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What foods should not be eaten by people with high uric acid and gout?

What foods should not be eaten by people with high uric acid and gout?

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To know the foods that should not be consumed by people with high uric acid and gout, it is important to first understand understand their background.

Uric acid is the final degradation product of a substance called "purine" in the body, if uric acid is too high, and purine is not related to it.The result is gouty arthritis, which is a form of gouty joints. And hyperuricemia, will be due to too much uric acid in the blood, flow through when the accumulation of uric acid in the joints, and over time the formation of uric acid crystals sting joints, so that the joints are swollen, which is gouty arthritis. Therefore, control of uric acid also need to control purines, control of gout need to control uric acid.Purines have become our target for control

Foods that are high in purines we should then try to avoid.

Of common foods.Higher purine content: meat, animal offal, broth, some seafood, soy, yellow wine, some dry mixed foodsThe meat is an indispensable part of our diet. Meat, however, provides nutrients that are indispensable to us, and therefore, it needs to be scientifically selected and consumed. Poultry meat has a high purine content, such asChicken, duck and goose, it is best not to eat in gout attacks or unstable uric acid control, if the condition is stable, you can eat a small amount of food, a meal is not recommended more than 30g, not more than the amount of a chicken leg a day. Pork has the least amount of purines among red meats, but it is also recommended not to exceed 50~60g a day, which is roughly the size of more than half of a hand.. Choose more lean meats and avoid excessive intake of fatty meats. Eat less animal offal and drink less broth (broth tends to incorporate fat and purines). It is best not to eat processed meat products.

Seafood is more complicated, especially fish, some purine content is high, some and lower, such as higher sardines, barracuda, halibut, sea bass, etc., low purine: mackerel, yellowtail, swordfish, whitefish, etc., if you remember the effort is best to choose not to eat fish. Jellyfish, sea cucumber can be eaten in small quantities, lobster oyster shrimp can also be eaten in small quantities, but never eat grass shrimp.

Soybeans have a high purine content and are best not eaten, although soy products can be consumed in small quantities, such as soy milk and tofu.Some dried goods in the higher purine, such as dried mushrooms, dried fungus, purple cabbage, dried mung beans, etc., dried goods must be more soaked, washed, more cooking, to remove more purine.

Patients with high uric acid and gout are advised to abstain from alcohol, especially yellow wine, which is high in purines.And long-term alcohol consumption will also increase the incidence of three highs and cardiovascular diseases, as well as gout attacks.Gout outbreaks more likely in obese, triple-digit groups than general populationTherefore, eating a light diet, controlling the calories in your diet (which can be 80-90% of normal), and refusing to drink alcohol are the best practices.You should also drink plenty of water and exercise and sweat on a daily basis to increase uric acid excretion and avoid gout attacks.

So far, I haven't seen any information on food purine rankings, only purine determination charts for commonly consumed foods.

Table of purine content of various foods (100g)

Content Food group

① Foods with little or no purine content: refined white rice, refined white bread, steamed bread, noodles, macaroni, soda crackers, corn; cabbage, carrots, celery, cucumbers, eggplant, kale, lettuce, pumpkin, zucchini, tomatoes, radish, yams, potatoes; all kinds of milk, cheese, yogurt, all kinds of eggs, all kinds of fruits and dried fruits, sweets; all kinds of fats and oils, jams, sauerkraut, pickles, and so on.

② food containing 50 ~ 75mg purine: mushrooms and other mushrooms, cauliflower, asparagus, spinach, peas, string beans, green beans, kidney beans, cereals, chicken, lamb, white fish, peanuts, peanut butter, beans and products

③ 75 ~ 150mg of purine-containing foods: carp, striped bass, cod, eel, halibut, sea bass, pike, mackerel, eel, shellfish; smoked ham, pork, beef, duck, geese, pigeons, quail, lentils, dry beans (soybeans, broad beans, etc.)

