Snoring can double a person's risk of developing gout, new research suggests.
A study of about 8,000 people suggests that those who suffer from obstructive sleep apnea (OSA) are more likely to develop the agonizing condition of the joints.
Although gout is usually associated with heavy people who consume too much alcohol and rich foods, the UK study found that patients with OSA with a healthy BMI are twice as likely to develop gout as those without the sleep disorder.
Sleep apnea occurs when the muscles and soft tissues of the throat relax, blocking the airways. This restricts a person's access to oxygen, which is believed to boost uric acid production.
Excessive amounts of uric acid can become crystals that lead to severe inflammation and pain in the knees, ankles and feet, which is defined as gout.
OSA affects between 4 and 10 percent of people in the United Kingdom, while 2 percent suffer from gout. In the United States, about 22 million have sleep apnea, while 8.3 million have the arthritic condition.
Snoring can double a person's risk of developing gout, suggests new research (stock)
WHAT IS GOUT?
Gout is a form of arthritis that can be extremely painful.
Agonizing attacks occur very quickly, often at night.
It affects around two percent of people in the United Kingdom and 8.3 percent in the United States.
At one point it was thought that gout was caused by overeating and excessive drinking, however, that is not the whole story.
The condition occurs due to an accumulation of uric acid, which may be due to the fact that a person's kidneys can not get rid of the substance fast enough.
Over time, uric acid crystals can form in and around the joints, which can trigger severe inflammation that usually subsides within a week.
About two-thirds of a person's uric acid is already present in their body, while the remaining third comes from the breakdown of chemical slurry compounds in certain foods and beverages.
Foods and drinks rich in purines include:
- Red meat and offal
- Blue fish, such as mackerel and salmon
- Foods rich in yeast extract, such as Marmite and Bovril
In addition to pain, symptoms may include joints that are:
Without treatment, attacks of gout can become more frequent, with more affected joints.
The two most common analgesics used to treat gout are non-steroidal anti-inflammatory drugs, such as ibuprofen and colchicine.
Source: Arthritis Research UK
& # 39; People with sleep apnea have a higher risk of gout & # 39;
The researchers, from Keele University, analyzed 15,879 patients with OSA and 63,296 healthy adults. The participants were followed for around six years.
The results, published in the journal Arthritis & Rheumatology, suggest that 4.9 percent of patients with OSA developed gout compared to only 2.6 percent of those without the sleep condition, making those with OSA 42 percent more risk.
Of the patients who received gout, most were diagnosed with the arthritic condition between one and two years after developing OSA, however, it can take up to five years for the symptoms to appear.
The lead author, Dr. Edward Roddy, said: "People with sleep apnea have an increased risk of gout in both the short and long term.
"Since this risk was higher in people with normal body mass index, doctors and other health professionals should consider the possibility of gout in patents for sleep apnea, regardless of the body mass index."
Sleep apnea treatments may relieve gout
Researchers believe that OSA treatment can also help relieve gout.
Dr. Milica Blagojevic-Bucknall, author of the study, explained: "Sleep apnea is commonly treated with continuous positive airway pressure therapy (CPAP).
"Since treatment with CPAP corrects low oxygen levels, it could also be expected to reduce uric acid levels, which could possibly reduce the risk of developing gout or treating existing gout.
"However, more research is needed to investigate the effect of CPAP treatment in people with gout."
CPAP therapy consists of a plastic mask that fits over the nose and mouth, and is connected to a machine that continuously expels air at low pressure in the back of the throat when the patient lies on the bed.
A study of about 8,000 people suggests that those who suffer from obstructive sleep apnea, which can cause snoring, are more likely to develop the agonizing condition of the joints (stock)
Missing teeth can cause OSA
This comes after research published earlier this month suggested that people who care for their teeth are less likely to suffer from insomnia because their risk of OSA is reduced.
Pensioners with less than 10 teeth are often not recommended seven hours of sleep per night, and some survive in less than four hours, according to a study from Tohoku University, Japan.
It is believed that lost teeth affect the way the tongue is in the mouth, which can lead to OSA, according to the researchers.
The researchers, who were the first to investigate how teeth affect older people's sleep, wrote: "With the population of more than 60 years established to reach two billion worldwide by the year 2050 maybe it's time that we all make a visit to the dentist. "
WHAT IS THE OBSTRUCTIVE SLEEP APNEA?
Obstructive sleep apnea (OSA) occurs when the walls of a person's throat relax and narrow during sleep, blocking their airways.
This interrupts normal breathing, with symptoms that include loud snoring, noisy and labored breathing, and repeated episodes when breathing is interrupted by panting and puffing.
OSA affects between 4 and 10 percent of people in the United Kingdom. In the USA UU., Around 22 million are affected.
During an episode, the lack of oxygen triggers a patient's brain to get them out of deep sleep and reopen their airways.
These repeated sleep interruptions can make the person feel very tired, as they often do not know what the problem is.
The risks for OSA include:
- Being overweight: excess body fat increases the volume of soft tissues in the neck
- Being a man
- Have 40 or more
- Having a big neck
- Drinking excessive amounts of alcohol
- Being in menopause: hormonal changes cause the muscles of the throat to relax
Treatment includes changes in lifestyle, such as losing weight, if necessary, and avoiding alcohol.
In addition, continuous positive airway pressure (CPAP) devices prevent the airways from closing by delivering a continuous supply of compressed air through a mask.
You can also use a mandibular advancement device (MAD), which is like a rubber shield that keeps the jaw and tongue forward to increase space in the back of the throat.
If left untreated, OSA increases a person's risk of high blood pressure, stroke, heart attack, and type 2 diabetes.