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Familial aggregation of gout and relative genetic and environmental contributions: a nationwide population study in Taiwan.


ABSTRACT: OBJECTIVE: To examine familial aggregation of gout and to estimate the heritability and environmental contributions to gout susceptibility in the general population. METHODS: Using data from the National Health Insurance (NHI) Research Database in Taiwan, we conducted a nationwide cross-sectional study of data collected from 22?643?748 beneficiaries of the NHI in 2004; among them 1?045?059 individuals had physician-diagnosed gout. We estimated relative risks (RR) of gout in individuals with affected first-degree and second-degree relatives and relative contributions of genes (heritability), common environment shared by family members and non-shared environment to gout susceptibility. RESULTS: RRs for gout were significantly higher in individuals with affected first-degree relatives (men, 1.91 (95% CI 1.90 to 1.93); women, 1.97 (95% CI 1.94 to 1.99)) and also in those with affected second-degree relatives (men, 1.27 (95% CI 1.23 to 1.31); women, 1.40 (95% CI 1.35 to 1.46)). RRs (95% CIs) for individuals with an affected twin, sibling, offspring, parent, grandchild, nephew/niece, uncle/aunt and grandparent were 8.02 (6.95 to 9.26), 2.59 (2.54 to 2.63), 1.96 (1.95 to 1.97), 1.93 (1.91 to 1.94), 1.48 (1.43 to 1.53), 1.40 (1.32 to 1.47), 1.31 (1.24 to 1.39), and 1.26 (1.21 to 1.30), respectively. The relative contributions of heritability, common and non-shared environmental factors to phenotypic variance of gout were 35.1, 28.1 and 36.8% in men and 17.0, 18.5 and 64.5% in women, respectively. CONCLUSIONS: This population-based study confirms that gout aggregates within families. The risk of gout is higher in people with a family history. Genetic and environmental factors contribute to gout aetiology, and the relative contributions are sexually dimorphic.

SUBMITTER: Kuo CF 

PROVIDER: S-EPMC4316854 | biostudies-other | 2015 Feb

REPOSITORIES: biostudies-other

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Familial aggregation of gout and relative genetic and environmental contributions: a nationwide population study in Taiwan.

Kuo Chang-Fu CF   Grainge Matthew J MJ   See Lai-Chu LC   Yu Kuang-Hui KH   Luo Shue-Fen SF   Valdes Ana M AM   Zhang Weiya W   Doherty Michael M  

Annals of the rheumatic diseases 20131121 2


<h4>Objective</h4>To examine familial aggregation of gout and to estimate the heritability and environmental contributions to gout susceptibility in the general population.<h4>Methods</h4>Using data from the National Health Insurance (NHI) Research Database in Taiwan, we conducted a nationwide cross-sectional study of data collected from 22 643 748 beneficiaries of the NHI in 2004; among them 1 045 059 individuals had physician-diagnosed gout. We estimated relative risks (RR) of gout in individu  ...[more]

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