Let me tell you something about me. I sprained my foot playing basketball at the end of July last year. I didn't feel serious, so I was a little swollen, but it didn't hurt as much as before. Of course, I also bought medicine to take, but it didn't hurt at all after two days, and then I strolled. As a result, my feet were particularly painful and swollen the next morning. Then a few days later, it hurts again, repeatedly. When filming, the doctor asked me if my uric acid was high. I really don't know, so I said no. Then the doctor finished watching the film and said it was okay. Keep it up, and one of my feet will repeat until the end of August. Later, I went to another hospital. The doctor saw my film and said it was nothing serious. You told me about it, and then the doctor said, you go and test your venous blood. Then take medicine according to it, and it will be completely cured in half a month. But I control my diet more. But this year is the beginning of August, and I feel pain again, but it is obviously not as serious as last year. 490 went to the hospital again, which is actually quite good, because I have been exercising. On that painful day, I ran 6 kilometers in the morning, and then I ate mutton soup, hot pot and barbecue that week. I ate a plate and put six pieces of bean skin in it.

And then it hurts. My experience tells you: don't drink mutton soup. This mutton soup is high in purine and uric acid comes quickly. Besides, I must run less. When I said less, I didn't run that much at a time. Although I have been exercising, I have never gone out for a run this year. I just stay at home and skip rope 100 minutes every day, but I don't run. This is my first run this year, so it hurts. It started after running. Of course it has something to do with what I ate that week. I personally don't want to spray anything wrong. I personally summarized it.

Also, medicines for uric acid must be prescribed in hospitals. Don't buy it at your own drugstore. If you really want to buy it, you must read the instructions inside. Some side effects are fatal.

Scientific exercise can improve the metabolism of the body, play a role in losing weight, and play a certain auxiliary role in the treatment of hyperuricemia. But hyperuricemia, as a metabolic disease, needs comprehensive intervention. We should follow the guidance of professional doctors and make individualized plans after fully evaluating the condition.

For patients with hyperuricemia, we should pay attention to reasonable diet, strictly limit the intake of high-purine food, quit smoking and limit alcohol, eat more fresh vegetables and drink more water, keep warm, exercise properly, control weight, keep a good attitude in work and rest, pay attention to monitoring the changes of illness and review regularly. If necessary, we can use drugs to reduce uric acid.

For patients with hyperuricemia, in terms of exercise, it is recommended that you do aerobic exercise step by step to avoid strenuous exercise. For hyperuricemia patients with acute gout attack, priority should be given to avoiding exercise to avoid aggravating pain. Everyone should understand it correctly, listen to the guidance of professional doctors, and stabilize the condition.

Sometimes I have to admire. Our Chinese in China is extensive and profound. For example, a friend asked such a question: "What is the exercise that high uric acid fears most?" I think it can have such a double meaning, you see it right-

The first understanding is: What exercise is hyperuricemia most afraid of? What exercise can strengthen the control of hyperuricemia, improve the body's uric acid metabolism and reduce hyperuricemia?

The second understanding: what is the most feared of exercise hyperuricemia refers to what exercise should be avoided and what problems should be paid attention to in order to better ensure good health and avoid gout caused by exercise.

Let's interpret those things between high uric acid and exercise from these two meanings.

First of all, high uric acid advocates strengthening exercise, especially for friends who have no exercise habits. It is very important to control uric acid level through reasonable intensive exercise. Many times, the problem of high uric acid is closely related to obesity and long-term sedentary. In addition, the production of high uric acid is often accompanied by comprehensive metabolic problems, often accompanied by hyperlipidemia and hyperglycemia. These metabolic problems are often closely related to the body's insulin resistance.

For friends with mild hyperuricemia whose uric acid level is over 420μmol/L, but who have not developed gout or over 540, it is suggested to control uric acid level through lifestyle adjustment. Strengthening physical exercise is a very important aspect in lifestyle adjustment. It is generally recommended to give priority to moderate-intensity aerobic exercise, such as brisk walking, jogging, swimming, cycling and various ball games with swings, which are all optional sports types. By insisting on moderate intensity exercise, it is helpful to improve the body's insulin resistance, regulate the body's metabolic ability, and improve the ability of kidney and intestine to excrete uric acid. Exercise is a very important way to improve life for controlling weight, high uric acid, blood sugar, blood lipid and cardiovascular and cerebrovascular risks.

