Actually, this question is quite complicated, but it is also simple! Complicated in the variety of food is so diverse, how can we do everything to tell patients where to eat, where absolutely should not eat it? Simple in fact for patients with high uric acid and gout, as long as there are several categories of ingredients try not to intake, in fact, many other ingredients, as long as the amount of mastery and cooking methods, in fact, can also be safely eaten, we talk about this issue today!

The causes of hyperuricemia are actually quite complex, and theExactly how much diet contributes to hyperuricemia has actually been debatedBut we can responsibly say that because theDietary causes of high uric acid are likely to account for mainly twenty percent of theAnd the factor that accounts for a larger percentage, almost 80%, is that people have metabolic problems. And there are some studies now that showPlant-based ingredients are relatively safe for people with hyperuricemia and gout!And with studies suggesting that genetic factors account for about 26% of what really causes uric acid abnormalities in patients, while dietary factors account for only about 1% (a literature study published in the British Medical Journal in 2018), it's safe to say that there's also been some shaking up of previous perceptions, right?

In fact, the above is mainly to give you a generalization of some of the new research and understanding of hyperuricemia and gout, these new ideas have also been further confirmed in practice, such asStudies in Shanghai and Singapore, as well as in various parts of Japan, have demonstrated that the intake of soy products, as well as some plant-based ingredients, does not increase the risk of hyperuricemia and gouty attacks.

After understanding the above, let's go back to the dietary control of hyperuricemia as well as gout patients, what exactly should be eaten for good?

What are some of the ingredients that people with hyperuricemia and gout try to avoid?

You should be able to understand by looking at these pictures, like the beef and pork onesRed meat.Like shrimp as well asshellfishof seafood products.All alcoholic beveragesas well asHigh salt intakeAll of them increase the risk of gout as well as hyperuricemia, and these types of ingredients should never be ingested. Another type of drink that can trigger hyperuricemia and gout is carbonated beverages, especially those that containDrinks with high fructose contentThe reason is that these beverages, after metabolized by the body, produce acids that competitively inhibit the release of uric acid, leading to gout attacks. In the clinic we met a lot of fat guys, they usually do not drink alcohol, diet normal, but also will occur gout, trace the history of the disease is due to the carbonated drinks too much love. In addition, a large amount offat intakeIt also increases the risk of high uric acid.

After avoiding some of the above high-purine ingredients, especially those that tend to induce hyperuricemia as well as gout attacks, all other foods can be consumed in moderation.

With prolonged and strict dietary control, it is very likely that the patient will not be able to control the uric acid very much up to the standard, however or will face many abnormalities such as nutrition, adverse mood changes, etc. Just for example, we have encountered many patients in the clinic thatTheir diet has almost reached the pre-liberation state of poor peasants' diet, only drinking congee and eating salted vegetables every day, and their uric acid still reaches 800, which is difficult to lower with medicationInstead, patients may experience significant mood changes due to unsatisfactory uric acid control and gout flare-ups. Instead, prolonged periods of inadequate dietary intake lead to weakness and wasting, which can seriously affect the patient's daily life.

So personally, I feel that the diets of hyperuricemia as well as gout patients should try to avoid what they shouldn't eat, such as the previously mentioned ingredients like alcohol, otherIt's perfectly fine to consume the right ingredients, you just need to be careful about the amount and the way you cook them。

Let's take the fish that we used to keep out of our patients' diets.Often doctors will tell patients that seafood should not be eaten, then many patients think that the sea fish that is certainly seafood, it should not eat a bite ofBut sea fish is rich in vitamin D and many other nutrients that are very useful for cardiovascular health. However, sea fish is rich in vitamin D and many other nutrients that are very useful for the cardiovascular system, such as Omega 3 fatty acids, which are found in sea fish.Salmon, halibut, salmon and tunaAlthough it contains a certain amount of purine, but as long as the amount of control, control in the range of about two taels, is not to increase the risk of gout attacks! And as long as you pay attention to the frequency of intake, do not eat every day, appropriate adjustment of their own dietary structure, is completely able to achieve a reasonable nutritional ratio, while not affecting the goal of their own body.

In addition, the cooking method of the ingredients is also very important, the method of deep-frying must be avoided at all costs, after deep-frying the ingredients will have a huge increase in purine. For fish, boiling or baking is a more suitable method.

Another example is that before we all advise gout patients not to eat tofu to speak, in fact, after processing, soy products in the purine has been a lot of diluted away.The purine content of tofu is not really high. Patients with hyperuricemia and gout can consume it in moderation!The most important thing is to be careful with the method, and try not to take the method of frying or cooking with some shellfish at the same time.

Learn to scientifically control the amount and the correct cooking method, learn to control their own dietary ratios, do not eat every day, every day or eat a large amount of food just because you love to eat is which food isThe goal is to enjoy the food while helping to control uric acid in patients with hyperuricemia as well as gout.

Some very good ingredients for hyperuricemia and gout sufferers

These two charts above pretty much cover the ingredients that are better for people with hyperuricemia as well as gout.

Water (2000 ml or more), ginger (controls inflammation, can help reduce pain in the acute stage, and you can drink ginger tea during the day), vitamin C, cherries (reduces the chance of a gout attack by 50%), baking soda, lemon, and dark leafy greens, all of which are more readily available and reasonably priced ingredients in our country!

summarize

These are the answers to the questions raised, in fact, for patients with high uric acid and gout, there is no ingredient is the best, only what ingredients are the most suitable, such as alcohol like red meat this kind of ingredients, try not to intake. And like salmon or some other plant-based ingredients, is completely appropriate intake, just need to pay attention to control the amount and cooking methods.

