There are many factors that must be controlled in the gout diet, and we will not dwell on the well-known taboos of seafood, beer, animal offal, and old-fashioned soups, but I will now focus on how to control the intake of meat.

Studies have found that meat intake increases the incidence of gout by 35-40%. It may be difficult to visualize this figure. To illustrate with a visual example: the incidence rate of gout in China is 1%-3%, which means that there are at most 3 people in 100 people suffering from gout, but if meat intake is not controlled, the number of people in 100 people will increase to 4.2 people suffering from gout. In our huge population base, there will be an increase of nearly 14.4 million gout patients!

When looking at this, isn't there the question, "I can't eat seafood or animal offal, and now I can't eat meat, so how am I going to be energized to work? There is no meaning in life?"

First, we are talking about controlling meat intake, not banning it. Secondly, energy can be supplemented in other ways, such as milk and eggs.

And why does eating too much meat lead to gout?

In layman's terms, our kidneys have adapted to a long period of roughage and fiber diet, and the inactivation of the uricase gene prevents the conversion of uric acid into the more easily excreted allantoin. And in the last hundred years there has been a huge change in lifestyle, as humans have become meat-based, increasing the production of uric acid in the body beyond the excretory capacity of the human kidneys.

(Pictures from the Internet, transferred and deleted)

First of all, thank you for your question. Here is a brief overview of what gout sufferers can expect in terms of diet, which I hope will help you.

Gout patients diet is absolutely prohibited to eat high purine food. Animal offal such as brain, liver, kidney, etc.; fish and shrimp diet such as freshwater fish and most sea fish as well as lobster, shellfish, etc.; meat (beef, lamb, duck, goose, pigeon), salted meat, salted fish, spinach, cauliflower and mushrooms and thick soups and broths, etc.; soybean products such as tofu and so on. Coffee, fried food and smoked food, etc. should also be prohibited. In the daily diet to pay attention to strictly prohibit the "three high". That is, high fat, high protein, high sugar, because purine in food often with cholesterol and fat at the same time. Dietary structure to carbohydrate-based, because it can promote uric acid discharge, eat more refined white rice, rich powder, corn, steamed bread and noodles. In addition, be sure to limit fat. Because eating more fat can often lead to obesity, and can reduce uric acid discharge, avoid overeating, eating and drinking. In winter, we should eat less hot pot, do not drink hot pot soup, avoid spicy and stimulating food. There is also the need to ban alcohol and limit salt. Alcohol is easy to make the body lactic acid accumulation, and inhibit uric acid discharge, easy to aggravate gout. Especially beer, the ingredients such as hops are very easy to induce gout, so it should be absolutely prohibited. It is recommended to eat more alkaline food, gout patients should eat more vegetables and fruits. Because vegetables, fruits are alkaline food, can promote the body deposition, urate dissolution and discharge. Such as watermelon, winter melon, appropriate intake of milk, potatoes, citrus and so on. At the same time, drinking more water is also beneficial to gout patients.

Gout is actually a disease caused by purine metabolism disorders and/or reduced uric acid excretion that is closely related to modern economic development and dietary structure, so it is necessary for gout sufferers to develop a reasonable and healthy diet chart in their daily life.

I hope the above answer can help you.

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

Once you develop gout, you really can't eat whatever you want. Gout is a metabolic disease characterized by hyperuricemia. For asymptomatic patients with hyperuricemia, the main measure of treatment is to change the lifestyle, the most important means is dietary control; for patients who have gout, in addition to dietary control means, but also to actively accept drug treatment. It can be seen that gout patients are sure to work on diet control.

According to the recommendations of the Dietary Guidelines for Patients with Hyperuricemia and Gout issued by China's health department, gout patients, on the basis of actively cooperating with standardized medication to lower uric acid, should develop good dietary habits and lifestyles, and maintain a healthy body weight, as well as return to the hospital regularly to review the relevant indicators.