Friends with high uric acid problems should pay more attention to hydrating, drinking more water and urinating more during exercise, which will also help the body excrete uric acid. Exercise will consume water in the body, increase perspiration, lead to a decrease in urine, and also lead to a decrease in uric acid excretion. If you can replenish water in time before and after exercise, it is also a good practice to protect kidney health on the premise of maintaining sufficient urine and excreting more uric acid.

Let's talk about the second understanding first. Although hyperuricemia advocates reasonable exercise and should always insist on exercise, it is not suitable for hyperuricemia if it is excessively strenuous exercise. I used to tell my friends with hyperuricemia that I should try not to do too much anaerobic exercise and not to be overtired during exercise. There are always netizens who are not convinced and say that their hyperuricemia is reduced by iron.

It is scientific to emphasize that friends with high uric acid should not exercise too hard, which will lead to excessive fatigue of the body. When our body does high-intensity exercise, it will consume a lot of adenosine triphosphate (ATP). Under normal circumstances, ATP will be converted into adenine nucleoside diphosphate (ADP) when the body is energized, but it will be reversed at rest, and ADP will be converted back to ATP. However, if the amount of ADP formed is too large, ADP can not be completely converted back to ATP, and part of ADP will be converted into adenine nucleoside monophosphate AMP, which is the reaction substrate for eventually generating endogenous uric acid in human body. Therefore, if the production of AMP increases, the production of endogenous uric acid will also increase. In this case, for friends with high uric acid problems, it is even worse and more prone to acute gout attacks. In addition, excessive fatigue is more likely to cause the body's immune response, which is also one of the common causes of acute gout attacks. Therefore, for friends with high uric acid, we do not recommend that friends with high uric acid choose too intense exercise methods during exercise, nor do we recommend one-time excessive fatigue.

So, what exercise is high uric acid most afraid of? High uric acid is most afraid of not exercising, and it is also afraid that exercise is too intense. Reasonable persistence and moderate intensity aerobic exercise are helpful to strengthen the control of high uric acid. At the same time, through diet control, limiting drinking, drinking more water, avoiding staying up late and other lifestyles, it will definitely get twice the result with half the effort.

People are "frightened" about the three highs (hyperlipidemia, hypertension and diabetes), but they don't know much about the "fourth highest" of high uric acid. Hyperuricemia, like the three highs, has no obvious symptoms in the early stage, which is easy to be ignored for prevention and delayed treatment.

The harm of high uric acid is no less than three highs. High uric acid is closely related to gout, kidney diseases and cardiovascular and cerebrovascular diseases. If the disease cannot be effectively controlled, it will have a great impact on the lives of patients.

Many studies show that regulating diet and strengthening exercise are of great significance to improve uric acid level.

What is the exercise that high uric acid fears most? What should I pay attention to? Exercise has a good effect on reducing uric acid level. Aerobic exercise is a better choice. However, the specific exercise mode needs to be selected according to the patient's personal tolerance and preferences. Common sports such as walking, jogging, dancing, Tai Chi and sword dancing are all good.

However, patients with hyperuricemia should pay attention to the following matters during exercise.

(1) Avoid strenuous exercise: strenuous exercise may cause great pressure on joints, which may lead to joint injury.

(2) Exercise in moderation: The more exercise, the better. Patients with hyperuricemia should master the amount of exercise reasonably so as not to cause unnecessary harm to the body. Generally speaking, moderate exercise is appropriate.

(3) Keep the frequency of exercise: it is ineffective to exercise once in a while, and exercise must be persisted for a long time. Insist that patients exercise five times a week for half an hour to an hour each time.

(4) Choose the appropriate exercise time: after meals 1 hour or so.

In order to reduce uric acid and prevent diseases, besides exercise, it is necessary to control diet, eat less foods with high fat, high salt and high purine, and quit smoking and drinking at the same time to get rid of bad habits.

Hyperuricemia is a metabolic disease with purine metabolism as an obstacle. Because hyperuricemia can lead to gout, uric acid kidney calculi, acute uric acid nephropathy and other diseases, many patients with hyperuricemia often have a very anxious and distressed mood about the disease. Due to the development of network information, people's treatment of hyperuricemia is not limited to drug treatment. I believe that many patients with hyperuricemia must have searched online for what food to eat to treat hyperuricemia. How can exercise treat hyperuricemia? And what remedies can effectively reduce the uric acid level of the human body. So today, I will tell you about the ways and means to reduce uric acid and avoid gout or other diseases besides drug treatment of hyperuricemia.