And it is always recommended to decide whether or not you need to take medication according to your doctor's instructions, and you need to take medication when you need to take medication, combined with changes in lifestyle habits, combined with dietary structure control, combined with scientific and reasonable exercise, and try to keep yourself under control, so that you can enjoy your food without hurting yourself (actually, there are a lot of patients who are like this)! If you have other doubts, you can leave a message below, we can discuss together.

I am Xie Xinhui who insists on using simple language to explain the knowledge of complex diseases, it is not easy to code, if you agree with me, please help to point a attention to point a like it, thank you!

Hello, I am a medical worker Zhang, a practicing physician, can popularize health knowledge for everyone, if you know more, pay attention to me!

With the change of diet, many people's uric acid is gradually rising, many people have hyperuricemia, and in recent years, high uric acid patients are getting younger and younger, the news always reports that so-and-so college students with toe pain found to be gout.

What is hyperuricemia?

Hyperuricemia is defined as a condition in which the fasting blood uric acid level on two occasions not on the same day in a normal purine diet is higher than 420 umol/L in men and 360 umol/L in women. The saturation concentration of urate in the blood is 420 μmol/L (regardless of gender), above which it can cause urate crystals to precipitate and be deposited in joint cavities and other tissues.

Sources of uric acid: exogenous (20%): breakdown of nucleotides from food. Endogenous (80%): produced by the breakdown of endogenous purine-synthesizing nucleic acids. About 20% of dietary source nucleotides/nucleoproteins and about 80% of cellular source nucleotides/nucleoproteins make up adenine and guanine, which in turn form nucleic acids in the body.

Excretion of uric acid: intestinal: about 1/3 (bacterial breakdown in the gut); intracellular breakdown: small amount (2%) (degradation of uric acid to urea nitrogen and carbon dioxide by peroxidase in leukocytes); renal: predominant, about 2/3 (reabsorption via glomerular filtration, reabsorption by proximal tubules, secretion, and secretion, and re-absorption, with unabsorbed portion excreted in the urine).

What foods are safe to eat for people with high uric acid and gout?

According to the purine content, the food will be divided into low purine food (per 100g of food containing purine <25mg), medium purine food (per 100g of food containing purine 25~150mg ) and high purine food (per 100g of food containing purine 150~1000mng) three categories. However, this is only a principle estimate, in clinical practice need to make necessary adjustments according to the actual situation.

I. Low-purine foods that can be eaten

1, staple food category: rice (rice, corn, millet, glutinous rice, etc.), wheat (barley, wheat, oats, caper wheat, cereals, etc.), pasta products (refined white flour, rich flour, noodles, cornmeal, steamed bread, bread, cookies, cakes), soda crackers, butter snacks, starch, sorghum, macaroni, potatoes, sweet potatoes, taro, winter flour, water chestnuts and so on.

2. Milk: fresh milk, condensed milk, cheese, yogurt, cream of wheat, milk powder, ice cream, etc.

3, meat and eggs: eggs, duck eggs, leather eggs, pig blood, duck blood, chicken blood, goose blood, etc..

4, vegetables: cabbage, cabbage, lettuce, amaranth, snow red, should lettuce, celery, mustard leaves, water urn, leeks, chives, tomatoes, eggplants, melons (cucumber, winter melon, squash, pumpkin, bitter melon, etc.) radish (including carrots, dried radish, etc.), kale, twenty bluebells, gourds, peppers, onions, shallots, garlic, garlic, ginger, fungus, squash, chili peppers, kimchi, pickles, pickled vegetables, etc..

5, fruit category: apples, bananas, red dates, black dates, pears, mangoes, oranges, oranges, lemons, lotus, grapes, pomegranates, peaches, loquats, pineapples, peaches, plums, kumquats, watermelon, Bao Gua, papayas, frankincense melons, raisins, dragon . Eye ten.

6. Beverages: soda, cola, soft drinks, mineral water, tea, fruit juice, coffee, chocolate, jelly, etc.

7. Others: butter snacks, tomato paste, peanut butter, jam, soy sauce, winter melon sugar, honey. Oils and fats (melon seeds, vegetable oil, butter, cream, almonds, walnuts, hazelnuts), coix seed, dried fruits, sugar, honey, jellyfish, seaweed, snacks and condiments made of animal glue or agar.

Second, it is advisable to limit the amount of medium purine food

1. Beans and their products: soy products (tofu, dried tofu, milky tofu, soy milk, soy milk), dried legumes (mung beans, red beans, black beans, fava beans), bean sprouts, soybean sprouts.

2. Meat: chicken, duck, goose, pigeon, quail, pork, pork rinds, beef, lamb, dog, venison, rabbit.

3. Aquatic products: grass carp, carp, cod, bilbao, perch, pike, swordfish, crab, eel, eel, scented snail, red chopped fish, abalone, fishballs, shark's fin.

4. Vegetable inflammation: Poi, bamboo shoots (asparagus, asparagus, dried bamboo shoots), beans (green beans, green beans, kidney beans, on beans, peas), kelp, golden needles, fungus, mushrooms, nine layers of pagoda, cauliflower, longbeans.

5, fats and oils and other: peanuts, cashews, sesame seeds, chestnuts, lotus seeds, almonds.

III. High-purine foods that are contraindicated

1. Beans and vegetables: soybeans, lentils, nori, mushrooms.

2, meat: liver, intestines, heart, belly, stomach, kidneys, lungs, brain, pancreas, dried meat, thick gravy, meat stuffing and so on.

3, aquatic products: fish (fish skin, fish eggs, dried fish, sardines, wind tail fish, silver carp, scallops, pomfret), shellfish (clams, oysters, clams, oysters, dried scallops), shrimp (grass shrimp, golden hook shrimp, shrimp, shrimp, shrimp), sea cucumbers. (4) Others: yeast powder, various kinds of alcohol (especially beer).

