Can diet affect gout?Master the 6 principles of dietary guidance!

Gout, also known as the disease of wealth, is a disease caused by a disorder of purine metabolism or a decrease in uric acid excretion. With the improvement of the quality of life, the diet is becoming more and more unbalanced, and the number of hyperuricemia and gout is increasing and showing a younger age. Regarding the three-point treatment and seven-point nourishment of gout, in addition to active medication, it is also necessary to do a good job in dietary conditioning.

What are the dietary principles for gout patients?

1. Limit your daily purine intake

It is indeed difficult to strictly adhere to a low-purine diet, the effect of lowering uric acid is limited, and it is more important to control the total amount of purines than to control a certain high-purine food, and the daily purine intake needs to be controlled within 200 mg.Also learn about the difference between animal purines and plant purines. Purine-containing vegetables do not raise blood uric acid, most vegetables are alkaline, and they contain vitamin C that alkalizes urine and helps uric acid excretion. Foods with more than 150 mg of purines per 100 grams of food are high in purines, such as animal offal, thick broths and minced meats, fish and shellfish, etc. Foods with less than 25 mg of purines per 100 grams of food are low-purine foods, such as rice, flour, milk, and vegetables.

2. Limit protein intake

The daily protein intake accounts for about 11%~15% of the total energy, and the daily protein intake of 1 kg of body weight is about 1 gram, and the acute gout attack is controlled at 0.5 grams. Try to use plant protein as the mainstay, animal protein can choose milk, dairy products and eggs, which contain essential amino acids for the human body and are low in purines. During the remission period of gout, do not eat high-purine foods, and do not drink all kinds of broths, because purines are easily soluble in soup.

3. Limit total daily calorie intake

Controlling calories lowers uric acid and reduces the number of gout attacks. In addition, restricting total calories can also prevent obesity or overweight. Obese people need to take a gradual approach to reducing their energy and keep their weight within the normal range to avoid acute gout attacks.

4. Arrange the diet structure reasonably

Under the premise of limiting the total energy, protein needs to account for 10%~20% of the total energy, fat should not exceed 30% of the total energy, and carbohydrates should account for 50%~60%, which can reduce the decomposition of fat and produce ketone bodies and help urate excretion. Patients with gout can adopt a Mediterranean diet, which means eating more fruits, vegetables, whole grains and legumes, and less red meat and full-fat dairy products.

5. Limit alcohol intake

The risk of a gout attack is directly proportional to the amount of alcohol consumed, and the more alcohol consumed, the higher the risk of developing gout. Alcohol induces gluconeogenesis disorder, which causes lactate and ketones to accumulate, thereby inhibiting uric acid excretion. Therefore, do not drink any beverages that contain alcohol, such as beer, liquor, wine, and rice wine.

6. Avoid fructose-containing beverages

Studies have shown that sugar-sweetened beverages and fruit juices can increase blood uric acid, and fruits containing fructose can also induce gout.Because fructose metabolism can consume a large amount of adenine nucleoside triphosphate to produce guanine and adenine, increasing uric acid production; Fructose can also cause insulin resistance, promote uric acid reabsorption in the kidneys, and reduce uric acid excretion, so you can't drink sweet drinks and can't eat foods containing fructose.

Tips

As long as the heart, lung and kidney functions are normal, gout patients should ensure at least 2000 ml of water intake per day, which can promote uric acid excretion; When accompanied by uric acid stones, the daily urine output should reach 3000 ml; However, patients with gouty nephropathy and renal insufficiency need to limit their water intake. Master the correct cooking methods and try to reduce the use of condiments such as chili pepper, mustard, Sichuan pepper or pepper when cooking food, so as not to stimulate the autonomic nervous system and induce an acute attack of gout.