Most Common Disease of50plus: The Clinical trials and Studies of Musculo-Skeletal disorders(MSDs) - Gout - The Diet

Kyle J. Norton (Scholar and Master of Nutrients, all right reserved)Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
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Musculoskeletal disorders (MSDs) are medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. According to a community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home, musculoskeletal pain was reported by 57% of those interviewed(*).

Types of Musculo-Skeletal disorders in elder

1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia

                                          Gout

Gout mostly effected one joint is an acute and recurrent condition of arthritis as a result of uric acid building up in blood, inducing joint inflammation.

 The diet

Dietary consumption and life style  plays an important role in association to risk and attenuated risk and progression of gout(208)..
1. Green tea
Green tea containing more amount of antioxidants than any drinks or food with the same volume, is the leaves of Camellia sinensis, undergone minimal oxidation during processing, originated from China. Regular intake of green tea has shown to reduced levels of uric acid by epidemiological and research studies and literature(210)

Recent study suggested that green tea exhibited anti SUA level and induced decreases uric acid clearance in a study comprised 1-week control, 2-week interventional, and 1-week follow-up periods conducted by the Chiang Mai University(209).

2. Coffee

Coffee is a brewed drink prepared from roasted coffee beans from the Coffee plant. The third national health and nutrition examination survey. using data from 14,758 participants ages >/=20 years in (1988-1994) support the effectiveness of drinking coffee >/=6 cups daily in ameliorated risk of gout in comparison to green tea. The study also said, "The inverse association with coffee appears to be via components of coffee other than caffeine"(211).

According to a system review by the joint study led by the Ajou University School of Medicine, moderate coffee intake might be advocated for primary prevention of hyperuricemia and gout in both genders(212).

Dr. Pham NM and colleagues at the Kyushu University said, " There were inverse associations of coffee consumption with serum UA concentrations and hyperuricemia in men regardless of adjustment for covariates. Women showed a statistically significant, but weaker, inverse association betweencoffee and serum UA levels after allowance for the confounding factors"(213).

3. Yogurt

Yogurt, a product of dairy used widely in Western world as a healthy foods for enhancing the digestive system is a dairy product made from milk. According to Dr. Towiwat and , Li ZG in the review of dietary effect of yogurt insisted that yogurt expressed anti uric acid and reduced risk of gout in regular consumption(214).

Dr Schlesinger said, " Non-fat milk and low-fat yogurt have a variety of health benefits and dairy products may have clinically meaningful antihyperuricaemic effects"(215) and "Dairy consumption was inversely associated with the serum uric acid level." Harvard Medical School, showed(216).

4. Milk

The diary product produced from cow drunk by millions of the world population may also have a positive effect on gout(216). According to the 3-month randomised double-blind controlled trial of milk products for prevention of gout flares, consumption of SMP/GMP/G600 daily over the 3-month period, showed greater improvements in pain and fractional excretion of uric acid, particular in tender joint count(217).

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References

(208) Management of gout in the real world: current practice versus guideline recommendations by Doghramji PP1, Fermer S2, Wood R3, Morlock R4, Baumgartner S5.(PubMed)
(209) Effects of green tea extract on serum uric acid and urate clearance in healthy individuals by Jatuworapruk K1, Srichairatanakool S, Ounjaijean S, Kasitanon N, Wangkaew S, Louthrenoo W.(PubMed)
(210) The association of vitamin C, alcohol, coffee, tea, milk and yogurt with uric acid and gout by Towiwat P1, Li ZG2.(PubMed)
(211) Coffee, tea, and caffeine consumption and serum uric acid level: the third national health and nutrition examination survey by Choi HK1, Curhan G.(PubMed)
(212) Effects of coffee consumption on serum uric acid: systematic review and meta-analysis by Park KY1, Kim HJ2, Ahn HS2, Kim SH1, Park EJ1, Yim SY3, Jun JB4.(PubMed)
(213) The relation of coffee consumption to serum uric Acid in Japanese men and women aged 49-76 years by Pham NM1, Yoshida D, Morita M, Yin G, Toyomura K, Ohnaka K, Takayanagi R, Kono S.(PubMed)
(214) The association of vitamin C, alcohol, coffee, tea, milk and yogurt with uric acid and gout by Towiwat P1, Li ZG2.(PubMed)

(215) Dietary factors and hyperuricaemia by Schlesinger N1.(PubMed)

(216) Intake of purine-rich foods, protein, and dairy products and relationship to serum levels of uric acid: the Third National Health and Nutrition Examination Survey by Choi HK1, Liu S, Curhan G.(PubMed)

(217) Effects of skim milk powder enriched with glycomacropeptide and G600 milk fat extract on frequency of goutflares: a proof-of-concept randomised controlled trial by Dalbeth N1, Ames R, Gamble GD, Horne A, Wong S, Kuhn-Sherlock B, MacGibbon A, McQueen FM, Reid IR, Palmano K.(PubMed)