The first thing to tell all patients with hyperuricemia is that hyperuricemia and gout are lifelong diseases, so drugs and other ways can only be controlled, but not completely cured. Therefore, some patients who blindly seek a cure should improve their life and diet as soon as possible and take medicine regularly for treatment.

For the treatment of hyperuricemia, exercise is only one of the general treatment methods, and of course exercise is not suitable for patients with hyperuricemia acute gout. Exercise is mainly suitable for hyperuricemia patients without obvious gout symptoms and other complications.

As for what kind of exercise the patients with hyperuricemia are most afraid of, Xiaoke thinks that patients with hyperuricemia should choose smooth exercise instead of strenuous exercise, because some patients have joint inflammation due to gout, so combined with strenuous exercise, it is likely to aggravate the condition of joints. Xiaoke suggested that patients with hyperuricemia should exercise by jogging, walking, Tai Ji Chuan and yoga. Because these exercises do little damage to tissues and joints, they also contribute to the excretion of uric acid.

1. How high is the uric acid?

In general physical examination (of course, you must be on an empty stomach, and you can't eat or drink the day before), the blood uric acid level of boys is more than 420 micromoles per liter, and that of girls is more than 360 micromoles per liter. And please pay attention! Once or several times on the same day, hyperuricemia cannot be diagnosed. You must make it clear that the uric acid level is high on different days, which is really high uric acid. In addition, it is best to carry out these two tests in the same hospital, because different equipment in different hospitals will be slightly different.

2. What is the exercise that uric acid fears most?

The argument that uric acid is afraid of exercise is a bit ambiguous. The question is, what exercise can't high uric acid do? Or high uric acid, what exercise can reduce uric acid?

First, patients with high uric acid can't do strenuous exercise that can easily damage joints. We know that high uric acid can cause acute arthritis. Local joint injury caused by strenuous exercise is the inducing factor of acute arthritis. Therefore, patients with hyperuricemia should pay attention to exercise with strong antagonism or exercise that is easy to damage joints, especially in spring or autumn, in order to prevent its acute attack.

Second, patients with high uric acid can do aerobic exercise. For example, swimming, playing Tai Ji Chuan. In fact, many patients with hyperuricemia usually don't have any symptoms, but they are accidentally discovered when they check their blood. It is very good for such patients to do proper aerobic exercise on the basis of diet control!

3. How to control your uric acid level?

First of all, we should find out the reason of high uric acid. Many friends think that high uric acid is due to eating too much seafood and drinking too much beer, but this is not necessarily the case. Many diseases can lead to high uric acid. For example, patients with malignant tumors (leukemia, multiple myeloma) often have high uric acid. Also, if there is a problem of renal insufficiency, such as chronic kidney disease, renal tuberculosis, nephritis and so on. And there is a problem with the elimination of uric acid, then the blood uric acid level will definitely rise.

Second, we must actively treat the primary disease after finding out the cause. For example, if you find that your high uric acid is caused by chronic nephritis, you must follow the doctor's advice, otherwise the condition will not be controlled well and uric acid will definitely not come down.

Third, control the production of uric acid. Patients with high uric acid usually pay more attention. For example, do not eat seafood, viscera and other foods with high purine content. Don't drink alcohol or eat food with high sugar content. The above picture is a comparison table of purine content of ten common foods, which can be seen.

Fourth, if you have gout symptoms, please go to the endocrinology department in time, and the doctor will prescribe some drugs to reduce uric acid according to your situation.

Only the sports that suit you have individual differences, depending on everyone's specific situation; Such as weight, age, etc.

Shut up, take your legs, and don't get gout.

Uric acid and gout must be controlled. Use the "Don't Gout" app to build your own gout data file. The finer the better, the more comprehensive it needs; According to the data results and analysis, adjust your living habits, including exercise, diet and drinking water. Then confirm the changes of diet and exercise on the data of uric acid value and gout state.

It is more reasonable and scientific to speak with data instead of feeling and listen to other people's experience.

With the improvement of people's living conditions and the change of living habits, high uric acid has now become the fourth highest after hypertension, hyperglycemia and hyperlipidemia, which seriously affects people's normal life.

Does exercise help high uric acid? Exercise helps to reduce uric acid. If the patient is obese, uric acid rises slightly, long-term exercise and weight control, uric acid may return to normal.

