The kinds and amounts of foods people eat cause about 12% of gout. Drinking alcohol or fructose-sweetened drinks, and eating meat and seafood can cause this disease. Injuries and surgery may also start an attack of gout. Recent studies showed that some beliefs about connections between diet and gout were not true. Eating purine-rich vegetables (e.g., beans, peas, lentils, and spinach) or large amounts of protein do not contribute to developing gout. Coffee, vitamin C, and dairy products, as well as physical fitness appear to decrease the risk. These things reduce insulin resistance and may reduce cases of gout.