People, as long as they are sick, will have some restrictions on their diet. For example, people who have a cold and fever should avoid eating, patients with hypertension should have less oil and salt, and patients with diabetes should have moderate sugar intake. But what about gout patients?
Gout patients are mainly concerned about the level of purine content in food, and try not to eat or eat less foods with high purine content, but they tend to ignore other aspects. Some gout patients even think that eating meat is easy to increase uric acid, even if they are vegetarians. But? For a long time, I found myself getting heavier and heavier, acute gout attacks became more and more frequent, and blood uric acid also soared.
So some people began to "doubt life": Is it wrong for gout patients to control the high purine diet? Do you need to let go of your hands and feet when eating? Today, Dr. Liu will talk to you about the diet of gout patients.
Gout patients and rheumatologists are too concerned about purine in food, and some restrictions on purine foods have reached an unreasonable level.
Take eating meat as an example. Some people think that pork, beef and mutton have high purine content, so it is recommended to eat chicken and duck, only chicken breast. Do you really regard it as a diet meal?
In fact, in recent years, the dietary concept of gout patients is changing. Although purine content is still a criterion to judge whether gout diet is correct or not, it is not the only indicator. Why do you say that? Because in the face of diseases, the intake of nutrients is greater than that of purine.
The nutrients or "active ingredients" contained in each food are not just purines. When analyzing the efficacy of food, if only one ingredient is considered, it is easy to walk into a dead end.
In fact, fat meat, sugary drinks, chicken essence, monosodium glutamate and so on. Although it does not contain purine, it does not contain nutrients such as vitamins and cellulose, and the nutritional value of these foods is not great; On the other hand, its energy and calories are high, and excessive intake may easily lead to excessive daily energy intake.
Not only that, in fact, according to the concept of modern nutrition, gouty arthritis itself and long-term urate deposition in the joints of the body can easily cause bone damage to patients. Clinically, I would also advise gout patients to eat foods rich in iron, vitamin B, calcium, vitamin D and other related nutrients, such as pig blood, cherries and carrots.
If gout patients only pay attention to food types, especially foods with high purine content, then the situation may be that the total amount and energy of food are out of control. What happens if you don't control the energy intake in your daily diet? That is, when the consumption is insufficient, it is easy to have an imbalance between the total energy intake and consumption, so that excess energy is stored in the body in the form of fat, and then weight gain, even overweight or obesity.
Is gout still related to obesity? Or gout or is it related to excessive calorie intake? The answer is yes. Why do you say that? Let's first look at the relationship between obesity and gout or hyperuricemia.
How does obesity happen? The first is the bad habits such as overeating, drinking and drinking; Followed by hunger, irregular ration of three meals a day, staying up late and so on. Clinical experience shows that adult gout patients will exceed the standard weight by 30% ~ 50% if they are obese; The risk of gout in people with a BMI of more than 27.5 is 16 times that of people with a BMI of less than 20.
Some gout patients also wonder: How can I get fat if I don't eat meat every day? Liu said before that if you consume more energy than you consume, you may become obese. We often have a misunderstanding that eating meat will make us fat. In fact, if you consume too much energy, you will get fat. Sometimes, if you eat too much, you will get fat more easily.
Some gout patients don't understand: I'm not fat either, at least I don't look fat. In fact, besides calculating according to body mass index (BMI), there is another way to measure obesity, that is, "waist circumference". Some people really don't look fat, but if the waist circumference of a man is 2 feet 7 inches or more, and the waist circumference of a man is 2 feet 4 inches or more, it is also obese.
This "thick waist circumference" is called abdominal obesity, and abdominal fat or visceral fat accumulates. In abdominal obese patients, due to lipolysis, a large amount of free fatty acids will flow into the liver through the portal vein system, which will reduce the activity of glyceraldehyde-3-phosphate dehydrogenase and delay the metabolism of glyceraldehyde -3- phosphate, thus leading to the overactivity of the de novo synthesis system of 5- phosphoribosyl pyrophosphate and the increase of hepatic uric acid synthesis. In other words, if it is excessive energy intake or abdominal obesity, there will generally be an increase in uric acid synthesis; Every increase in waist circumference 1cm increases the risk of gout by 6%.
Basically, the diet of gout patients needs to be restricted and restrained, especially bad eating habits will have an impact on the development of the disease. After the onset of acute gouty arthritis, the joints will be constantly invaded and damaged by urate crystals, which will affect the joint function. Reasonable eating habits are not only to control the continuous increase of uric acid, but also to avoid the continuous deposition of urate crystals and the continuous attack of acute gout.
However, Dr. Liu said so much earlier, which is also reminding gout patients to have a balanced diet in the choice of diet content, and all kinds of grains, eggs, milk, fish, meat, vegetables, fruits and so on should be ingested. Only in this way can the body have enough nutrition and resistance in the face of joint inflammation and pain caused by long-term hyperuricemia or acute gout.
Therefore, gout patients should develop reasonable eating habits and healthy lifestyles, control the total energy intake, and allocate a reasonable proportion of nutrition supply according to the principle of individualization. So how to control it? Dr. Liu gives you six suggestions for your reference:
In short, for gout patients, diet control is to control the daily intake of purine below 300mg; Although there is no food that is completely inedible, we should try to avoid high-purity foods such as animal offal, crustacean seafood and thick soup. However, if we only control the intake of purine, but not limit the intake of total calories in the diet, then it is also "giving up the basics."