Gout is caused by hyperuricemia, due to uric acid and lipids are mainly synthesized in the liver, and purine is the raw material for the synthesis of uric acid, increased purine will also cause increased glucose 6 phosphatase activity, resulting in increased fatty acid synthesis and elevated blood lipids, so hyperuricemia in addition to triggering gout, but also contribute to the occurrence of hyperlipidemia. A certain percentage of patients with hyperuricemia or gout who go to the hospital also have hyperlipidemia. So gout and hyperlipidemia how to diet + exercise regulation?

Do's and Don'ts of Living with Gout and Hyperlipidemia

1) Diet

There are two main principles in the treatment of gout, one is to reduce uric acid synthesis, and the other is to promote uric acid excretion. The key to reduce uric acid synthesis is to reduce the intake of purine, so gout combined with hyperlipidemia, dietary treatment is the first treatment measures, from the source to reduce the intake of purine, cholesterol and triglycerides.

It is recommended that patients with gout and hyperlipidemia choose a low-fat, low-purine diet. Some foods, such as animal offal, meat broth, fatty meats, and beer, are high-purine and high-cholesterol foods, and are recommended to be avoided. And milk, eggs, coarse grains, vegetables, fruits and other food purine content is very low, cholesterol and triglyceride content is not high, can be appropriate to eat more.

2) Attention to healthy lifestyles

Because the essence of high uric acid is the abnormal increase in purine metabolism in the liver, if the liver function is abnormal, purine metabolism disorders, high uric acid is bound to be difficult to control, so daily life need to avoidExcessive alcohol consumption, exertion, staying up late, excessive stress, drug abuse, smoking, etc. lead to liver function damage. Similarly, a healthy lifestyle is the only way to effectively prevent and control high blood cholesterol.

How should I exercise for gout and hyperlipidemia?

Exercise promotes uric acid excretion, cholesterol and triglyceride breakdown, and is also very helpful in the treatment of gout and hyperlipidemia. Studies have concluded that stress, tension, alcoholism, low blood sugar, staying up late, high workload or games, resulting in the body in a state of stress, protein fat involved in energy metabolism, which leads to a large amount of uric acid pyruvate and lactic acid production, which is more likely to lead to hyperuricemia and gout. Exercise prevents weight gain leading to fatty liver on the one hand, and on the other hand can relieve stress and reduce the production of stress, which can minimize the development of hyperuricemia into gout.

But exercise is like a double-edged sword, because strenuous exercise will induce acute attacks of gout, so moderate aerobic exercise is suitable for gout patients to carry out sports, such as walking, jogging, gymnastics, climbing, swimming, etc., in addition to photography often need to go out to pick up the wind, the process of picking up the wind is also the process of aerobic exercise, so photography is actually also considered to be one of the aerobic exercise.

In addition, many patients are not aware of the frequency of exercise, too frequent exercise for patients with severe hyperuricemia (blood uric acid level > 540 umol / L) but also prone to trigger gout attacks. Some studies have shown that the frequency of exercise is also related to the number of gouty attacks, the study suggests that depending on the degree of uric acid elevation, patients with moderately elevated blood uric acid (blood uric acid level of 481 ～ 540 umol / L) can take 1-3 times a month of exercise frequency, and for severe hyperuricemia, the gouty attack rate of non-exercise and daily exercise is higher than that of those who exercise 4-6 times a week, so 4-6 times a week of aerobic exercise is suitable for patients with severe hyperuricemia, and the frequency of exercise is higher than that of those who exercise 4-6 times a week, so 4-6 times a week is suitable for patients with severe hyperuricemia. Therefore, 4-6 sessions of aerobic exercise per week is a suitable frequency for patients with severe hyperuricemia. The study also found that a single session of exercise did not reduce uric acid and triglyceride levels, and that regular aerobic exercise over a long period of time was needed to have a significant effect.

concluding remarks

Finally, it should be reminded that gout and hyperlipidemia require standardized treatment under the guidance of specialists. In addition to medication, a healthy lifestyle is very important, including drinking more water, quitting smoking and limiting alcohol, eating less purine-rich foods, and exercising scientifically! I believe that after the strict implementation of these laws, high uric acid and gout will tremble away from you!

References:

[1] HUANG Ye-Fei, OU Jia-Yong, LIU Qi, GU Jie-Ruo. Research on the effect of different exercise frequency on gout attack in hyperuricemia patients[J]. New Medicine, 2018, 49(5):355-358

[2] Wang GL, Wang FK, Zhang H, Li YL. Correlation analysis of hyperuricemia and hyperlipidemia[J]. Journal of Kunming Medical University, 2014, 35(3):142-142

How should I live exercise for gout and hyperlipidemia?

Hello, I'm Dr. Chung-kook, the barefoot doctor.