The general principles of dietary control for gout patients are as follows:

1, can not eat the food: liver, kidneys and other animal offal; shellfish, oysters and lobsters and other shellfish seafood; thick broth and gravy and other animal high purine content food;

2, to minimize the food: beef, lamb, pork and other mammalian meat; fish food; food containing high concentrations of fructose and sucrose; alcoholic beverages, especially fermented alcohol (beer and wine) and distilled spirits (liquor); stimulating condiments and so on.

3. Foods that can be consumed: skimmed dairy products; egg foods; fresh vegetables and fruits; coarse grains and miscellaneous staple foods;

The dietary habits mentioned above are designed to reduce the concentration of purine substances or uric acid in the body on the one hand, and to control the patient's weight and reduce the incidence of obesity on the other. Another diet-related recommendation that is also very important is to ensure adequate water intake, at least 2,000 milliliters of water per day.

Because of the complexity of the causes of elevated uric acid values in the body, authoritative guidance is comprehensive, and dietary control is only one important component.

The requirements are high. But it's not hard to do, the key is to grasp the right principles:

1, to avoid eating high purine food: such as animal offal, meat soup, old fire soup, hot pot soup, etc., avoid eating oysters, shellfish, lobster and other shelled seafood, fish eggs, fish skin do not eat. Do not drink alcohol, especially beer.

2, you can eat moderate purine food: for example, most of the fish, lamb, pork, beef, chicken and duck, etc., are generally medium content of purine, to limit the eating, you can eat a small amount of food, eat in moderation. If you eat will induce gout, do not eat in the future.

3, to eat more drugs: such as most of the vegetables, fruits, noodles, rice flour, bread, etc. are low purine, you can rest assured to eat, no problem.

4, drink more water: ensure the water intake of more than 2000ml per day. This is a must, only in this way can better control gout.

For gout patients, diet is really important. Because too much purine intake, gout patients blood uric acid will rise, and then aggravate gout. Of course, not everything can not eat, pay attention to a quantity, today we will talk about what to pay attention to the diet of gout patients.

Let's start with the right foods to eat.

1、Low purine food

Restricting the diet of gout patients centers on limiting the intake of exogenous purines. Gout can be eaten with refined rice, steamed bread, cucumber, fruit, eggs, and fresh milk when under complete control. Hyperuricemia (asymptomatic phase) should have a lower than normal intake of purines from food during the intermittent and chronic phases. Should choose plant cereal proteins (because cereal carbohydrates can promote uric acid excretion) as the main choice, to low purine content of milk and eggs, fish, poultry and meat with appropriate purine content is preferred, but can only consume meat, should not drink soup (according to the detection of 50% of the purine dissolved in the soup).

2、Low calorie food

People with gout with diabetes should properly control their total calorie intake. Keep your weight at or near the ideal range to help minimize gout symptoms. Carbohydrates make up about 50% of total calories.

3、Low fat and low protein food

Protein and fat intake should be reasonable, gout patients daily intake of purines in the diet should be limited to 250 mg. aggravation of the disease, should account for about 15% of the total calories, 20% of the protein supply to the plant cereal crop proteins, containing low purine eggs, milk animal protein. You can eat one egg a day and drink two bags of milk (1 in the morning and 1 in the evening before bed). Fat intake is about 20% of total calories and 25% of a high-fat diet. Therefore, avoid animal fats, fatty meats, and poultry fats.

4. Eat a light diet

Gout is the same as diabetic diet. Eat less fried and more light. Patients with gout accompanied by high blood pressure should limit salt intake because salt promotes water and sodium retention in the body and hinders uric acid excretion, and daily salt intake should be kept below 5 grams. Spicy food should not be eaten too much.

