Post edited 11:36 am – October 23, 2009 by trev
This issue has arisen from discussion on the Gout and Red Wine thread.
http://www.gout-pal.com/gout-p…..e-2/#p3120
It's got legs, as they say, and is getting quite 'in-depth'.
Zip has posted 2 interesting links on the research:
A study in the CONGO reported in the INTERNATION JOURNAL OF CARDIOLOGY:
&
Hyperuricemia and Incident Heart Failure Eswar KrishnanStanford University, Stanford, CA
and my last response is repeated here:
One report specifically refers to African subjects, Zip! This population are known to have substantial CV risk variances c.f. to white populations.
The latter report is more persuasive, for the general population, – untill it flags the lowest quartile as <3.4 SUA *** , a level that only exists in younger women and pre-pubescent boys, notably.
This report starts off by saying the broader population has not previously been studied for risk – if this 2:1 hazard factor conluded is hidden behind the extraction from the 11 variables stated that triple that risk to 6:1 I would suggest that the report could be misleading ,statistically.
I'm not qualified to check the raw results, even if they were available. [Must be a huge database]
I just stress that many other studies keep noting these trends and risk factors but haven't yet come to a consensus on a solid link.
*** Broadly, they are not comparing 'like with like' -specifically across the age and gender spectrum even though they claim they account for it. The figures are pre- loaded and say to me:
Sure! Older males get gout- and can suffer CV complications 6X as much than 36 y.o's-
BUT… what about their GENETIC based predisiposition to METABOLIC disorders themselves causing this ?
This could be an ignored variable -and an independant precursor for both Gout and CV disease.
So, I agree the CV risk co-factors exist and broadly would not wish high SUA on anyone, but these reports don't give a persuasive cross population result. They're partial , and thus flawed!
Modern research isn't all it appears. I won't go into reasons for thinking that , right here.
I'm more interested in your response to my view on these reports.
On this reposting I'm adding this conclusion from the second report
“Hyperuricemia is a novel, independent, risk factor for heart failure in a group of young general community dwellers.”
This doesn't to be reflected in the text analysis.
Sorry, I've been changed to RED and it won't change back!! 