What can I do to combat high uric acid?

1. Maintain ideal body weight, overweight or obesity should reduce weight. However, weight reduction should be gradual, otherwise it may easily lead to ketosis or acute attacks of gout.

2, carbohydrates can promote uric acid discharge, patients can eat carbohydrate-rich rice, steamed bread, pasta and so on.

3, protein can be based on body weight, in accordance with the proportion of intake, 1 kilogram of body weight should take 0.8 grams to 1 gram of protein, and milk, eggs-based. If it is lean meat, chicken and duck meat, etc., should be boiled and eaten after going to the soup, avoid eating stewed meat or brined meat.

4, eat less fat, because fat can reduce uric acid discharge. For those with hyperlipidemia complicated by gout, fat intake should be controlled within 20% to 25% of total calories.

5, drink a lot of water, you should drink 2000ml all 3000ml of water every day to promote uric acid elimination.

6. Eat less salt, which should be limited to 2 grams to 5 grams per day (5ml soy sauce = 1g salt).

7, ban alcohol, alcohol is easy to make the body lactic acid accumulation, the uric acid discharge has an inhibitory effect, easy to induce gout.

8, less use of strong stimulating condiments or spices.

9, limit purine intake. Purine is a component of the cell nucleus, as long as the food containing cells contain purine, animal food in the purine content. Patients are forbidden to eat offal, bone marrow, seafood, fermented foods, beans and so on.

10, should not use drugs that inhibit uric acid excretion. High purine diet can make the synthesis of uric acid increase, blood uric acid concentration, on the contrary, low purine diet can make blood uric acid concentration decrease. After controlling the diet, blood uric acid can be reduced in normal people.

Conclusion: patients with high uric acid and gout is mainly caused by high uric acid in the body, and uric acid and purines are directly related, so you can control the intake of purine diet in daily life, but also not only to control the intake of purine food can reduce uric acid, to promote the excretion of uric acid medication is also to be used.

High uric acid and gout patients to control the intake of high-purine foods, a reasonable diet, you can safely eat the food is mainly low purine food, in order to ensure that the dietary nutritional balance should also be appropriate limited intake of fish, beef and mutton. Low-purine food refers to every 100 grams of food containing purine value of less than 50mg of food, the diet should be coarse and fine with meat and vegetables, eat more fresh fruits and vegetables.

Low purine foods (mg/100g):

Milk 1.4, Eggs 2-3, Honey 1.2, Sea cucumber 4.2, Jellyfish skin 9.3, Rice 35, Millet 20, Brown rice 22, Fragrant rice 34, Glutinous rice 50, Flour 7.1, Corn 9.4, Sorghum 9.7, Noodles 9.8, Starch 14.8, Job's tear grains 25, Cereal 24.4, String beans 23, Lycium chinense berries 31.7, Potatoes 3.6, Taro 10, Sweet potato 19. Cassava 10, Carrot 13, Bitter gourd 11.3, Mushroom 28.4, Onion 31, Cabbage 12.6, Apple 0.9, Grape 0.9, Watermelon 1.1, Cantaloupe 4, Orange 4.1, Pomelo 8.4, Jujube 6, Walnut 40

1. Grains and cereals, most of the grains are rich in dietary fiber and low purine, it is recommended that coarse and fine with more grains and cereals, such as brown rice, sorghum, cassava, millet, corn, flour, cereals, noodles, barley and so on. It is recommended not to powdered food, powdered after brewing more convenient, but this destroys the plant's dietary fiber affecting defecation, in addition to powdered absorption rate is very fast, easy to lead to elevated blood sugar.

2. Milk, milk powder, yogurt pure dairy products, chicken, duck eggs and other eggs. If you have high blood sugar should choose sugar-free pure milk, sugar-free or low-sugar yogurt, not recommended to drink milk drinks and drinks with high fructose.

3. Vegetables, most of the green vegetables purine value is very low, but purple cabbage, beans and mushrooms purine high try not to eat. You can choose the following low purine vegetables: cabbage, bitter melon, pumpkin, squash, winter melon, tomatoes, onions, potatoes, ginger, cucurbits, peppers, amaranth, taro, white radish, carrots, celery, mustard greens, spinach, cucumbers

4. Fruits, fruit purine value is basically less than 10mg/100g, and most of the purine value is less than 4 mg/100g, can be safely eaten. This kind of fruit to apples, grapes, pineapples, watermelon, pineapple, apricots, cantaloupe, loquat, oranges, peaches, and so on.

5. Soy products, beef, lamb and chicken, fish and other moderate intake. Soybean products (tofu, soymilk) after processing, purine value than the original bean greatly reduced, can be consumed in moderation; beef, lamb and chicken for the purine food, but must be balanced nutrition to supplement the protein, but also to moderate intake; fish, shrimp, crabs for the seafood, but their purine value of 150mg or less, but also can be appropriate to limit the intake of remember to a small amount of can not be greedy, or uric acid is easy to elevate and induced gout.

6. part of the seafood sea cucumber, jellyfish skin is low purine food, is the exception in the seafood, their purine value is very low, less than 10mg below can be safely eaten.

7. Drink more than 2,000 ml of water daily to promote uric acid excretion

8. Honey is everyone's favorite health food, we like to drink honey water to moisturize the lungs, but high uric acid and gout is not recommended to drink, honey containing high fructose easily induced gout.

Reasonable diet, to actively control the exogenous food uric acid intake, drink more water, alkalinization of urine when necessary to facilitate the dissolution of urate crystals, while promoting uric acid with the urinary excretion of the body, can effectively prevent the formation of gout stone, prevention and reduction of gout.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Thanks for answering.