However, if the patient's uric acid is significantly increased for a long time, accompanied by metabolic syndrome such as hypertension, hyperglycemia, hyperlipidemia and arteriosclerosis, it is almost impossible to reduce uric acid to normal by simple exercise, and drug treatment is still needed. At the same time, diet control is combined with antihypertensive, hypoglycemic, lipid-lowering and uric acid-lowering drugs.

Moreover, if uric acid is high, a lot of exercise will also lead to gout attacks, so exercise is only one of the methods, and it cannot be completely reduced to normal. If you exercise, you must be moderate and avoid strenuous exercise. You can choose jogging, Tai Ji Chuan, swimming and other aerobic exercises.

Of course, exercise depends on individual differences. Some patients can reduce uric acid to normal through exercise, but only some patients are mild. Patients with particularly high uric acid should still reduce uric acid to normal according to the patient's condition and combined with drugs.

Precautions for patients with high uric acid High uric acid is largely caused by improper diet, especially high purine diet. Therefore, to prevent gout, we should eat less animal viscera, seafood, fish and foods with high purine content, and eat more fruits and vegetables to achieve a balanced nutrition.

Secondly, we should ensure adequate water intake every day, and at the same time eat more foods with high water content and dampness-removing effect, such as wax gourd, lotus leaf and corn stigma. Gout patients can usually drink baking soda water to neutralize the acidity in the body, and drink about 5~6 liters every day.

In addition, you can usually soak your feet and add some vinegar to the water for soaking your feet. Because uric acid will disperse at high temperature and will not accumulate in joints, soaking feet with vinegar will help relieve pain.

A good life comes from a healthy beginning, a healthy beginning and professional media of health science! Some doctors say gout can't exercise; Some doctors say gout needs exercise. This makes the patient a little confused. Am I moving or not?

The question raised by the subject is a bit ambiguous. Is high uric acid afraid that exercise will increase uric acid and lead to gout? Or is high uric acid afraid of exercise to reduce uric acid? Moreover, if gout has already appeared in high uric acid, this worry will have another interpretation.

Hyperuricemia is the fourth highest after traditional "three highs" of hyperglycemia, hyperlipidemia and hypertension. We all know that long-term hyperuricemia can lead to gouty arthritis. Therefore, everyone is very concerned about how to adjust their lives and make their lifestyles healthier after high uric acid. Patients with hyperuricemia generally know that if uric acid is high, it is necessary to reduce purine intake and stay away from gout, that is, avoid eating hot pot, beer and seafood, and eat more eggs, milk, fruits and vegetables.

Diet control is to prevent and curb the development of hyperuricemia and gout from the source of purine intake, and exercise has unique significance for hyperuricemia and gout.

My name is Liu, and I am a doctor in the Department of Gout and Rheumatology, Chengdu West Hospital. Before talking about hyperuricemia and exercise, we must first make it clear that we can't hope that exercise itself can reduce uric acid levels in the body. Life lies in exercise, and exercise has been medically proved to have the effects of reducing weight and lipid, enhancing physique and immunity. Proper exercise, life conditioning and even drug treatment are beneficial to patients with hyperuricemia and gout.

Regardless of illness or health, life lies in exercise, and exercise improves health. For people with high uric acid, there is actually no fear of exercise, only the question of whether exercise is appropriate.

Improper exercise, especially strenuous exercise or high-intensity exercise, will lead to an increase in uric acid. What is strenuous exercise or high-intensity exercise? Strenuous exercise is mainly anaerobic exercise, such as sprinting, lifting barbells, football, basketball, skating, mountaineering and so on. These exercises can sit down and burn calories violently without changing your breathing. High-intensity sports mainly include marathon running, long-distance travel, long-term push-ups, exercise to strengthen muscle training and exercise with sports equipment.

Why do these exercises lead to an increase in uric acid? It mainly includes three aspects:

These strenuous exercise, excessive exercise or high-intensity exercise are easy to cause fatigue and joint injury, leading to the fall-off of urate crystals deposited in joints, cartilage and synovium during hyperuricemia, which may induce acute attack of gout; In addition, it may also damage joints, reduce urine output, affect uric acid excretion, lead to a short and rapid surge in uric acid concentration in blood, and cause acute gout attack.

Suitable for patients with hyperuricemia and gout, or moderate and low intensity aerobic exercise. What is aerobic exercise? This is relative to anaerobic exercise, which means that the body needs the full participation of oxygen to burn calories slowly.