④ Foods containing 150 to 1000 mg of purines: animal liver, kidney, pancreas, brain, sardines, anchovies, fish roe, shrimp, crab, yeast, hot pot soup, chicken soup, broth, mincemeat, etc.

Gout and hyperuricemia friends, eat more food in one item, the first item in the food is mostly alkaline food, alkaline food contains more sodium, potassium, calcium, magnesium and other elements of the food, in the body of the metabolism of the end product of alkaline products, alkaline food to promote the dissolution of uric acid, increase uric acid discharge.

People with gout and hyperuricemia should eat less or none of the foods in item 2

Avoid eating the third and fourth items during gout. Animal food, due to the high purine content, is not conducive to the relief of gout patients. If you are a patient with hyperuricemia, avoid eating the fourth item to avoid causing acute gout attacks.

Gout, a crystal-associated joint disease caused by the deposition of monosodium urate, is very directly related to the metabolic disorders of purines and hyperuricemia caused by decreased uric acid metabolism.

The most obvious external sign of a gouty attack is "pain", usually red, swollen, hot and painful joints, accompanied by fever.

For gout, the diet must be deliberately pay attention to, must achieve nutritional balance, in addition to cooking methods should be scientific and reasonable; cooking need to pay attention to reduce the intake of fried and stir-fried food, for high purine fish food can try to boiled to eat, avoid drinking the old fire soup, hot pot to eat less, soybean food you can choose tofu as well as soybean milk.

Gout, what can you really eat? What not to eat?

Food choices for people with gout can try to favor "low purine foods", which generally contain less than 25 mg of purines.Briefly give a list:

Staple foods: rice, wheat, sorghum rice, potatoes, sweet potatoes, and yams are good choices.

Dairy foods: among them, cow's milk, goat's milk and cheese are good choices.

Meat: Among them, egg foods and animal blood are recommended for gout sufferers.

Most of the vegetables and fruits are low purine foods and have a very good effect on the management of chronic diseases, it is recommended to eat them every day and as much as possible in quantity.

These "high purine foods" are not recommended:

High-purine foods, mainly those containing 150-1000 milligrams of purine substances per 100 grams of food.

Among them, soybeans, lentils, seaweed and mushrooms among vegetables are not recommended for consumption; in addition, internal organs such as heart, liver, spleen, lungs and kidneys of poultry and livestock among meats are not recommended for consumption; and various parts and varieties of a class of food, shellfish, shrimp and sea cucumbers are not recommended for consumption.

In this need to pay attention to is, bean food as well as fungus food belongs to contain purine material high food, do not recommend excessive consumption, spinach belongs to high oxalic acid food, want to eat please blanch food.

For people with gout, drink plenty of water:

Normal people drink 1500-1700 ml of water per day, and it is recommended that gout patients should drink more than 2000 ml of water, and patients with renal insufficiency please reduce appropriately.

In addition, for the "wine", in the end is not a high purine food, but alcohol in the body to inhibit the role of uric acid out of the body, leading to uric acid deposits, must drink must be limited.

For gout diet, please take note of these:

Eating small, frequent meals is the most reliable, balanced intake needs to be appropriate.

All kinds of nutrition are essential. Please refuse to stir-fry and deep-fry.

Lightly boiled and quickly simmered is the most reliable, purines must be eaten sparingly.

Drinking water in small increments and eating out should be done with care.

Alcohol and cigarettes please quit, health is the happiest.

Notes:

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Although the research and understanding of hyperuricemia and gout at this stage has improved tremendously compared to the past, many patients and medical professionals are still not very clear about some of the new understandings, and many of them are wandering around in the old traditional concepts. As an example, the old traditional conception is that high protein foods tend to bring a lot of purines, and it is recommended that patients with gout or hyperuricemia avoid protein foods, including meat, seafood, and legumes, however, this is not the case. Are you still using these old ideas? Today, Dr. Chang says some of the latest understanding about the diet of people with hyperuricemia.

How do different things, especially some common foods in daily life, affect uric acid? Today, Dr. Zhang will talk about them one by one.