5. Drink plenty of water

Drinking more water can promote the excretion of uric acid to prevent the formation of uric acid stones. Drink about 2,000ml - 3,000ml of water a day, you can drink plain water, soda water, or some uric acid-lowering drinks such as fritillary water, cornhusk water, barley water, or more convenient and effective acid-lowering ointment, ZiPingAcid Yee Bone Pure Wind Ointment. The Chinese herbs in this formula, such as Ophiopogon, Pit Viper, Fish Fish, Dandelion, Chicory, Honeysuckle, Freshly Grass Root, Poria, Coix Seed, Pueraria, Angelica Dahurica, etc., are effective in relieving swellings, relieving pain, inducing diuresis to lower uric acid, and clearing heat and removing dampness.

Foods that should be avoided by gout sufferers:

1. Alcohol

Alcohol consumption is the main cause of acute gout attacks. Alcohol consumption can lead to an increase in uric acid to inhibit uric acid excretion. Beer, in particular, produces large amounts of purines during fermentation and brewing, leading to an increase in blood uric acid. According to the test, normal people drink 640 milliliters of beer, blood uric acid doubled.

2. Hot pot

The reason for not eating hot pot is that its ingredients include purine-rich foods such as lobster, beef and lamb, animal offal, seafood, shellfish, and mushrooms.

3、High sugar food

Sugary foods such as sugary fruits, juices, and drinks contain a lot of fructose, which can lead to high uric acid, which can trigger gout.

Keeping this in mind is helpful to our health. Whether there is a disease or not, the diet is required to pay attention to a degree, the disease enters by the mouth, must be in moderation.

Got gout people most need to focus on is the diet, we are deeply rooted in the concept of purine content is the main, do not eat high-purine food, low purine casually eat, in fact, such a generalization of the idea is not desirable, the latest research shows that part of the high-purine diet on the control of gout to help, some of the low-purine food, but on the control of gout and uric acid is not favorable, today we will talk to you in detail, hurry to collection, the Encounter do not know this food can not eat the situation take out to see.

First, risk factors for gout attacks

1. Animal food: animal offal and meat can cause elevated blood uric acid and increase the incidence of gout in the population. Therefore, gout patients should avoid the intake of purine-rich animal offal, beef, lamb and pork and other meat. Here also contains broth.

2. Seafood: Seafood has a high purine content, which can easily lead to elevated blood uric acid levels. Seafood products including fish and shellfish should be avoided.

3. Alcohol: Alcohol is an important dietary risk factor for gout. Alcohol promotes the production of uric acid and reduces the excretion of uric acid, making it a major contraindication for gout.

4. Sugar-sweetened beverages, fruit juice: because the purine content of sugar-sweetened beverages is not high, many people ignore the dangers of beverages, in fact, sugar-sweetened beverages or fruit juices contain a large amount of fructose, fructose can increase insulin resistance and circulating insulin levels indirectly increase the level of blood uric acid, so cola, fruit juice and what gout patients also quit it!

5. Fruits: many fruits are rich in fructose, and fruit juice, some of the fruits containing more sugar is not recommended for gout patients.

Having said what you can't eat, let's talk about what you can eat for gout

1. Dairy products: especially low-fat dairy products can lower blood uric acid level and reduce the incidence of gout. Therefore, it is recommended that gout patients increase their intake of low-fat or skimmed dairy products.

2. Eggs: Eggs are inherently low in purine content, which is helpful for gout patients to consume protein, so like eggs ah, quail eggs are edible.

3. Vegetables: many people have always thought that high purine vegetables can not eat, but in recent years a number of studies have shown that vegetables rich in plant purines and will not increase the level of blood uric acid, and eating a large number of vegetables can alkalize the urine, which is conducive to uric acid excretion. So like spinach, mushrooms, lettuce and other vegetables, can eat.

4. soy products: very many people think that gout can not eat soy products, this is actually a long time ago, there have been scientific studies have confirmed that soy products do not increase the level of uric acid, soy products and beans can be consumed

5. Coffee: Coffee has the effect of slightly lowering blood uric acid level, gout patients can drink, but need to pay attention to drink unsweetened coffee to help

How should people with gout eat? Without further ado, the dog serves up dry goods directly to you!