High uric acid and gout patients need to pay attention to the two words is "purine", because purine is the synthesis of uric acid is the most important substances, if the purine content is high, uric acid synthesis is also more, and the amount of uric acid determines the incidence of purine, blood in the blood of uric acid content is high, in the flow of the joints will be easy to accumulate in the joints, joints, the more the accumulation of uric acid crystals will form, making the joints swollen and red, and may also have a strong tingling pain, which is the formation of gout. The more it accumulates, the more uric acid crystals will form, making the joints swollen and red, and there may also be a strong tingling pain, which is the formation of gout. So for those with gout/hyperuricemia, the most important thing is to control the amount of purines in the body.

Purines are divided into endogenous purines and exogenous purines, endogenous purines are self-synthesized and secreted purines, mainly formed in the liver, and endogenous purines are the majority of the total purines, more than 70%, and exogenous purines ingested from food account for a smaller proportion of the exogenous purines, probably only about 30%, we can control the exogenous purine ingestion, but it is very difficult to control the endogenous self-synthesized purines, so in order to better control purines it is best to work with medication + diet to improve the joint adjustment, in addition to regular work and rest to stabilize the endocrine health, so as to better regulate gout/hyperuricemia. So in order to better control purines, it is best to adjust with medication + dietary improvement, in addition to regular work and rest, endocrine stabilization, liver health protection, so as to better regulate gout/hyperuricemia. So if you are a gout sufferer, don't feel that you are afraid to eat this way or that way, even if the purine content of the food is a little bit higher, if you eat a little bit of small amount of food, don't need to have too much psychological burden.

There are many foods that can be consumed normally by patients with hyperuricemia and gout, such as eggs and dairy foods, fruits and vegetables, grains, staple foods, fats and oils, some seafood, and meats, which may seem as if they are not much different from normal people actually. It is very important to maintain a balanced and optimistic lifestyle, the formation of purines and nucleosides are closely related, and the death of our cells will generate nucleosides and synthesize purines, a good work and rest and mentality, a good diet these can help us to slow down the aging of the cells, in fact, it is absolutely useful for gout.

It is possible that many gout patients are afraid of meat, in fact, meat can be consumed normally when one's condition is stable, and it is recommended to be within 50g. If gout often occurs, the intake of poultry food should be reduced, and not eat more fatty meat and pate, choose lean animal meat, and control it within one or two. Do not drink meat soup, do not eat animal offal, to ensure a low purine diet. Soy foods are best not eaten, but soy products can be consumed in moderation, such as soy milk, tofu, dried tofu, they make the process of purine substantial dilution, the final purine content is not high. Part of the seafood gout patients can still eat, such as sea cucumbers, jellyfish, crayfish, lobster class (grass shrimp can not be eaten), shellfish is best not to eat, the purine content are higher, part of the fish can be eaten, part of the fish can not be eaten, the following table can be referred to, if you can not distinguish between the types of fish, if it is recommended that you can not eat fish.

Daily should drink more water, recommended no less than 2000ml, to enhance uric acid excretion. Daily can also be more exercise, sweating and exercise can accelerate uric acid metabolism, improve physical fitness, but also maintain a reasonable body weight, stabilize blood routine, very useful for controlling gout.

China is a vast country with a vast territory, benefiting from the logistics of modern globalization, food and ingredients from all over the world have gradually been placed on the shelves of Chinese supermarkets; in addition, the food culture of the Chinese people is also profound, as early as the Qing Dynasty, there was a high-profile "Manchu Han feast". The combination of various ingredients and cooking techniques has created countless dishes.

According to Dr. Qiao, not only high uric acid and gout, but also many other diseases that require dietary control. In addition to focusing on the qualities of the food itself, the cooking method, eating method, and the amount of food consumed also need to be paid attention to.

Why do people with hyperuricemia and gout need dietary control?

Gout, hyperuricemia is due to the human body purine metabolism disorders triggered by long-term poor dietary habits can unknowingly change the level of purine production and metabolism, ultimately leading to a gradual increase in blood uric acid, urate deposition in the joints, kidneys and other places and gout attacks.

Healthy blood uric acid level should not be higher than 420umol / L, and this stable blood uric acid environment by the "intelligent" human metabolism, urinary system is responsible for regulating. Under normal dietary conditions, the human body produces about 750mg of uric acid per day, and excretes 500-1000mg of uric acid, so as to maintain the total pool of uric acid in the body at about 1200mg.

And too much purine intake will increase uric acid generation, like alcohol, drink less water, fructose, etc. will limit uric acid excretion; occasionally a break the dynamic balance of uric acid metabolism "out of control behavior", the human metabolic system can also be in the subsequent days "overtime" to correct back, but If long-term so, every day so, will naturally "quantitative change causes qualitative change".

So, dietary control means keeping purine-heavy foods in check, avoiding foods that negatively affect uric acid metabolism, and purposely choosing foods that have no side effects, or even positive effects, on uric acid metabolism.

Rule out foods that affect hyperuricemia and gout first

First, high purine food to increase uric acid production

Although exogenous uric acid only accounts for 20% of the body's total uric acid, but if long-term or a large number of high-purine foods, then the proportion of exogenous uric acid 20% will naturally rise. My clinic will occasionally encounter such patients, thinking of the next day to start treatment, the first night and then eat a hot pot; the results of the next day, a measurement of blood uric acid 800, 900, the patient also wondered, "I usually blood uric acid is about 500 ah?" Visible, high purine food elevated blood uric acid is very fast, easy.

So what foods are high purine foods?

Foods that contain more than 125mg of purine per 100g are usually called high purine foods. If I cite food one by one, I can not say all, you are not good to remember. We can only categorize and generalize, exclude special, so that it is good to identify the approximate high and low levels of food purine.