1. Animal protein (meat, seafood)

Animal proteins are mostly high purine foods, of which meat and seafood will produce uric acid after metabolism in the body, and impaired uric acid metabolism will lead to gout and hyperuricemia. Many studies have shown that the more meat and seafood you eat, the greater the chance of developing hyperuricemia.

2. Dairy products

The conventional wisdom is that dairy products are rich in protein and will raise uric acid. However, many studies have actually shown that dairy products help lower uric acid, and some have even shown that dairy products have a protective mechanism against gout.

3. Bean products

Conventional wisdom suggests that soy products may elevate uric acid and promote the development of hyperuricemia and gout. However, new research from Japan suggests that soy products do not increase the incidence of hyperuricemia and gout, which is a significant departure from conventional wisdom.

4. Fatty foods

Fatty foods, such as animal skins, fatty portions of meat and egg yolks, are also high in purines and can also cause an increase in blood uric acid and lead to gout, as confirmed by many studies.

5. Plant foods with high purine content

Purine-rich plant foods such as asparagus, mushrooms, spinach and beans, to name a few, were also previously thought to increase uric acid levels in the blood and were not recommended to be eaten in large quantities. However, recent studies have shown that many purine-rich plant foods do not lead to hyperuricemia or gout, but instead have a protective effect on the body.

6. Sugary drinks

Research shows that many sugary soft drinks are mainly fructose, after drinking fructose through the body metabolism will form uric acid. Gout and hyperuricemia patients drink will aggravate the condition of elevated uric acid.

7, Liquor

Beer is proven by many studies to elevate uric acid, but red wine may not have the same effect on uric acid as beer. Some studies even suggest that red wine is rich in certain antioxidants and that drinking it in moderation will not elevate uric acid.

8. Coffee

Many studies have pointed out that coffee can promote metabolism, can accelerate the metabolism of uric acid, reduce the level of uric acid in the body, but you should also pay attention to moderate consumption, do not overdrink coffee.

In fact, while emphasizing the impact of certain things on uric acid, Dr. Zhang would also like to point out to those who have elevated uric acid that dietary patterns have a great impact on uric acid elevation, for example, we must eliminate a large amount of intake of pork, eggs, animal offal, poultry products and deep-fried things, while the intake of fruits and vegetables is less dietary patterns.

The dietary pattern that people can adopt is best described as follows: to consume fruits, vegetables, coarse grains and legumes, fish and poultry in moderation, and full-fat dairy products, red meat and its products in moderation. Use olive oil for food preparation and as a basic source of fat in food.

These are my suggestions for how you should eat with elevated uric acid, and I hope they help.

Gout is gouty arthritis and kidney lesions caused by chronic hyperuricemia.

There are many factors that cause gout to worsen and recur in daily life, such as intense exercise, alcoholism, lack of oxygen, exposure to cold, rapid weight loss, etc., among which high purine diet is the most important cause of acute gout attacks! So gout patients must pay attention to the "purine content of food" when choosing food.

For easy reference when choosing foods for gout sufferers, foods are generally categorized into three groups according to their purine content:

Group I: Reduced purine content, less than 50mg per 100gg

Group II: Higher purine content, 50-100mg per 100g

Group III: high purine content, 150-1000mg per 100g

Gout patients in the acute attack of gout, should choose the first group of food, to milk and its products, eggs, vegetables, fruits, mainly; in the gout remission period, you can choose the second group of food in moderation, but be careful not to eat too much in one meal;Both in the acute and remission phases, gout sufferers should avoid the third group of foods high in purines: animal offal, scallops, sardines, anchovies, chub, mackerel, oysters, clams, thick gravy, thick chicken broths, and hot pot soups!

(Author: Zhou Yanli, National Public Nutritionist Grade II / National Senior Health Manager / Executive Secretary of Liaoning Provincial Nutritionist Association / President of Liaoyang City Health Management Society)

As a patient with hyperuricemia that has led to several attacks of gout, my answer is that there are not many foods that people with gout and high uric acid should never eat, only three.

