With the increasing popularity of fitness, gout patients can often be seen in social networks asking how to exercise without aggravating their illness. In fact, the idea that bodybuilders are prone to gout comes from Japan. Physician Akiko Matsumoto said that not all bodybuilders are prone to gout. Only when they exercise excessively will the disease come to you. Excessive exercise will make purine increase uric acid, and uric acid will also accumulate. Akiko Matsumoto, who is currently working in Neunoy Longevity Research Institute and has been a physician for more than 20 years, said that gout is caused by the high uric acid value in the blood, which leads to the accumulation of supersaturated uric acid in the form of crystals near the joints. Once these uric acid crystals are stripped from the joint cavity, the macrophages responsible for immunity will try to swallow them, and at the same time release inflammatory substances and cause inflammatory symptoms, resulting in severe joint pain. The production of uric acid mainly comes from the damage of human cells. When human cells are damaged, purines in nuclear proteins will enter the blood with the collapsed structure, and these purines will become uric acid after liver metabolism, which will be stored in the kidney and eventually excreted with urine. However, a large number of muscle cells will be damaged during fitness. At this time, the kidney's ability to metabolize toxins is not enough, which will make the uric acid value in the blood soar and easily lead to gout. In addition to the above reasons, Akiko Matsumoto also mentioned that if you don't replenish water during exercise, your body will be under great pressure and your liver will produce a lot of uric acid. Once the uric acid concentration in your blood becomes high, the probability of gout will definitely increase greatly. Akiko Matsumoto further explained that frequent rehydration after anaerobic exercise, such as long-distance running, or anaerobic fitness exercise such as sit-ups, sit-ups, squats and various weight training, once the exercise lasts for more than 30 minutes, the uric acid value will greatly increase. Therefore, if patients want to do this kind of exercise, it is recommended not to exceed half an hour. During this period, they should pay more attention to frequent hydration, and after exercise, they should avoid drinking and have a full rest, so that gout will not occur. She also suggested that these patients should take light aerobic exercise instead, such as 30-60 minutes of intermittent brisk walking, yoga, stretching or walking in water. As long as the exercise time is not too long and the breathing is smooth during the process, they can help the body burn fat, not easily destroy muscle cells and increase the uric acid value in the blood. Avoid alcoholic beverages, and drinking vinegar can also effectively prevent it. In terms of diet, in addition to avoiding alcohol mentioned above, I have to mention the vinegar prevention method that has been circulating on the Internet for many years. China used to say that Xue Xiangchuan, the current chairman of Taicai, drank plum vinegar to treat gout. Xu Rongyuan, vice president of Taipei Tzu Chi Hospital, even publicly stated that he also successfully suppressed gout by drinking diluted vinegar after exercise. Xu Rongyuan explained that this is because the acetic acid in vinegar will become alkaline after entering the body, which can adjust the pH value in blood and urine and reduce the supersaturated crystallization of uric acid. As for the ingredients, Akiko Matsumoto also specifically mentioned mushrooms which belong to alkaline ingredients. Although mushrooms used to be considered to contain high purine, which was not suitable for gout patients to eat for a long time, as early as 2004, a paper in the New England Journal of Medicine (NEJM) pointed out that high purine components in plants would not increase the uric acid value in blood, because they contained components that inhibited the conversion of purine into uric acid. Other ingredients, such as vegetables and seaweed, are alkaline because they are rich in minerals such as potassium, sodium, calcium, magnesium and iron, and can effectively adjust the pH value in blood and urine after eating.