1. Seafood (except sea cucumber and jellyfish skin)

Seafood is the most familiar high-purine food, and this is basically true. In addition to sea cucumber (4.2mg/100g) and jellyfish skin (9.3mg/100g) are two "unexpected" ultra-low purine food, most seafood purine content is not low. Therefore, in addition to sea cucumbers and jellyfish skin, other seafood is best not to eat.

2. Animal offal

Sichuan region like to the meat of animals other than edible ingredients called "water", such as "pig offal" includes: pork belly, pig intestines, pig lungs, pig liver, pig's blood and other offal and other things. In animals, in addition to blood (pig blood 11.8mg/100g) and skin (pig skin 29.8mg/100g) purine content is low, the rest of the parts, especially the viscera of the purine content is very high, it is best not to eat.

3. Bouillon

People often eat pork, beef, chicken, rabbit and other purine content itself is not low, but in order to ensure that the body's normal protein needs, we usually can be appropriate to eat, and recommended animal meat boiled, blanched and eaten, can filter out some of the purine.

But some regional friends like the practice of stew, such as the Northeast iron pot stewed goose, pork stewed vermicelli, messy stew, Guangzhou, a variety of boiled soup ...... in the process of stewing, the nutrients of the ingredients can be fully dissolved into the soup, drinking soup is more nutritious than eating the ingredients of the soup. But in this process, animal meat in the purine dissolved into a large number of soup, especially like soup time is long, will be concentrated to a small bowl of soup, easy to drink through the practice of not wasting, this bowl of soup purine content is comparable to a "purine bomb".

Similarly, eat hot pot when the bottom of the pot repeatedly, a large number of cooking meat, purine dissolved into the bottom of the pot, even if you eat hot pot only eat vegetarian dishes, then also through the bottom of the pot soup passive eat a lot of purine.

4. High purine vegetables, beans, mushrooms can be consumed normally

Many of my friends often wonder: is the food purine content table, high purine content of soybeans, mung beans, tofu, shiitake mushrooms, kelp, nori, asparagus, etc., is a source of purine need to pay attention to?

In the past, these high-purine vegetables were treated the same as meat; however, the latest research proves that plant purines are not easily utilized by the body compared to animal purines, so these high-purine vegetables can be consumed normally by ignoring their purine index.

Second, alcohol seriously affects uric acid excretion

Alcohol is the food that has the greatest impact on uric acid metabolism. Alcohol is doubly damaging in the process of uric acid metabolism.

On the one hand, it will accelerate and increase the rate of purine synthesis in the human body, so that the purine production increases, and then the blood uric acid concentration rises; on the other hand, alcohol metabolism will generate lactic acid, especially when drunkenness produced a large amount of lactic acid can inhibit the renal tubule secretion of uric acid, so as to make uric acid excretion decreased.

The side effects of high-alcohol liquor favor the latter, and the side effects of guanine-rich beer favor the former.

Therefore, no matter what beer or liquor or other wine, have the side effect of increasing uric acid production and decreasing excretion, see its great harm, is the most gouty people must avoid food.

Third, salt, fats, fructose affect uric acid excretion

Sugar (carbohydrates) is the body's main energy-supplying nutrients, but also constitutes an indispensable substance of the body's tissues. However, the intake of fructose, a simple sugar, must be moderate, excessive intake will increase the burden on the pancreas, resulting in insulin resistance, insulin resistance will increase glycolysis and free fatty acid metabolism in the production of blood uric acid, and at the same time will increase the reabsorption of uric acid in the kidneys, resulting in elevated uric acid. Especially for patients with gout combined with diabetes, sugar intake should be controlled.

Fats and oils are an important source of calories in the body and one of the important components that make up tissues. However, in order to promote the normal excretion of uric acid, it is recommended that a moderate or lower amount of fat intake is preferable; a high-fat diet will inhibit uric acid excretion. The fats consumed should be mainly vegetable oils, such as soybean oil, peanut oil and olive oil, and stay away from lard and tallow.

Salt intake should be limited for those with combined hypertension, heart disease, and kidney damage; excessive salt intake will increase the burden on the kidneys and affect uric acid excretion. No more than 6g per day is appropriate, generally controlled at 2-5g.

Fourth, spicy stimulation induced gout attack

Spicy and irritating food, can cause autonomic excitation, consumption of which may induce acute attacks of gout; in addition to a certain degree of increase in blood lactate, inhibit renal excretion of uric acid.

Therefore, gout patients should try to avoid foods such as chili peppers, peppercorns, ginger, pepper, onions, garlic, strong tea, and excessive coffee.

Foods that have a positive effect on hyperuricemia and gout

First, drink a lot of water to ensure that take away enough uric acid

Drink plenty of water, consume fruits and foods that contain a lot of water, and maintain the amount of fluids you take in at more than 2,000 milliliters per day, preferably up to 3,000 milliliters, in order to ensure the amount of urine and promote the elimination of uric acid.

For patients with hyperuricemia and gout, drinking less water must be harmful, and drinking more water must have obvious benefits. As long as you are not a renal insufficiency, water is the number one "food" that you can drink with confidence and vigor.

Second, vitamins reduce the probability of gout attacks and promote uric acid metabolism

The latest research says that supplementing with adequate amounts of vitamin C can reduce the number of gout attacks and also boost the immune system.

Eating a diet rich in B vitamins and vitamin C promotes the dissolution of urate in the tissues and its excretion out of the body through the urine.

Vitamin-rich food is a variety of vegetables and fruits, and most vegetables and fruits are low in purine content, calories, sugar and fat, which is one of the foods that gout patients can safely eat.

Third, potassium, calcium and magnesium trace elements to improve the body's acidic environment, conducive to the dissolution and excretion of uric acid

Uric acid crystallizes easily in an acidic environment and dissolves easily in an alkaline environment.

