Losing weight, maintain weight, sate off the effects of condition are the reasons for most to embarking a new and lasting health and fitness lifestyle. Exercise changes body composition, stamina and strength. But changing food related thoughts and behaviors can be the key to lasting weight loss. Every time you diet to lose weight, you lose lean tissue; therefore, you must decrease caloric intake to avoid subsequent weight gain.

Wednesday, August 01, 2018

Gout in the elderly

Gout, the most common of the crystal arthritides is a result of disturbed uric acid metabolism and precipitation of urate crystals in extra cellular space of joints, periarticular tissue, bones and other organs.

The frequencies of obesity, chronic kidney disease (CKD),hypertension, type 2 diabetes, dyslipidaemias, cardiac diseases (including coronary heart disease, heart failure and atrial fibrillation), stroke and peripheral arterial disease have been repeatedly shown to be increased in gout.

There is an increased incidence of gout in the elderly, with the clinical picture differing somewhat from middle age. Additionally, complications may be more severe. The management of gout may be more challenging in the elderly, due to medical co-morbidities, deteriorating metabolic function and drug interactions due to polypharmacy.

Older people with decreased kidney function, low albumin levels, or requiring diuretic and/or aspirin therapy, are at higher risk of developing gout.

In the West, gout affects around 1% of adult men over 45 years of age. The estimated incidence being 0.6 to 2.1 per 1000 per year, with a prevalence of 9.5 to 13.5 per 1000 persons of all ages.
Gout in the elderly
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