Which factor does NOT precipitate gout attacks?

Excessive fluid intake does not precipitate gout attacks, making it the correct choice in this context. Gout is a type of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints. Factors that typically trigger gout attacks include dietary choices high in purines, as well as alcohol consumption, which can increase uric acid production and decrease its excretion.

Seafood and organ meats are known to be high in purines, leading to elevated uric acid levels and potential gout flares. Alcohol, particularly beer and spirits, can also contribute to gout attacks for similar reasons. In contrast, adequate hydration and excessive fluid intake can actually help reduce uric acid levels in the body, promoting better kidney function and assisting in the excretion of uric acid. Thus, maintaining a high fluid intake is generally advised for individuals at risk for gout rather than being a precipitating factor.