And foods rich in potassium calcium and magnesium elements in the metabolic process, has the role of alkalinization of the body's environment, is conducive to the already deposited urate re-dissolution, is conducive to the urinary dissolution of more urate, and subsequently excreted from the body.

Such foods rich in potassium, calcium and magnesium include vegetables (cabbage, celery, broccoli, lettuce, winter squash, cucumber, eggplant, radish, etc.), fruits (apples, bananas, watermelon, kiwi, etc.) and milk, which are also safe for gout sufferers to consume.

Food Cooking Methods

Although the qualities of the food itself determine whether it is suitable for people with hyperuricemia and gout, the right or wrong way of handling ingredients and cooking methods can also change the qualities of the food.

1. Blanching reduces its purine content grade

Most of the meat favored by gout sufferers is not low in purines, and the body has a need for animal protein, so it is not realistic or scientific to "quit meat".

Many of the meats that are high in purines can be cooked by cutting them into pieces, then boiling them once and discarding the broth. Because purine soluble in water, cut into small pieces of meat after blanching, part of the loss of purine, meat itself will reduce the purine of a grade, high purine to medium purine, medium purine to low purine, pork, beef, chicken and other commonly used high-purine meats can be moderate, at ease to eat.

2. Avoid frying and deep-frying

Frying and deep-frying cooking methods will not only add too much fat to the ingredients, but the high temperature will also destroy many nutrients in the ingredients. For example, protein denaturation, unsaturated fatty acid decomposition, fat-soluble vitamins are destroyed, which is detrimental to health.

3. Some vegetables with high oxalic acid content should be blanched before consumption

Vegetables are not completely safe and secure to eat. People with hyperuricemia and gout are susceptible to the formation of uric acid urinary stones or kidney stones, as well as increasing the chances of other types such as calcium oxalate stones. Therefore, oxalic acid-rich vegetables, such as spinach, amaranth, celery, bamboo shoots, onions, wild rice, cabbage, beans, etc., can choose to blanch and consume or avoid, reduce consumption, in order to avoid the occurrence of kidney stone damage.

summarize

Simply put, high purine food, alcohol, fats, oils, fructose, spicy stimulation and other side effects on uric acid metabolism as little as possible; water, vitamins, potassium, calcium, magnesium and other positive effects on uric acid metabolism of the food to eat more; in the process of food processing to choose the right suitable processing, but also to make the food eaten more peace of mind.

I am Dr. Qiao Fang from the Department of Rheumatology and Immunology, formerly a general practitioner at Sichuan Provincial People's Hospital. It is not easy to organize and publish! If you think it is helpful to read, please help point a concern or point a praise; if you have a different point of view, you are also welcome to leave a message below, we can discuss together; you can also be transferred to your side of the need for friends; thank you!

Hyperuricemia, gout is currently showing a trend of "high prevalence, younger", which is inseparable from our eating habits.

All of you hyperuricemia, gout friends may be more aware of the development of hyperuricemia and gout by purine intake is more affected. Various types of food purine content varies, from the lowest content of apricots to the highest content of white belt fish skin, which food can be safely eaten, which food can not be eaten, really let our patients and friends more headaches. We stipulate that every 100 grams of food purine content of more than 150mg, for high purine food; every 100 grams of food purine content between 25-150mg, for the middle purine food; every 100 grams of food purine content of less than 25mg, for low purine food. Fasting high purine food, appropriate to reduce the intake of medium purine food, can effectively reduce blood uric acid level, reduce the incidence of gout. Due to the low purine food on the impact of uric acid is very small, so patients with hyperuricemia and gout can rest assured to eat.

staple food group

Milk, sweet potatoes, potatoes, millet, corn, wheat, starch, rice, pasta, cereal, oats, etc.

animal flesh

Eggs, duck eggs, skinned eggs, pig's blood.

produced in sea, rivers or lakes

Sea cucumber and guppy.

vegetable

Except for mushrooms, string beans, greens, garlic, scallions, dried bamboo shoots, enoki mushrooms, seaweed, mung bean sprouts, soybean sprouts, shiitake mushrooms, nori, asparagus, and bean sprouts, the rest of the vegetables are low purine foods.

Dried Fruits

With the exception of almonds, chestnuts, peanuts, and dried sunflower seeds, the rest of the fruits and dried fruits are low purine foods.

condiments

Table salt, rice vinegar, jam, ketchup, MSG, soy sauce, etc.

From the above foods, we can find that staple foods, fruits, vegetables, purine content is very low (except for some foods), patients with hyperuricemia and gout can rest assured that boldly eat rice, noodles, potatoes, fruits, vegetables; meat, aquatic purine content is high, can be used for patients with hyperuricemia, gout to choose a few foods, especially seafood, almost all of them are dietary prohibited for patients with gout, need to pay attention to control! Intake.

Thanks for reading!

Good dietary habits are very important for the control of the condition of patients with hyperuricemia and gout. It is recommended that you should try to eat as little as possible of foods high in purine, high in fructose and containing alcohol in your daily life, so as not to cause an increase in the level of blood uric acid, which will trigger gout attacks, which will not be conducive to the control of the condition and affect the quality of life.

Gout and hyperuricemia are directly related, and both are metabolic diseases that should be minimized in daily life:

1, high purine food: will directly cause elevated blood uric acid levels, triggering gout attacks, common such as animal offal (liver, kidneys, etc.), shelled seafood (oysters, lobsters, shells, etc.) and broth (especially boiled for a long time of thick broth), etc. Meat can be blanched before consumption and then cooking.