Moderate aerobic exercise is beneficial to reduce blood uric acid. This is not my empty talk, but the research results. Canadian scholars have found that high-intensity exercise can increase blood uric acid concentration, while low-intensity aerobic exercise with the same amount of exercise will not increase blood uric acid concentration; Italian scholars compared endurance athletes with those who lacked exercise, and found that the serum uric acid level of endurance athletes was significantly lower than that of the healthy control group who lacked exercise. The study of step-counting exercise shows that step-counting exercise is negatively correlated with blood uric acid level, that is, the more people walk, the lower the blood uric acid level is.

That is to say, although exercise cannot treat hyperuricemia, moderate aerobic exercise can reduce the frequency of acute gout attacks and the risk of hypertension and other related diseases in hyperuricemia patients. And whether it can reduce uric acid or not, moderate exercise can also improve the metabolic ability and level of gout patients, consume fat to lose weight, improve cardiopulmonary function, make blood circulation smoother, and reduce the factors that inhibit uric acid excretion in the kidney, thus indirectly reducing uric acid concentration.

So, how to exercise? Exactly, how to do moderate exercise? Dr. Liu puts forward several points here for your reference:

In short, because each patient with hyperuricemia and gout has different etiology, course of disease, degree of physical damage, sex, age, personal habits and physical condition, everyone should consider their own conditions, hobbies, exercise situation and other objective factors when doing exercise, and choose appropriate exercise in combination with the advice given by doctors, following the principles of moderate load, gradual progress and appropriate adjustment.

I said at the beginning that for gout and hyperuricemia, exercise can improve patients' cardiopulmonary endurance, body composition, joint function and immunity. As I said at the beginning, some doctors don't recommend gout patients to exercise. However, perhaps the requirements for patients are: don't exercise in the acute stage, stay in bed; Don't do strenuous or excessive exercise during the intermission, but exercise moderately.

Why not recommend acute exercise? This is because gout occurs in the acute stage, and the joints and surrounding soft tissues appear obvious redness, swelling, heat pain and dysfunction. How can you exercise? If you do exercise in the acute stage, it may lead to joint injury, or aggravate the severity of gout attack, making it more unbearable for patients.

Therefore, when an acute attack occurs, the first thing to do is to raise the affected limb and rest in bed; The second thing to do is to give medicine as soon as possible and carry out anti-inflammatory and analgesic treatment when the symptoms appear; What we should do again is to eat reasonably and drink more water. Exercise after the symptoms are relieved.

How to exercise after relief? It is still necessary to step by step, starting from passive unarmed stretching exercise, lengthening or shortening the soft tissue around the affected joint with unarmed external force, and gradually transitioning to active joint stretching training. When the condition is further stabilized and the pain disappears, you can move normally.

However, we should also pay attention to normal activities. In both cases, the relevant sports content or frequency should also be adjusted in time:

In a word, patients with hyperuricemia and gout can have reasonable exercise and physical exercise, good renal function, no obvious cardiovascular complications, stable joint function and blood uric acid level. It should be pointed out that:

For patients with hyperuricemia, proper and regular exercise is very important for disease control, but it should be noted that exercise should be gradual and avoid strenuous exercise, so as not to induce gout attacks, which is not conducive to disease control.

The exercise of hyperuricemia patients should be mainly aerobic exercise, emphasizing step by step. According to your own situation, you can choose jogging, aerobics, Tai Ji Chuan, swimming, etc. Keep warm during exercise and pay attention to replenish water. For people with gout attacks, everyone should exercise during the remission period and avoid exercising in the acute period so as not to aggravate the pain.

Patients with hyperuricemia should also pay attention to strictly limiting the intake of high purine food in their daily lives, and do not eat animal viscera, shelled seafood and broth; Eat more fresh vegetables and drink more water, and the daily drinking amount should be more than 2000ml, and white water is appropriate; Quit smoking and limit alcohol, it is best not to drink alcohol, especially to avoid drinking beer and yellow wine; To control weight and keep warm, avoid strenuous exercise; We should also combine work and rest and maintain a good attitude.

For hyperuricemia patients with poor lifestyle intervention effect or high blood uric acid level or gout and other complications, it is recommended that you use uric acid-lowering drugs. While standardizing the treatment, we should also pay attention to monitoring the changes of the disease and reviewing it regularly to stabilize and control the disease and reduce complications.