1 High purine foods

The body gets 80% of its uric acid from endogenous metabolic production and 20% from dietary intake of exogenous uric acid.

Controlling the purines consumed in the diet reduces uric acid by 10-18% and also reduces acute attacks of gout, so dietary control is necessary to improve gout.

Of the many different causes of arthritis, gout is the only one that requires special emphasis on dietary control.

So let's start with the customary purine table:

Information shows that acute attacks of gout are often due to overeating high purine foods.

The average person's dietary intake of purines is 600-1000mg/day, and in the acute phase of gout, purine intake is limited to 150mg/day.

So, if you have a gout attack, then high purine foods should not be eaten.

People who have had a history of gout, or who have high uric acid, then try to eat fewer high-purine foods, and moderate purines are best in strict limits.

If you find the above chart too complicated to remember, then you can follow this principle in your diet.

In addition to the purines in food that you need to be aware of, there are other foods that you need to be aware of that are lower in purines but can have the same effect on gout.

2 Sugar-sweetened beverages and fruit juices

Drinks appear in the low purine food category on the purine content food list, yet the risk of gout from sugary drinks and fruit juices is even higher than that of spirits and on par with beer.

This is because there is a sweetener in these drinks called high fructose syrup, and once ingested, these fructoses can be metabolized in the body not only to produce adenosine monophosphate, the fifth adenosine monophosphate of the uric acid synthesis bypass pathway.

Promoting increased uric acid synthesis also increases insulin resistance and circulating insulin levels, decreasing uric acid excretion, which increases the level of uric acid in the blood and ultimately triggers gout.

The 2012 ACR (American College of Rheumatology) Gout Guidelines recommend that people with gout should avoid beverages sweetened with high fructose syrup, the

This includes sweetened sodas and foods, while limiting intake of naturally sweetened fruit juices and sugary drinks.

3 Fatty foods

While poultry meats are part of a moderate purine diet and can be consumed appropriately, it is best to choose meats that are lower in fat.

Fatty foods such as fatty meats, red meats, and high-fat milk should be eaten sparingly or not eaten by people with gout to avoid increasing the risk of gout.

4 Sake spirit

Alcohol are all high purine foods that people with gout should try to stay away from. Many people think that beer is the only thing that triggers gout, but in fact different types of alcohol have different risks of triggering gout.

Beer is the worst, followed by liquor, and wine is relatively good.

If you must drink, drink some wine. And be sure to control the amount.

5 Starchy foods

Although starchy foods are low purine foods, refined rice and flour foods should be avoided during gout, especially those high in sugar.

1 Low purine foods

Most vegetables, fruits, eggs, and dairy are low purine foods and can be consumed in moderation by people with gout.

2 Fruits with low fructose content

Although fruits are low purine foods, they are still not a good choice for people with gout.

Some studies have found a positive correlation between fructose-rich fruits and an increased incidence of gout, so people with gout should eat less fructose-rich fruits even if they do not have comorbid diabetes or metabolic syndrome.

Fruits with lower fructose content, on the other hand, have little effect on gout and can be consumed in moderation by gout sufferers.

Western countries also eat cherries to lower gout, may be related to the cherry is rich in anthocyanins, has a certain anti-inflammatory, antioxidant and pain relief effect.

3 Legumes and meat choices

Many gout patients or high uric acid people think that meat and beans are high purine food, can not eat, in fact, this perception is too one-sided.

It has been suggested that the pro-uric acid excretory effect of legumes exceeds the effect of increased blood uric acid synthesis due to the purines they contain.

At the same time, beans are rich in protein, which can make up for the reduction in protein intake brought about by the restriction of red meat intake, but also reduce the risk of coronary heart disease.

Therefore, gout patients should be encouraged to consume beans and soy products in moderation.

And people with gout are actually careful about their meat choices.

Meat is a good source of protein for people in their daily diet, and people with gout tend to abstain from eating meat foods because they are high in purines.