With the development of society, people's standard of living is getting higher and higher, but along with it, a lot of affluent diseases are born, such as diabetes, high blood pressure, gout and so on.

When people get sick, it is the environment within the body that is biased, and healing is actually the process of correcting this bias.

But why is the environment in the human body skewed?

For example, I love to eat cold food, and when cold food enters the body in a certain amount, the body can't dissolve that cold air, and this cold air will build up in the body, and when it accumulates to a certain degree, there will be an outbreak of disease.

In the same way, I love to eat chili, I love to drink alcohol, I don't love to sleep 。。。。。 These are all causes of bias in the human body, when accumulated to a certain level in the outbreak.

For example, how are gout and hyperlipidemia biased?

I will explain the two diseases in the following points.

I. The role of the yang.

II. Functions of the spleen.

Three, how to develop gout and hyperlipidemia.

IV. How to treat gout and hyperlipidemia.

V. How should gout and hyperlipidemia be lived and exercised?

(i) Role of Yang Qi

Yang qi has a defensive role, two gasification role, three warming role, four promote the role of five fixed role.

Yang qi is the most basic substance of human life activity, or power source.

Whether people think, breathe, and so on it is all done under the action of yang energy.

• The body's internal organs are like electrical equipment, each with its own function, and yang qi is the electricity of these devices, if the electrical appliances are out of power what will happen? I believe that everyone will understand.
  

• This is how yang qi is compared in the Nei Jing. Yang qi is like the sky and the sun, and if it is lost, life will be lost and not recognized. It means that Yang Qi is like the sun in the sky, if the sun is gone, everything is gone.
  

Source of Yang Energy II Spleen and Stomach digestion and absorption of drinking food.

(ii) Functions of the Spleen

The Spleen is the master of dampness, corresponding to Changxia, and the Stomach; it is the master of blood circulation, muscle mass, and transportation.

Transportation is divided into transportation of water and dampness, transportation of water and grains, the so-called transportation is transportation, the so-called transformation is to eat the food to be transformed into qi and blood, into flesh and blood, etc.。

• Spleen yang is sufficient, spleen transportation and normalization, the dietary material is fully digested, absorbed, distributed to the body organs and organs. And the utilization of the garbage is also known as wet, discharged from the body.
  

• If too much cold food, damage to the spleen Yang, spleen transportation disorder, can not be fully the dietary material fully digested, absorbed, distributed to the body organs and organs. And produce a lot of garbage, but not completely, garbage through the two stools out of the body.
  

(iii) How gout and hyperlipidemia develop.

There is also a quantity of yang energy in the human body, and when something cold, enters the body, the yang energy will compete with the cold.

For example, the human body temperature is 36.5 degrees, you eat cool town diet is minus four degrees, our body can not give you to keep minus four degrees of diet, it must be melted away, in the process of melting away, is to consume the body of yang energy process.
This process is accomplished in the spleen and stomach, so it consumes a great deal of spleen and stomach yang.
With the depletion of yang energy, the transporting and transforming function of the spleen and stomach, will decline more and more, and the dampness will gather more and more in the body.
The spleen regulates the blood, and dampness follows the blood and spreads throughout the body. This is how hyperlipidemia develops.
Dampness is discharged from the body through the two stools, and the kidneys are responsible for the two stools. Dampness is a yin evil that consumes yang, so over time, the yang of the kidneys gets weaker and weaker in the process of fighting against the dampness.
There is more and more dampness in the body, and the spleen is the master of dampness, so dampness has the greatest cause and effect with the spleen, so dampness travels down against the foot-taiyin spleen meridian and piles up in the vicinity of Taibai and Gongsun points, and when it accumulates to a certain extent it erupts into gout.

(iv) How gout and hyperlipidemia are treated.

Excessive cold food damage to the spleen, kidney Yang, we need to support the spleen and kidney Yang, you can use the seeds, cinnamon, Sichuan pepper and other drugs.

The spleen should be strengthened by using ginseng, ginger, dry ginger, atractylodes, atractylodes cangzhu. and other medicines.

Cold dampness stays, diuresis and dampness seepage, psyllium, Job's tears, Poria, Fenghui, Zedo and other herbs.

Promoting Blood circulation and relieving pain Chuanxiong, Yuanhu, Tao Ren, Safflower, Danshen and so on.

(e) What should be the life exercise for gout and hyperlipidemia?

Gout and hyperlipidemia is because, the living habits of the bias, so it is caused by such a disease, treatment with medication is part of the treatment, no matter what method of treatment is good, if the living habits do not change, the time is not long or will be repeated.

We have to do it all the time.

• Wear extra clothes to protect yourself from the cold.
  

• Go to dark and damp places less often, and if you work in a dark and damp place, talk about changing jobs.
  
• Wake up early in the morning, have fun with the chickens, smell the chickens, exercise, and rest when you realize you need to sweat.
  