To reduce and stabilize uric acid levels, gout and high uric acid patients need to control their diet and reduce purine intake in their daily life. Diet control is the most important three: do not eat high purine food, eat less medium purine food and eat more low purine food. However, there are so many varieties of food in the world that we cannot figure out how many purines are in each type of food, nor can we remember the purine content of each type of food accurately.

A coworker and close friend of mine is a gout sufferer like me. He always carries a table with him with the purine content of common foods. Every time he eats, he has to check the table first to see what foods he can and cannot eat. If a food form does not have purine content, he absolutely do not touch, and then go back to the Internet to find information research, the purine content of this food to add to the table. Over and over again, he is now pulling out the form has been a dense three-page paper. Persuasion is ineffective, he believes that this is the best way. Looking at what he called "food purine book" of three sheets of paper, my feeling is a word "tired".

In fact, gout and high uric acid patients in the control of diet, can not be so "obsessive" and "harsh". As long as we master the general principles of diet control, we can well deal with the problem of what to eat and what not to eat.

Where do we find this "major principle"? I think the "major principle" is clearly written in the Dietary Guidelines for Patients with Hyperuricemia and Gout, which are the following two aspects:

Recommended Foods to Avoid

①Animal offal such as liver and kidneys;

② Seafood with shells such as shellfish, oysters and lobsters;

(iii) Thick broth and gravy.

Foods recommended for restriction

①Animal foods with high purine content, such as beef, lamb and pork;

② Fish food;

③Foods containing more fructose and sucrose.

It is important to emphasize that the word "avoid" means "don't eat" and the word "limit" means "you can eat" but you need to limit it. "The word "advice" is just a polite word here, not to be taken seriously.

The three types of food that should not be eaten and the three types of food that should be eaten only in limited quantities are the principles and contents that need to be "controlled" in the daily diet of gout and high uric acid patients.

We only need to follow this principle to achieve the goal of dietary control. As to what is the purine content of each food and what is the total amount of purine in each meal, we neither need nor need to know and calculate very clearly.

Everything has "pros" and "cons", too "obsessive" and "strict" control of the diet, for us For those of us who suffer from gout and high uric acid, the pros don't necessarily outweigh the cons.

To conclude, the foods that people with gout and high uric acid should never eat are animal offal, shellfish, seafood with crustaceans such as oysters and lobsters, and thick broths and gravies, and those that must be consumed in limited quantities are meats, fishes, and foods high in sugar. As for other foods, they can be consumed in moderation, completely according to your own preferences and needs.

Please note that it is "in moderation" and not "in quantity", we need to eat any food in moderation regardless of its purine content. Even if the purine content of a food is low, eating too much of it will do more harm than good to your health.

I've written a bunch of words, so I hope they're of some help to you.

I wish my friends good health and stay away from high uric acid and gout.

I'm Standing Unleashed, so feel free to follow along and comment to improve.

People with high uric acid have a lot to do with a normal diet. If the diet is not well controlled, it is easy to raise the level of uric acid in the body, so you need to pay attention to the taboo. We all know that high uric acid usually occurs in gout patients, so it is necessary to pay attention to the prohibition of these foods, so what can't you eat with high uric acid in gout?

1. Eat less red meat

A lot of gout patients will often take red meat, such patients will also appear obese, gout, if an acute attack, then you need to pay attention to control the amount of red meat, that is, in remission or uric acid is very high when to pay attention to the prohibition of red meat.

2, seafood shellfish eat less

Seafood and shellfish should still be eaten sparingly, because people with high uric acid these foods will aggravate the burden on the kidneys, and will also make uric acid higher.

3、Can not eat spicy food

Spicy food for high uric acid people can not eat, because high uric acid is generally due to the body of purine substances metabolism disorders, will be our blood changes, which will increase uric acid, generally speaking, stimulating food will also make the body of the blood uric acid levels rise, high uric acid people should be prohibited from taking too stimulating spicy food.

