First, the dietary precautions of gout patients
Gout patients should eat more low-purine food, less medium-purine food, not high-purine food, and be careful not to drink alcohol. Low purine foods: whole grains, eggs, milk, fruits and vegetables; Purine foods: meat, beans, seafood; High purine food: bean sprouts, soybean sprouts, asparagus, mushrooms, laver, animal viscera, fish.
Dietary principles of 10 gout
Gout is often complicated with obesity, diabetes, hypertension and hyperlipidemia. Patients should follow the following dietary principles:
1.
To maintain an ideal weight, overweight or obese people need to lose weight. But lose weight step by step, otherwise it will easily lead to acute ketosis or gout.
2.
Carbohydrate can promote uric acid excretion, and patients can eat rice, steamed bread and pasta rich in carbohydrate.
3.
Protein can eat according to weight. 1 kg, the intake of protein should be 0.8 g to 1 g, mainly milk and eggs. If it is lean meat, chicken and duck meat, it should be cooked and eaten in soup, avoiding stew or braised pork.
4.
Eat less fat because fat can reduce uric acid excretion. For gout complicated with hyperlipidemia, fat intake should be controlled within 20% to 25% of total calories.
5.
Drink plenty of water, 2000ml to 3000ml per day, to promote uric acid elimination. Drink water as evenly as possible, one cup per hour.
6.
Eat less salt and limit it to 2 to 5 grams a day.
7.
No alcohol! Alcohol can easily accumulate lactic acid in the body, inhibit uric acid excretion and easily induce gout.
8.
Use less spicy condiments or spices.
9.
Limit the intake of purine. Purine is a component in the nucleus. As long as the food contains cells, it contains purine, and the content of purine in animal food is more. The patient fasted viscera, bone marrow, seafood, fermented food, beans and so on.
10.
Drugs that inhibit uric acid excretion should not be used.
High purine diet can increase the synthesis of uric acid and increase serum uric acid concentration, while low purine diet can reduce serum uric acid concentration. After diet control, the serum uric acid of normal people can be decreased by about 35.7 η mol/L (0.6 mg/DL), and that of gout patients can also be decreased by about 59.5 μ mol/L (65 65,438+0.0 mg/dl). How do dietary factors affect serum uric acid levels?
1. Excessive drinking can cause gout, especially beer. The possible mechanism of alcohol affecting serum uric acid level is:
(1) Drinking alcohol is often accompanied by food rich in purine;
(2) Alcohol metabolism can increase the concentration of blood lactic acid, and lactic acid can inhibit the excretion of uric acid by kidney;
(3) Excessive drinking causes ketosis and inhibits the excretion of uric acid by the kidneys;
(4) Ethanol can promote adenine nucleotide transformation and increase uric acid;
(5) Some people think that drinking lead-containing liquor such as whisky will increase the risk of gout by three times.