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Dietitian Catering 100 Taiwan
We should follow the principles of limiting the intake of purine, promoting the excretion of uric acid, reducing the level of serum uric acid, preventing acute gout attack and preventing gout complications when we are preparing nutritional meals for gout patients, so as to play a better role in preventing gout. 1. Nutritional catering principles of gout. The average nutritional requirement of gout patients is 1740 kcal/day, and it should be controlled within 1668 kcal/day if it is acute gout. The proportion of protein is about15%; The proportion of fat is about 25.8%; The proportion of sugar is about 58%. Because some low-purine diets will limit the choice of food, which may lead to the lack of some nutrients, it needs to be supplemented according to the specific situation, as follows. ① Total heat energy: The supply of total heat varies from person to person. The rest are given 25 ~ 30 kcal/kg body weight every day (105 ~ 126 kcal), and manual workers are given 30 ~ 40 kcal/kg body weight (126 ~ 167 kcal). For obese or overweight people, the total energy should be limited and a low-calorie diet should be adopted, that is, 10 ~ 20 kilocalories (42 ~ 84 kilojoules) per kilogram of body weight every day. ② Sugar: The staple food of gout patients should be sugar, accounting for 50%, 6-60% or even 70.9% of the total calories. Rice, corn, flour and its products (such as steamed bread, noodles, bread, etc. ) you can choose. However, diabetic patients should control the intake of sugar, and it is advisable to give it at 4 ~ 5g per kilogram of body weight every day, accounting for 500% ~ 65% of the total calories. ③ protein: The daily intake of protein should be 0.8 ~ 1.0g per kilogram of body weight, accounting for 12% ~ 14% of total calories, and the daily supply of protein can reach about 60g. Relax appropriately for thin, manual workers and the elderly. Protein is mainly composed of milk and eggs. You can eat river fish or lean meat and meat in moderation, but it is recommended to cut into pieces and cook them to make purine soluble in water, and then cook them in soup. Foods with high purine content, such as animal offal and seafood, should be reduced or banned. ④ Fat: The daily intake of fat should be 0.6 ~ 1g per kilogram of body weight, accounting for 20% ~ 25% of total calories. People with hyperlipidemia should be moderate, especially in the acute attack period of gout, and high-fat diet should be avoided, because high-fat diet will inhibit uric acid excretion. The daily intake of cholesterol should not exceed 300 mg. Eat less fried food. The types of fat intake should be mainly vegetable oil, such as soybean oil, peanut oil and corn oil. ⑤ Salt: For patients with hypertension, heart disease and kidney damage, the intake of salt should be limited, not exceeding 6 grams per day, and generally controlled at 2 ~ 5 grams. ⑥ Water: Drink plenty of water. The recommended daily drinking amount is 2000 ~ 3000ml, which can increase the urine volume (it is best to keep the daily urine volume around 1500ml), promote the excretion of uric acid and avoid the formation of urinary calculi. 2. One-week nutrition catering for gout patients ① Monday nutrition package breakfast: salty bread100g; Yogurt 100g: steamed egg 50g kiwi fruit 1. Lunch: 100g rice; 150g fried cabbage: 50g diced chicken with green pepper; 50 grams of shredded potato with green pepper; Winter melon soup 100g. Dinner: 100g rice; Fried cucumber slices100g; Braised silver carp 100g: fried broccoli 150g: radish soup 100g. Total heat of the whole day: 1657 kcal. ② Tuesday nutrition package breakfast: 50 grams of flower rolls; Oatmeal100g; Mix 50 grams of lettuce; Tomato 150g. Annual meal: rice100g; Fried cucumber slices100g; Scrambled eggs with green peppers100g; Vegetable soup 100g: 50g watermelon. Dinner: 100g rice; Braised fish100g; Stir-fried peas 100g: pickled cabbage 50g: tomato and egg soup 100g: 1666 calories. ③ Wednesday nutrition package breakfast: salty bread100g; Milk100g; Eggs 100g. Lunch: 100g rice; Steamed crucian carp100g; Stir-fried lotus root silk100g; Loofah shredded pork soup100g; 50 grams of cabbage stewed vermicelli; Cold cucumber 150g. Dinner: 100g rice; 50 grams of roast beef with radish; Zhacai Egg Soup100g; Stir-fried 50 grams of bitter gourd. Total heat of the whole day: 1604 kcal. ④ Breakfast of nutrition package on Thursday: steamed bread 75g milk150g; Assorted cucumber150g; Steamed eggs 100g. Lunch: 125g rice; Fried bean sprouts 100g: cabbage soup100g; 50 grams of scrambled eggs with Toona sinensis; Stir-fried celery 150g dinner: noodles100g; 50 grams of vegetarian fried three silk; Fried lettuce100g. Total heat of the whole day: 1666 kcal. ⑤ Friday nutrition package breakfast: salty bread125g; 50 grams of eggs; Milk100g; 200g cucumber lunch: 150g rice; Fried lettuce100g; Luffa soup 150g: 50g salted duck; Auricularia auricula tofu150g. Meal: rice100g; Roast 50 grams of crucian carp; 50 grams of fried celery; Sauerkraut Sauerkraut Soup 100g Total calories for the whole day: 1674 calories. ⑥ Saturday nutrition package breakfast:100g flower roll; Egg 100g: yogurt 150g lunch: rice100g; Fried tomato100g; Fried potato shreds100g; Fish-flavored shredded pork100g; Luffa soup100g; Cucumber 100g. Dinner: 100g rice; 50 grams of celery fried beef shreds; Fried eggplant100g; 150g pickled mustard tuber and shredded pork soup; Watermelon 100g. Total heat of the whole day: 1725 kcal. 7 Sunday nutrition package breakfast: 50 grams of steamed dumplings; 50 grams of steamed eggs: 200 grams of millet porridge. Lunch: 100g rice; Stewed chicken 150g: fried lettuce 100g: spinach and egg soup 50g. Dinner: 150g rice; 50 grams of silver carp; 50 grams of fried bean sprouts; Sauerkraut and bitter melon soup100g; Stir-fry 50 grams of lean meat with green pepper; Strawberry 100g. Total heat of the whole day: 1646 kcal. Finally, the total heat in a week should be controlled within 1 1587 calories. Disclaimer: The above content comes from the Internet, and the copyright belongs to the original author. If there is any infringement of your original copyright, please let us know and we will delete the relevant content as soon as possible.