4, spinach can not eat

Although spinach is rich in iron, but gout patients can not eat, that is, people with high uric acid can not eat vegetables containing too much oxalic acid, because spinach is rich in oxalic acid, which will accelerate the formation of uric acid, aggravating the burden on the kidneys.

5. Eat less beans

People with high uric acid should not touch legumes, that is, some legumes and substances that are high in iron can make the uric acid level in the body higher.

Gout patients have higher than normal levels of uric acid, so in order to reduce uric acid, it is recommended to eat some foods and vegetables and fruits to reduce uric acid, and eat more wild vegetables to help reduce uric acid, these foods are gout patients are not allowed to eat, because these foods will increase the level of uric acid, and will only aggravate the condition of patients with uric acid.

[I hope this answer can help you, click on the upper right corner of the "attention", you can view more physicians answer or free to ask the doctor questions].

(Contributed by: Concordia Wai)


Gout is a common acute to joint pain, redness and swelling as the main symptom of the disease, its pathogenesis and uric acid increases directly related to the cause of urate deposition in the joints and kidney area. So can cause uric acid increase food especially high purine food gout patients are to eat less.


First, animal offal and seafood is high purine food, gout patients are best not to eat, this is really not easy to do for gout patients, a variety of seafood dinner is a delicacy on earth, how can people not greedy.

Secondly, drinks containing alcohol. Whether it is beer or liquor is best not to drink, in the past specifically emphasized that beer is a high purine drink, can not drink, in fact, liquor can also aggravate the symptoms of gout.


Third, spinach, fructose-rich drinks and high-sugar fruits should not be consumed in excess. Bean food used to be in the scope of the ban, which belongs to the purine medium content of food, and now think that the benefits of eating some beans is greater than the disadvantages, so it is encouraged to eat some soy products.


In addition to the diet of gout patients need to pay attention to, if the uric acid exceeds the normal range, you also need to control the uric acid through drugs, in addition to drinking more water to increase the discharge of uric acid. Only after the normalization of uric acid, the symptoms of gout will gradually disappear.

I have had three gout experiences and I better understand the plight of gout patients, it is absolutely excruciating. Here I'll give you my experience, before the gout attack, had two medical checkups, the uric acid value was:510570. At that time, no physical discomfort was noticed. Until the first gout attack, the pain in the big toe of my left foot, I got a taste of gout, which made me immediately have a correct understanding of gout. Not long after, two more attacks, the process of which I will not talk about, and now I have adjusted. I'm not going to tell you how I toned it down. cheap jordans shoes

First of all, let's recognize what is gout, the so-called gout is our body purine metabolism is abnormal, resulting in hyperuricemia, prolonged hyperuricemia, the formation of crystals in the joints, especially small joints, these crystals will lead to joint swelling and pain. Why is it called gout? That is to say, once this disease attack will be painful, needless to say touch the affected area, even a gust of wind will feel pain, so it is called gout.

Next, let's look at the causes of gout formation. There are two main reasons for the formation of gout: decreased metabolic function of the liver and excessive intake of acidic foods that are high in purines. We know that the main function of the liver is detoxification and metabolism, and purine metabolism is also realized through the metabolic function of the liver, if the metabolic function of the liver is not good, purine metabolism will be abnormal. If the liver metabolism function is not good, the purine metabolism will be abnormal. When the purine metabolism is abnormal, the uric acid value is high. A long term high purine diet also leads to acidification of our body fluids, and an acidic body is a breeding ground for disease. When blood uric acid is too high, it leads to crystals in the joints, and these crystals can be interpreted as having broken glass in the joints, so it can cause limited movement and pain.

So how do you effectively lower uric acid values? I think we should start with the following:

1, abstain from or limit the use of alcoholThe most important thing to remember is that we drink alcohol through the liver to metabolize it. We drink in the wine is metabolized by the liver, long-term large amounts of alcohol will suffer from alcoholic liver, will damage the liver function, liver function is damaged, purine metabolism function will be abnormal, purine in the body accumulates too much, it will lead to gout.

