Most gout diets recommend a low-purine diet, and high-purine foods are strictly prohibited. Low-purine foods seem to be safe to eat. A more in-depth distinction should be made. For example, among high-purine foods, plant-based high-purine foods are better. Don’t eat too much starch in low-purine foods to avoid uric acid being difficult to be excreted. Dietary attention: uric acid is purine after being metabolized by the liver. The source of purin in the body, in addition to being obtained from foods containing protein, can also be synthesized by the body itself and decomposed by body tissues.

Reasons for excessive uric acid:

1. Increased uric acid production

2. The uric acid in the blood will increase after eating high-quality foods

3. Intestinal elimination of uric acid is blocked

4. Kidneys are blocked in excreting uric acid

How to prevent recurrence of gout and reduce symptoms?

Patients with gout should pay more attention to their eating habits. The following points should be noted: (1) Maintain ideal weight:

The ideal weight calculation formula is = 22 × height? (meters)? . Normally, the weight should be controlled within the ideal weight range (ideal weight ±10%). For example, for a man who is 165 cm tall, the ideal weight = 22×1.65×1.65 =60 kg, and the ideal weight range is 54~66 kg. If you are overweight or obese, you should lose weight, but pay attention to the weight loss rate, which is 1 to 2 kilograms per month. If you are in the acute onset stage, it is not advisable to lose weight temporarily.

(2) Ingest an appropriate amount of protein:

When protein is taken in excessively, the synthesis of purine in the body will increase, which can easily induce gout attacks. In particular, people who often need to entertain and attend banquets are most likely to overeat, which may lead to excessive protein intake and trigger gout attacks. Under normal circumstances, it is appropriate for each person to consume 1 gram of protein per kilogram of ideal body weight per day. During acute illness, you should try to choose foods with low purine content, such as eggs, milk, rice, wheat, sweet potatoes, leafy vegetables, melon vegetables and various fruits. It is best to supply protein entirely from eggs and milk. . During the non-acute onset period, you should strive for a balanced diet and avoid eating foods with high purin content.

(3) Avoid foods rich in purin:

A. Animal offal:

Purin is commonly found in various foods. If strictly If gout patients are restricted from eating high-quality foods, they will not be able to eat almost all nutritious foods. What is important is the principle of overall balanced nutrition. When protein is taken in quantitatively, there is no need to limit the intake of purin too strictly. Animal offal is a protein food containing high amounts of purine, and its cholesterol content is also quite high, so it is not recommended to eat it.

B. Fish skin and seafood:

Meat (including pig, beef, sheep, chicken, fish) contains considerable amounts of purine, with an average of about 80 to 150 mg. /100 grams, and the content in fish skin is as high as hundreds of mg. For the sake of a balanced diet, it is impossible to completely avoid eating such foods. Therefore, gout patients only need to eat an appropriate amount of protein and avoid eating fish skin. Clams, oysters, and larvae contain more than 200 mg of purine per 100 grams, which is higher than other seafood, so special attention should be paid.

C. Soybeans and their products:

(such as tofu, dried tofu, soy milk, miso, soy sauce, bean sprouts, etc.), although they contain higher amounts of purin, Since the type of purin is different from that of meat, it can still be taken in an appropriate amount during non-acute illness.

D. Thick meat soup, chicken essence, concentrated beef juice:

Purin will dissolve in the soup. Due to the long stewing time, the essence is concentrated, and the amount of purin contained is equivalent. If it is high, these foods should be avoided. Especially the hot pot soup that is often eaten in winter is not suitable for consumption.

(4) Less oil:

Gout patients should maintain an ideal weight. High-fat diet is closely related to obesity. Gout patients should eat less fried foods and foods with high fat content. When cooking foods, use as little oil as possible and use steaming, boiling, stewing, and cold cooking methods to reduce the amount of fat.

(5) Drink more water:

Sufficient water can help uric acid be excreted smoothly. Gout patients should drink at least 12 glasses of water (about 3000 ml) every day, and drink coffee, tea, You can also use degreasing soup to maintain urine at least 2000 ml.

(6) Avoid drinking alcohol:

The metabolism of alcohol in the body produces "lactic acid", which will affect the excretion of uric acid, cause the accumulation of uric acid, and indirectly promote gout attacks. Again, remind you of the principles of healthy living: not overeating, taking medications on time, exercising moderately, and regular outpatient follow-up are the most important principles for gout patients.

There are some things that people with gout should not eat:

◎When experiencing an acute gout attack, it is necessary to completely avoid viscera, dried small fish, and fish skin with a high content of purine ( White hairtail fish skin, mullet skin, etc.), yeast powder, thick gravy and other foods.

◎Eat less on weekdays: soybeans, chicken liver, chicken intestines, chicken spleen, duck liver, pork liver, pig small intestine, beef liver, bacon, white pomfret, milkfish, silver carp Fish, tilapia, saury, tilapia, shark, moray eel, sardine, tuber, grass shrimp, oyster, clam, clam, scallop, dried small fish, dried flat fish, mullet skin, white hairtail skin , larvae seaweed, sun-dried mushrooms, yeast powder and various alcoholic beverages (especially beer).

◎As for soy products, many people think that gout patients must avoid eating tofu, soy milk and other soy products. This is actually a misconception. There is no such thing as a ban on beans in Western countries. Do not eat it during an acute attack, and it is safe, such as 1 cup of soy milk or 1 piece of tofu a day, and there will be no adverse effects. Drink less hot pot soup and broth; in addition, high-protein concentrated supplements such as chicken essence are not suitable for regular drinking. Drink less alcohol. There are some alcoholic drinks with high purine content, such as aged Shaoxing wine, Shaoxing wine and beer, and the alcohol itself It will affect uric acid metabolism. The higher the alcohol concentration, the greater the impact on kidney health. People with high uric acid should try to stay away from alcohol, especially those who seldom drink alcohol. If they suddenly drink heavily, it can easily cause acute gout.

◎ Work and rest normally and avoid being too tired. If uric acid is not well controlled and gout attacks frequently, you must take uric acid-lowering drugs for treatment. Moreover, you may have to take them for a lifetime. Make sure to adjust your diet and work and rest patterns to stabilize uric acid levels. , in order to get your body back on track, you don’t have to carry a medicine bottle with you all your life, and you don’t have to let gout attack you in the dark night again.

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