In fact, one of the meats that people with gout need to avoid is red meat.

Red meat refers to the meat of mammals such as pork, beef, and lamb, which is rich in purines and can lead to an increased risk of gout.

It is also rich in saturated fatty acids and cholesterol, which increase the risk of cardiovascular disease.

Therefore, the ACR (American College of Rheumatology) gout guidelines recommend limiting red meat intake.

As opposed to red meat, it is white meat. And of the white meats, the one that is suitable for people with gout is the meat of poultry.

Moderate daily intake of poultry meat has little effect on blood uric acid. Poultry protein had the least effect on blood uric acid, relative to seafood and red meat.

Therefore, it is recommended that people with gout prioritize poultry meat as their main source of protein acquisition.

However, it should be noted that the skin of poultry meat has a high purine content and the subcutaneous tissue has the highest fat content, so it is best to remove the skin when consuming poultry meat.

Another way for people with gout to get protein is through dairy products.

Low-fat or fat-free dairy products can provide gouty people with the protein they need, such as low-fat yogurt or skim milk, while also helping to lower uric acid levels.

1 Control total intake to prevent overweight and obesity

People who have been diagnosed with hyperuricemia and gout should reduce their total daily energy intake by 10-20% compared to normal to prevent them from becoming fat and overweight.

Obese people also need to reduce their energy intake to avoid excess ketone bodies, which reduce uric acid elimination.

Some studies have shown that reducing energy intake and losing weight, even without restricting purine-rich foods, can lower uric acid levels and reduce the number of gout attacks.

That means being thin means you can enjoy more food.

At the same time, losing weight reduces the overall stress on the joints.

2 Drink plenty of water

It's a well-told phrase, but I have to say it does work.

Drinking water helps in the elimination of uric acid and reduces the number of gout attacks.

When the body is not hydrated enough, the water in the blood decreases and the concentration of uric acid naturally rises; when the body is dehydrated, urination is naturally less.

There's no urine, so where's the outlet for uric acid!

To prevent urinary concentration at night (there is a loss of body fluids during the night from breathing and evaporation of sweat from the skin), it is best for people with gout to drink some water before bedtime as well.

Don't count on your face being puffy the next day. For someone with gout, does the puffiness outweigh the pain of gout?

3 Dietary supplements in moderation

Supplement with the right amount of vitamin C and B vitamins, which promote the dissolution of urate and contribute to gout relief.

4 Prohibition

When alcohol was mentioned above, the dog did say that a small amount of wine is okay, but this is only for people who have their uric acid under control

In the case of someone who has had a gout attack, it is not about drinking less alcohol, but it is absolutely, forbidden!

As we mentioned before, alcohol tends to build up lactic acid in the body, which has an inhibitory effect on uric acid elimination and triggers gout.

This is a dry run of the gout diet, so bookmark it!

Summary:

1 Unsuitable Foods for People with Gout

Foods high in purines

Sugary drinks and fruit juices

fatty food

ethanol CH3CH2OH

2 Foods for people with gout

Low Purine Foods

Fruits low in fructose

Moderate consumption of beans, poultry, low-fat yogurt, skimmed milk

3 What to look for in a gout diet

Controlling total intake to combat overweight and obesity

Drink more water.

Vitamin C and B vitamin supplementation

dry law

References:

1 Li Q. H. Dai M. Updating new perspectives on dietary treatment of gout[J]. Chinese Journal of Rheumatology, 2015(19):434.

2 Tong Ji. Gout diet:Low purine ≠ low fat[J]. Medical Food Therapy Health Care, 2015(6):34-34.

3 Li FF. Gout diet:These foods are 'rightly named'[J]. Family medicine - happy health,2017(5).

4 Mo Peng. Seven principles of gout diet[J]. Popular Health,2015(6).

5 You Hualing. Four avoidance and five benefits of gout diet[J]. Safety and Health,2018, No.451(07):53.

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