2, high fructose food: high fructose food intake, in vivo metabolism will consume a large number of adenosine triphosphate, followed by an increase in the production of raw materials for purine metabolism; and fructose can also lead to insulin resistance, indirectly leading to a reduction in the excretion of uric acid in the blood, resulting in an increase in the level of blood uric acid, triggering gouty episodes, so we should try to eat as little as possible, high-fructose fruits, syrups, honey, butter, chocolate, Western-style pastries, etc., and Drink less fruit juice, cola and other high fructose drinks.

3, alcohol-containing food: alcohol in the body on the one hand, will directly inhibit the kidneys on the uric acid discharge, on the other hand, will increase the production of lactic acid, and then reduce the renal tubules on the discharge of uric acid, coupled with a number of alcoholic beverages such as beer and wine, in the process of fermentation will produce a large number of purine compounds, the combination of these factors will increase the level of uric acid, there is a risk of triggering the occurrence of gout, it is recommended that we should try to Therefore, it is recommended that people should try not to drink alcohol, especially avoid drinking beer and yellow wine, and those who have difficulty in quitting drinking can drink red wine appropriately.

For patients with gout and hyperuricemia, it is recommended to increase the intake of the following foods, mainly, in order to stabilize the control of the condition:

1, fresh vegetables: rich in vitamins, fiber and potassium, for blood uric acid level control is very helpful, it is recommended that we eat more than 500g per day, even lettuce, spinach, cauliflower and other high purine vegetables, can be eaten, because plant purines are different from animal purines, is difficult for the body to absorb, the impact on the level of blood uric acid is small.

2, water: drink more water to help dilute and discharge uric acid, it is recommended to drink more than 2,000 ml per day to white water is appropriate, but also can be appropriate to drink soda, light tea and coffee.

3. Others: 300 ml of low-fat or skimmed milk and its products per day, and one egg per day.

If you have any questions, please feel free to leave a comment at the end of the article and discuss together. This article is answered by the general practice sweeper, reproduced must indicate the source. Please correct any deficiencies. The article is not medical guidance and is not intended as medical treatment advice.

As we all know, being a patient with hyperuricemia and gout, we should try to avoid eating seafood, animal offal, alcohol, fructose drinks and other high-purine foods and beverages, and keeping your mouth shut is an important measure for controlling uric acid and avoiding recurrence of gout. What are the foods that patients with hyperuricemia and gout can safely eat?

1, a variety of vegetables. The vast majority of vegetables such as bok choy, cucumber, tomatoes, eggplant, bean sprouts, cauliflower, etc. are low purine diet, you can feel free to eat boldly. It should be reminded that a small number of vegetables such as purple cabbage, mushrooms, lentils, soybeans, etc. contain high purine, try to eat as little as possible. Eating more fresh vegetables is a protective factor in controlling gout.

2, most of the fruits are low purine diet, you can feel free to eat.

3, rice, noodles and their products (steamed bread, bread, etc.), potatoes, yams and other staple foods are low purine food, you can rest assured to eat.

4. Fresh milk, cheese, milk powder and other kinds of dairy products can be eaten without fear.

5, eggs, duck eggs, quail eggs and other kinds of eggs, especially egg whites can rest assured that you can eat boldly.

6, melon seeds, walnuts, almonds, vegetable oil, butter and other fats can be eaten.

7, others. Mushrooms, enoki mushrooms and some other mushrooms, sauces, honey are all low purine diet, you can feel free to eat.

As for soy products, they can also be consumed appropriately unless you are having an acute attack of gout.

High purine dietary triggers are the first and second most common triggers of gout attacks in women and men. Attention to dietary control can significantly reduce gout attacks.

With the gradual improvement of living standards and health awareness, more and more people are suffering from gout and high uric acid. High uric acid, many times gout will follow, gout is high uric acid this indicator of abnormalities of an external disease manifestation, and high uric acid problem is the physiological basis for gout attacks. Said gout high uric acid problem is a kind of "rich disease", in fact, is not false at all, the reason why many friends appear high uric acid gout problem, the reason, and eat too well, eat too much nutrients, energy intake has a close relationship with too much, therefore, for high uric acid gout friends, control the diet is a very important one. aspect.

For high uric acid gout diet control, we often see some articles suggest that this can not eat that can not eat, said as if there is a high uric acid problem, you must eat the chaff, but in fact, the real high uric acid gout patient's healthy diet should be in the control of purine intake, as well as the control of the impact of uric acid metabolism on the basis of the normal metabolism of the diet, the rational deployment of the nutritional structure, to ensure that the body's balanced nutritional intake! The only way to adjust the high uric acid and reduce the chances of gout attacks is to maintain the body's immunity, which is not as simple as not eating anything that is nutritious.

What foods are safe to eat if you have high uric acid gout?

As a matter of fact, for high uric acid gout patients, diet does need more attention and choice, but there are still very many diets that you can eat, to do for the overall health of the body to replenish nutrients, but also completely able to do so. High uric acid patients can safely eat the food that can be thought of, a simple list for everyone -

1, almost all of the staple foods, including pasta, rice, etc., its purine content is very low, will not increase the risk of elevated uric acid, can be safely consumed, it should be pointed out that, refined rice and white flour and other foods, high calorie, intake of too much easy to cause the body's excess energy, and the metabolic burden, which may form an impact on the metabolism of uric acid, especially with obesity, high uric acid friends, if it can be matched with the Cereal grains to choose staple food, for high uric acid conditioning control, weight loss, are very good choice.

2, most vegetables and fruits, are also ingredients that can be safely consumed. Vegetables and fruits are rich in dietary fiber and vitamins, for the promotion of intestinal health, for the body to consume sufficient vitamins, is a very important food source, to encourage patients with high uric acid gout to eat more vegetables and fruits, but it is important to note that the vegetables in the mushrooms, asparagus, purslane, beans seedlings, etc., purine content is relatively high, it is best to have a choice in the time to eat, eat in moderation, eat less; in the eating of fruits, it is recommended that eat in moderation, eat directly, don't squeeze juice to drink, even if it is freshly squeezed fruit juice, which will lose much of its dietary fiber. Eat, do not juice to drink, even if it is freshly squeezed fruit juice, inside the dietary fiber will be a large number of loss, only to retain a large amount of fructose, but will promote the generation of uric acid, further elevation of uric acid, the loss is not worth the gain.

