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Clinicians should emphasize the importance of optimizing lifestyle measures and standard risk factor control, including adherence to diet, statins, anti-inflammatory drugs (eg, aspirin, colchicine), smoking cessation, diabetic and blood pressure control, and antithrombotic medications as indicated. Preventing gout attacks through diet, adequate fluid intake and appropriate uric acid-lowering medications might be the best way of avoiding these cardiovascular complications

Methods The 2017 Lifestyle Survey of Adolescents is a nationally-representative survey collected in Japan