Lifestyle
Dietary causes account for about 12% of gout,[2] and include a strong association with the consumption of alcohol, fructose-sweetened drinks, meat, and seafood.[4][8] Other triggers include physical trauma and surgery.[6] Recent studies have found dietary factors once believed associated are, in fact, not, including the intake of purine-rich vegetables (e.g., beans, peas, lentils, and spinach) and total protein.[9][10] The consumption of coffee, vitamin C and dairy products, as well as physical fitness, appear to decrease the risk.[11][12][13] This is believed partly due to their effect in reducing insulin resistance.[13]