3, eggs and milk food, rich in high-quality protein and fat-soluble vitamins, phospholipids and other nutrients, is to limit the meat, seafood intake of dietary structure, for the body to supplement the protein and healthy lipids nutritional important dietary sources, therefore, for patients with high uric acid gout, eggs can be eaten, milk can be drank, these are the way to eat food.

4, the last thing to say is that soy products, many friends think that beans in the relatively high purine content, even soy products do not dare to eat, in fact, tofu, soymilk and other soy products, as a result of containing a large amount of water, which contains the purine content is not high, but also to be able to supplement the body with high-quality protein an important source of so, so that for soy products, as long as it is not a high purine soya bean products, can also be eaten with confidence. The study also found that soybeans are rich in purines. Research has also found that soybean rich in vegetable protein, for high uric acid has no negative impact, but instead to strengthen the role of promoting the excretion of high uric acid, therefore, for soybean products, as long as scientific and reasonable to eat, there is no problem.

5, the last thing I want to say, you can rest assured that the diet is "water", water is the source of life, but also to promote uric acid excretion, to strengthen the important dietary aspects of high uric acid control. It is recommended that patients with high uric acid daily water intake can reach 2000 ~ 3000ml, drink more water more urination, promote uric acid excretion, reduce the risk of renal deposition of uric acid crystals, are very important. High uric acid gout patients drink water has to pay attention to, on the one hand, do not use drinks to replace water, lower uric acid drink plain water is quite good, but to pay attention to a small amount of times, even hydration.

Through the above dietary introduction, I believe that we can eat for high uric acid gout patients can eat food, the heart should have a spectrum, in fact, we have a variety of ingredients, as long as it does not affect the normal metabolism of uric acid, does not stimulate uric acid overproduction, but also does not consistent with the excretion of excess uric acid, purine content is not high ingredients, high uric acid gout friends are safe to eat ingredients, reasonable combination, to maintain good health! The most important thing is to have a comprehensive and balanced nutrition.

Dietary considerations for friends with high uric acid gout

Having said that there are foods you can safely eat, it's still important to talk about some of the contraindications and dietary concerns you need to be aware of.

First of all, the control of high purine diet, high purine ingredients, we have said many times, the main thing you should pay attention to is some seafood products, animal offal, thick soup and so on, these ingredients, for friends with high uric acid problem, really should try to eat less, and if in the acute attack of gout, you should pay attention to forbid the type of food. Meat food belongs to the medium purine content, usually eat a little bit in moderation is not a problem, but be careful not to overeat, but also pay attention to drink less broth.

In addition to the control of high-purine ingredients, some diets can affect the process of uric acid metabolism, such as alcohol intake, and then the intake of high-fructose diets can lead to excessive uric acid production, while uric acid excretion will also be affected to a certain extent, is worthy of special attention to the two aspects of the diet, patients with high uric acid gout, it is recommended to go through a strict limitation of alcohol consumption or abstinence from alcohol, and at the same time to avoid the intake of high fructose.

In addition, high uric acid gout patients should also pay attention to the control of the amount of diet, eat too rich, drink and eat too much seafood will lead to high uric acid, and eat too much, eat too much every day, leading to long-term excess energy, causing insulin resistance, metabolic abnormalities, but also cause high uric acid problem is an important reason, high uric acid want to control, in addition to controlling the structure of the diet, but also should pay special attention to dietary energy intake in excess, the Obesity problem control.

How should I eat with high uric acid? How should I watch my diet? What should I pay attention to in my diet? This is probably the most concerned question of all friends with elevated uric acid. This is right, for people with elevated uric acid, indeed the first thing is that should be a good control of the diet, especially the usual high purine food to control, this is the first thing we should do.

Through years of patient education, it is now clear to many that drinking beer and eating seafood can lead to elevated uric acid. This realization involves two dietary habits that elevate uric acid, namely alcohol consumption and a high-purine diet. In fact, it is not only drinking beer that leads to elevated uric acid, but drinking any alcohol can lead to further elevation of uric acid. Therefore, Dr. Zhang often advises friends with high uric acid to quit drinking. And high purine diet is not only limited to seafood, and animal offal, and our southern residents love to drink broth and so on. Therefore, high purine food is not only seafood, there are many we need to pay attention to, such as haggis soup, beef soup, sheep intestine soup and so on.

In addition to the above two points, I would like to mention two dietary habits that people usually do not notice, which in fact can also increase uric acid substantially. These two dietary habits are high carbohydrate diet and often drink sugary drinks. As we all know, we Chinese people eat is characterized by eating a lot of staple food, such as rice and white flour eat a lot, and this dietary characteristics will easily lead to insulin resistance, and insulin resistance is easy to let the uric acid excretion of obstacles, and then uric acid will be elevated. Therefore, we usually need to pay attention to the adjustment of diet structure, try to reduce the proportion of rice and white flour food. Another characteristic of young people is more common, is often drink sugary drinks, in fact, sugary drinks drink too much, in addition to lead to obesity, is to lead to elevated uric acid. Many people do not know this, but if you know, I think many people will not drink sugary drinks.

In short, for people with elevated uric acid, the first step should begin to pay attention to diet, in addition to low purine diet accident, but also pay attention to some of the high sugar, high carbohydrate diet, these aspects of attention, should still help uric acid reduction.