Mao & Ding Ye

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Background

We aimed to probe the association of serum 25-hydroxyvitamin D [25(OH)D] concentrations with all-cause and cause-specific mortality among patients with gout and hyperuricemia (HUA).

Methods

The study included 1169 gout patients and 7029 HUA patients from the National Health and Nutrition Examination Survey (NHANES) 2007–2018 and 2001–2018, respectively. The association between serum 25(OH)D and mortality was evaluated by Cox proportional hazard and restricted cubic spline models.

Results

Among participants with gout and HUA, the weighted mean concentrations of serum 25(OH)D were 71.49 ± 30.09 nmol/L and 64.81 ± 26.92 nmol/L, respectively. Vitamin D deficiency occurred in 29.68% of gout patients and 37.83% of HUA patients.

During 6783 person-years of follow-up among gout patients, 248 all-cause deaths occurred, among which 76 died from cardiovascular disease (CVD) and 49 died from cancer.

1375 HUA patients were recorded for all-cause mortality during 59,859 person-years of follow-up, including 427 CVD deaths and 232 cancer deaths.

After multifactorial adjustment, per one-unit increment in natural log-transformed 25(OH)D was associated with lower risk of 55% all-cause mortality and 61% CVD mortality among gout patients, and a 45% reduced risk of cancer mortality among HUA patients.

Restricted cubic splines showed a U-shaped relationship with all-cause and CVD mortality among HUA patients, with inflection points of 72.7 nmol/L and 38.0 nmol/L, respectively. The results were robust in subgroup and sensitivity analyses.

Conclusions

Serum 25(OH)D was negatively linearly correlated with mortality among gout patients, whereas U-shaped correlated with mortality in HUA patients. These results indicate that adequate vitamin D status could prevent premature death.

📄 Download the PDF from Vitamin D Life


Vitamin D and Gout: Facts, etc.

FACT: Gout increases with age

FACT: Gastric Acid/digestion decreases with age

FACT: Coffee increases gastric acid

FACT: Coffee decreases gout (known since 1672)

FACT: Vitamin D increased digestion

FACT: Vitamin D decreases Gout

CONCLUSION: Improved digestion ==> reduced gout

Hypothesis: Other ways to Increase digestion, such as HCL or digestive enzymes, will also decrease gout

Note: Vitamin D reduces gout by at least the following ways:

  1. improving digestion

  2. improving kidney function

  3. reducing pain

  4. reducing inflammation


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  1. See also Vitamin D Life

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43 reasons for Vitamin D deficiency which includes the following chart

imageGout has the following chart

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  1. See also web

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  1. Gout in the UK increased 20% in 3 years - Sept 2022

Also tuberculosis, malnutrition, whooping cough, measles, scurvy, typhoid, scarlet fever, diphtheria, mumps, rickets, cholera, and vitamin D deficiency


  1. Gout, RA symptoms sometimes the same, sometimes different

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  1. Gout epigenetics: Vitamin  D, Vitamin D Receptor, Omega-3, etc - Sept 2022

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  1. 7+ Vitamin D Life pages have GOUT in title

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