Body mass index (BMI) is positively correlated with hyperuricemia. Therefore, obese or overweight patients with gout should not only limit foods with high purine content, but also control their daily total energy intake, which can be calculated according to the standard weight of 20~25 kilocalories per kilogram, and appropriately reduce the energy supply ratio of protein and fat. Don't lose weight too fast, lose up to 2~4 kg per month, otherwise it will easily lead to acute gout attack.

2. Eat eggs and milk properly.

Some patients think that animal food is high in purine, so stay away from fish, eggs and milk. Some animal foods do contain a lot of purines, such as animal viscera, various meats and most fish, but milk and eggs are low purine foods, rich in high-quality protein, and can be eaten by gout patients.

3. Limit the intake of certain vegetables.

The purine content of vegetables is generally lower than that of animal foods such as animal liver, seafood and broth, but some vegetables are not low purine foods, such as asparagus, laver and pea seedlings. In the acute attack period of gout patients, in addition to limiting animal foods with high purine content, vegetables with high purine content should also be avoided as much as possible.

4. Drink plenty of water and stay away from strong tea and coffee.

Purine is easily soluble in water, so gout patients should drink more water, generally at least 2,000 ml per day, and it is better for kidney calculi patients to reach 3,000 ml. However, people with renal insufficiency or abnormal cardiopulmonary function should limit their drinking water according to their condition. Strong tea, coffee and other drinks can excite the autonomic nervous system, and it has also been reported that it can induce acute gout attacks. It is recommended that gout patients avoid drinking.

5. There are differences in dietary principles between acute stage and remission stage.

The average person takes 600~ 1000 mg of purine in normal diet every day, and the intake of purine in acute attack should be controlled within 150 mg, which is conducive to ending the attack of acute gouty arthritis as soon as possible and strengthening the drug efficacy. The remission period should also follow the principle of low purine diet, but the restrictions can be slightly relaxed.

Gout patients should choose the first kind of food with less purine content in acute stage. In the remission period, the second kind of food with moderate purine content can be added, but the amount should be appropriate, for example, meat should not exceed 150g per day. Eat less or avoid the third kind of food with high purine content in both acute and remission stages.

People's Network-Five Points for Attention in Gout Patients' Diet