2Adjust your diet to eat less food high in purines and more vegetables and fruits, especially during a gouty attack... What are the high purine foods? Animal offal, hot pot, tofu, seafood, beer, etc. It's not hard to find this online.

3, appropriate increase in physical activity.. Uric acid needs to be metabolized for its elimination, and exercise increases sweating and promotes a nice metabolism.

4Eat nutritious foods that neutralize blood uric acid.. Some friends after suffering from gout, a check purine diet head is big, why? Because and"Pig food" is almost the same. Good chicken, duck, fish, meat are high purine, only coarse grains, vegetables and some fruits are low purine. None of us want to prematurely eat "pig food" life, then there is no good way to reduce blood uric acid? The answer is yes, that is to eat some nutritional supplements. There are two reasons: First, nutritional supplements can repair damaged liver cells. We need to remember one thing: there is no medicine for liver disease! That is, there is no special medicine for liver disease, and you can only rely on nutrition, and this nutrition is nutrition. Secondly, good nutritional supplement food, basically are alkaline, have a reducing effect. Otherwise, it is not a good nutritional supplement. Good nutritional food, can be neutralized in our body acid toxicity, this is "acid-base neutralization", it will not take long to change the pH of our body fluids, body fluids are weakly alkaline, uric acid value will come down. At that time, we can have a feast without any dietary restrictions.

Gout and hyperuricemia are directly related to each other, and both are very common metabolic diseases in our lives, which have an impact on our quality of life. Although diet is closely related to the occurrence of gout and hyperuricemia, we do not have to worry too much, strictly speaking, gout and hyperuricemia patients do not exist completely can not eat, just to grasp the amount, frequency and way. At the same time, there are differences in our personal constitution, diet should also be individualized, in order to eat their own without gout acute attack and other discomforts as appropriate.

We have to start from our daily life, dietary attention to strictly limit the intake of high purine and high fructose food, appropriate food in the purine food, to encourage the consumption of low purine or very low purine food. Specific recommendations are: ① do not eat animal offal (liver, kidneys, etc.), shelled seafood (shells, oysters, etc.) and broths (especially thick broths that have been stewed for a long time); ② eat less but not no animal meat, fish, dried mushrooms, dried beans, etc.; ③ encourage the choice of intake of fresh vegetables, coarse grains; ④ encourage the consumption of low-fat or skimmed milk and its products; ⑤ can eat an egg every day; ⑥ try to not drink fruit juice, cola and other fructose-rich beverages. fructose-rich beverages such as fruit juice and cola.

Daily life should also pay attention to: ① Drink more water, more than 2000ml per day, white water is appropriate, can also be appropriate to drink soda, light tea and coffee; ② do not smoke or quit smoking, smokers have a significantly higher probability of gout than non-smokers, so it is recommended to actively quit smoking; ③ Limit the consumption of alcohol, do not drink alcohol is best, especially during the acute stage of gout should be avoided, the condition of the stabilization of the appropriate amount of alcohol can be consumed, but it must be When the condition is stabilized, alcohol can be consumed, but the amount must be strictly controlled, and red wine is suitable; ④ Appropriate exercise, pay attention to warmth, avoid strenuous exercise and sudden exposure to cold; ⑤ Maintain a good state of mind and a regular work and rest schedule, avoid anxiety, anger, depression, staying up all night, and exertion, etc.; ⑥ Control body weight, and pay attention to weight loss in the case of obesity.

Through active lifestyle intervention can be very good to help control the condition, but for patients with hyperuricemia and gout who have ineffective lifestyle intervention, the use of uric acid-lowering drugs is recommended, which can be chosen from allopurinol, febuxostat that inhibit the production of uric acid, or phenylbromarone that promotes the excretion of uric acid. Blood uric acid level should be controlled below 420umol/L, but gout patients need to be controlled below 360umol/L. Patients with gout stones or frequent gout attacks should be controlled below 300umol/L, in order to maximize the promotion of urate dissolution and excretion, which is conducive to the long-term stable control of the disease.

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