Sleep apnea is associated with hyperuricemia – an excess of uric acid, which is the primary cause of gout. For the study, researchers collected data from patients from the Health Improvement Network in the UK. 9,865 patients with sleep apnea were selected along with 43,598 patients without sleep apnea who were used as controls.
Researchers then analyzed incidences of gout in relation to sleep apnea. By the follow-up date, 270 gout cases had developed. Incidence rate was 8.4/1,000 person-years for individuals with sleep apnea and 4.8/1,000 person-years for those without.
Researchers concluded that sleep apnea is an independent risk factor for the development of gout. They said in the report, “Future research should examine the potential benefits of correcting sleep apnea-induced hypoxia on the risk of hyperuricemia and gout flares.”
Sleep apnea and hyperuricemia link
Patients with hyperuricemia were found to be older, heavier and have more severe sleep apnea. Furthermore, these patients had higher C-reactive protein levels, higher creatinine, higher insulin resistance and higher metabolic index. Even when results were altered to exclude diabetics, they still revealed the same outcome.
In conclusion, the study showed intermittent hypoxia and metabolic abnormalities affect uric acid levels in sleep apnea patients who do not receive treatment.
Stopping a gout attack
Keep medication on hand – at the earliest signs of a gout attack take an anti-inflammatory, but avoid aspirin as it can make it worse.
Ice it – to reduce swelling begin icing the affect joint right away. It will also decrease blood flow to the area, which reduces pain.
Call your doctor – let your doctor know what is going on. They may have you go in to see them or prescribe medication.
Drink fluids – being hydrated helps flush uric acid out of the body.
Avoid alcohol – alcohol, especially beer, contains high levels of purines, which can worsen the attack.
Get a cane – using an assistive walking device will alleviate pressure.
Elevate your foot – once again this will slow down blood flow to the joint, which leads to pain and swelling.
Relax – added stress can aggravate gout.
Sleeping with gout pain
When gout pain strikes even the gentlest of touch to the affected area can cause pain, so sleeping can become quite problematic. To alleviate gout pain while sleeping, it’s wise to keep your bed sheets off of your foot. Instead, leave your foot free from clothing and covers.
Other advice is to cut the toes off your socks, so the rest of your foot can stay warm while your toe is free from pain. It’s also a good idea to take pain medication to ease the discomfort.
Guidelines for treating gout and sleep apnea
Many of the tips to ease gout and sleep apnea are the same; therefore, following these tips can actually improve both conditions simultaneously.
- Lose excess weight.
- Control conditions like hypertension, diabetes and high cholesterol.
- Don’t eat organ meats.
- Limit shellfish, fruit juices, sugar and salt.
- Eat plenty of fruits and vegetables.
- Limit or avoid alcohol.
- Stay hydrated and drink plenty of water.
- Control uric acid levels to manage gout and sleep apnea
- Complex carbohydrates
- Foods with saturated and trans fats
- Organ meats
- Shellfish
- Alcohol
On the other hand, these are the foods you should incorporate to better control uric acid levels.
- Apple cider vinegar
- Lemon juice
- Cherries
- Baking soda
- Olive oil
- Water
- High fiber foods
- Low-fat dairy products
- Wheatgrass juice
Related Reading:
Gout risk higher with purine-rich foods in diet raising uric acid levels
Gout risk is higher with purine-rich foods as it increases uric acid levels. Purines are a chemical compound found in some foods. Gout is a condition that affects joints and the musculoskeletal system. It is a form of inflammatory arthritis caused by an excess of uric acid. Uric acid is the product of metabolic processes. Continue reading…
14 Natural remedies for gout pain relief
Gout pain can be debilitating, so using natural remedies can offer gout suffers much relief. Gout is a condition characterized by a buildup of uric acid. Uric acid is the result of purines breaking down, which are found naturally in the human body as well as in food. Continue reading…
Sources:
http://www.hcplive.com/medical-news/sleep-apnea-appears-to-increase-the-risk-of-developing-gout
http://erj.ersjournals.com/content/44/Suppl_58/P1750
http://www.arthritis.org/about-arthritis/types/gout/articles/how-to-stop-a-gout-attack.php
http://www.everydayhealth.com/gout/trying-to-sleep-through-gout-pain.aspx
http://www.top10homeremedies.com/how-to/control-uric-acid-levels.html/3
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