Can Soft Drinks Cause GOUT?

February 5, 2008

Another blow to the soft drinks industry published recently in the British Medical Journal January 31, 2008:

The study showed the risk of developing gout from drinking too much sweetened soda is increased but not with drinking diet soda.  It is the fructose in the drinks that is linked to increase uric acid level which is absent with diet drinks.


Results During the 12 years of follow-up 755 confirmed incident cases of gout were reported. Increasing intake of sugar sweetened soft drinks was associated with an increasing risk of gout. Compared with consumption of less than one serving of sugar sweetened soft drinks a month the multivariate relative risk of gout for

  • 5-6 servings a week was 1.29 , meaning a 29% increased risk! 
  • for one serving a day was 1.45, meaning a 45% increased risk!
  • for two or more servings a day was 1.85, meaning  an 85% increased risk!
  • Diet soft drinks were not associated with risk of gout.
  • total fruit juice or fructose rich fruits (apples and oranges) were also associated with a higher risk of gout (P values for trend <0.05).

Conclusions Prospective data suggest that consumption of sugar sweetened soft drinks and fructose is strongly associated with an increased risk of gout in men. Furthermore, fructose rich fruits and fruit juices may also increase the risk. Diet soft drinks were not associated with the risk of gout.


We seldom consider fructose as a culprit since we are used to looking at foods high in protein or purine like red meat or organ meats to be responsible for gout. The pathway at which fructose increases uric acid has not been given much importance until now!

For Gout: Soda is No Better than Beer!


6 Responses to “Can Soft Drinks Cause GOUT?”

  1. maxim Says:

    Thanks for this info Doc. I had never associated cola drink to gout.

    This is important for me because I sometimes have an attack of this very painful malady.

  2. Greg Says:

    I have had gout for years now.I have avoided the foods that
    may cause outbreaks.
    The other day,I had an outbreak,and had none of the food that
    triggered it.
    The only constant thing was soda.

  3. sandrar Says:

    Hi! I was surfing and found your blog post… nice! I love your blog. 🙂 Cheers! Sandra. R.

  4. Han Leibert Says:

    Not many quality sites on this condition. Thanks for this!

  5. Gary Says:

    It is nice to have it confirmed about sugars in soft drinks and that they have a detrimental effect on our health, more so when you have gout. My gout diet has kept sugars to the barest minimum cutting out amongst others soft drinks entirely.

  6. Edie Barletta Says:

    Paying attention to what you eat may help you manage your gout. Eat moderate amounts of a healthy mix of foods to control your weight and get the nutrients you need. Avoid regular daily intake of meat, seafood, and alcohol (especially beer). Drink plenty of water and other fluids. ;

    Remember to take a look at our own internet site

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