HUBUNGAN ANTARA POLA MAKAN, OBESITAS, DAN FREKUENSI SERANGAN PADA PASIEN ARTRITIS GOUT DI YOGYAKARTA

Background: Trend of gout arthritis prevalence is keep on increasing each year. Obesity, high purine diet especially animal source are some risk factors for recurrent gout attack. Objective: To evaluate the relationship between diet, obesity and frequency of gout flares in gout arthritis patients. Methode: This study was a cross-sectional study with patients from RSUP Dr. Sardjito, RSUD Kota Jogja, RSUD Panembahan Senapati between February 2010- February 2012 that ever diagnosed as gout arthritis which can be seen in the medical record and live in Special District of Yogyakarta with full address provided, as the respondents of this study. Home visit was done for dietary assessment, waist circumference measurement, also to interview the respondent about gout flares frequency during the last year. Result: Vitamin C consumption in the 1st and 2nd tertiles increase the odds to have any gout flare (OR 5.5 (95% CI 1,08-27,77) and 1,5 (95% CI 0,29-7,35), respectively). In the other hand, obesity tend to increase the odds of having any gout flares up to 1,4 times (95% CI 0,38-5,25) Conclusion: Low consumption of vitamin C is significantly increase the odds of having any gout flares. The odds is also higher in patients with obesity, though this relationship is statistically insignificant