Gout Management in Polynesian Populations

Epidemiological Evidence and Risk Factors

• Māori individuals with diabetes have significantly worse health outcomes than other Pacific Islanders despite shared Polynesian genetic ancestry, suggesting complex interactions between genetics and environment 1, 2

Management and Prevention

• Dietary recommendations for gout patients should include limiting alcohol intake, weight loss if overweight/obese, and reducing fructose intake 3, 4
• Every person with gout should receive lifestyle advice including weight management and avoidance of alcohol (especially beer and spirits), sugar-sweetened drinks, and excessive intake of meat and seafood 4
• Low-fat dairy products should be encouraged as they may have protective effects against hyperuricemia 4