• The morning diet can be enriched.
  
• Eat vegetables with roughage for lunch.
  
• Eat a small dinner of up to three quarters of a full stomach, or none at all, or vegetables with roughage.
  
• Three meals can drink millet porridge, porridge can be added ginger, cloud ling, fried wheat, yam together with porridge.
  
• Don't be eating a cold diet, such as beer, seafood, and milk, all of which are cold foods.
  
• Do not overeat, do not drink, red wine, white wine, beer, a drop does not account for, drinking will hurt the kidneys, more drink more hurt, less drink does not hurt, do not drink does not hurt.
  
• Sunrise and sunset, is not possible, the night, do not exercise, is more is a slow walk, the latest ten o'clock to bed, section room, sleep is the best kidney tonic medicine, love to believe it or not.
  
• Stay calm and less angry.
  

That's pretty much it. Remind me if there's anything I can't remember.

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Gout and hyperlipidemia are diseases that are highly prevalent nowadays. The cause of gout is hyperuricemia, but hyperuricemia does not always present with gout. Therefore, all gout patients are not associated with hyperuricemia.

And in recent years, clinical observation found that hyperuricemia is actually a manifestation of metabolic syndrome, which belongs to the same cause as hyperlipidemia, central obesity, hyperglycemia, hypertension and so on. The relationship is very close. All are clinical indicators of metabolic syndrome.

So what does it mean to have metabolic syndrome? Generally speaking, with 3 of the following 4 items, or more than 3 items, we diagnose metabolic syndrome. Including: 1. overweight or obesity, obesity index (BMI) ≥ 25; 2. elevated blood glucose, fasting blood glucose ≥ 6.1 mmol / L and/or two hours after the meal blood glucose ≥ 7.8 mmol / L, or has been diagnosed with diabetes mellitus; 3. elevated blood pressure, systolic / diastolic blood pressure ≥ 140/90 mm Hg; 4. elevated or disordered blood lipids.

And metabolic syndrome can be fatal to a person's cardiovascular and cerebrovascular, and to a person's kidneys. For example, patients with hyperuricemia and gout not only cause severe pain in the bones and joints, but may also lead to functional damage and disability of the bones and joints. It may also cause uric acid nephropathy, chronic renal insufficiency, uremia and so on.

Abnormalities in blood lipids can not only promote atherosclerosis and cause the occurrence and development of cardiovascular, cerebral and renal vascular diseases. It even leads to ischemic necrosis of the limbs and pancreatitis.

When blood glucose is higher than normal, even without reaching a diagnosis of diabetes, prolonged hyperglycemia is enough to cause pathological changes in organs and tissues. For example, decreased immune function, damage to the glomerular blood vessels, cardiovascular damage, cerebrovascular damage, and so on.

Hypertension is often referred to as the "silent killer" when blood pressure is elevated. In addition to causing cardiovascular and cerebrovascular bleeding and ischemic disease, it can also impair kidney function and eventually lead to uremia.

To summarize, gout or hyperlipidemia, as well as other manifestations of metabolic syndrome, are important factors that can cause death and disability in the human body. If these factors are not properly controlled, they may eventually lead to the hardening of the arteries in the blood vessels and the rupture or blockage of blood vessels in different parts of the body. This can lead to fatal and disabling diseases such as myocardial infarction, cerebral thrombosis or cerebral hemorrhage, glomerulosclerosis, arterial occlusion of the lower extremities, and fundus lesions.

Although, metabolic syndrome is caused by a combination of both genetic and environmental factors. However, studies have found that environmental factors are the main reason for the large increase in patients with metabolic syndrome. I remember decades ago, when I had just graduated from college and went to work, because of the limitations of people's living conditions. At that time, metabolic syndrome patients were extremely rare. Now, due to the improvement of living standards, the number of patients with metabolic syndrome has increased significantly.

Therefore, it is important to avoid the metabolic syndrome. Or already have metabolic syndrome after control, effective treatment is very important. Treatment, of course, is achieved through medication to lower uric acid, blood lipids, blood sugar, blood pressure, weight and other measures.

The environmental factors that cause metabolic syndrome can be changed. Therefore the key to preventing metabolic syndrome is to maintain scientific lifestyle habits. Emphasize low sugar, low fat, low purine and low salt. Through diet, exercise and weight reduction, many abnormal indicators such as glucose tolerance, blood pressure and blood lipids can be corrected. Firmly avoid eating and drinking, smoking, alcoholism, lack of exercise, irregular living and so on.

Of course, strengthen the sports and exercise, and appropriately increase physical labor. It is recommended to maintain about half an hour of moderate intensity exercise every day. It is especially recommended that after each meal, walking exercise for about fifteen minutes is very beneficial for controlling metabolic syndrome, lowering blood lipids and reducing gout attacks.