List of foods that gout can't eat. Gout is a common disease. This disease has many dietary taboos. Patients will have discomfort symptoms such as joint swelling and pain when they have an attack. Here is a picture of food that gout can't eat.

List of foods that can't be eaten for gout 1 1, seafood food.

Gout patients are absolutely forbidden to eat seafood. Seafood (fish, shrimp, crab, shells, etc. ) contains a lot of purines. If gout patients eat too much, it will aggravate their condition and do great harm to their health. If you are a gout patient, you must stay away from seafood in your diet.

2. wine

Gout patients also ban alcohol. This is because it is easy for people to accumulate lactic acid after drinking alcohol, which makes it difficult for uric acid to be discharged normally, thus aggravating gout. Therefore, patients with gout should give up drinking in order to better control and prevent gout.

3. Animal viscera

Animal viscera contains a lot of fat and cholesterol. If the human body ingests too much of these substances, it will be easier to eliminate uric acid, which will lead to the accumulation of uric acid in the body and aggravate gout symptoms. Common animal viscera include pork tenderloin, pig large intestine, fat meat, pig liver and so on. When you see these foods on the table, you must pay attention to stay away.

4. Pickled food

Pickled food is also not suitable for gout patients. The content of nitrite in pickled food is very high, and human intake of this substance will accelerate the precipitation of uric acid and aggravate gout. Therefore, people with gout must avoid eating pickled food.

List of foods that gout can't eat Picture 2 Gout patients have many taboos in their daily diet. Gout is a metabolic disease caused by abnormal purine metabolism and increased uric acid synthesis.

Gout patients should eat less fish, meat and a small amount of vegetables, beans, soybeans, spinach, lobsters, crabs, oysters, sardines, anchovies, mussels, liver, kidney, pancreas, heart, brain, minced meat, gravy, broth, fish eggs, shrimp, geese, pheasants, yeast and other foods with high purine content. Soybeans and spinach are also foods with high purine content. Stop drinking, especially beer.

1, wine All kinds of alcohol will lead to the increase of uric acid synthesis and decrease of excretion, which will lead to the obvious increase of blood uric acid and gout attack, which is the primary cause of male gout. In addition, different wines have slightly different effects on uric acid. The degree of harm is divided into old wine, beer, yellow wine, white wine and red wine. For gout patients, alcohol should be given up. If you really want to drink, you can drink a little red wine.

2. High purine food. High purine diet is the main cause of gout attack in women, including sardines, clams, fish skins, shellfish, sardines and other seafood. Tripe, pig heart, pig liver and other animal viscera. All kinds of hot pot soup, chicken soup, fish soup and other thick soup.

3. Various fructose and sugary soft drinks. Various fructose soft drinks will increase the risk of gout in women, while sugary soft drinks and fructose will increase the risk of gout in men.

4. vegetables. Although vegetables are safe to eat, spinach is an exception. Don't eat spinach, or you will waste your health. Purine content will not decrease.

5. Soybeans are high in purine, so try not to eat them, but tofu can be eaten, because purine is soluble in water, most of them are taken away, and other beans are inedible.

List of foods that can't be eaten for gout Picture Daquan 3 1, it is forbidden to eat animal viscera, seafood and broth.

These three prohibitions are the most classic three prohibitions of gout, and almost every "wind friend" knows them. Animal offal, seafood and broth are the diets with the highest purine content and should be banned. Animal internal organs include: brain, spleen and so on. Seafood includes sardines, anchovies, shrimps and crustaceans (oysters, shellfish, etc.). In particular, the internal organs of animals are often high in fat and cholesterol, which is often the most harmful to patients with diabetes and hyperlipidemia, and must be strictly fasted.

But it should be noted that seafood does not represent all. Seafood can't be eaten Salmon, tuna, white fish and herring have low purine content, so they can be eaten properly.

2. Prohibition of alcohol

Gout patients know that beer can't be drunk, because beer is a high purine food, which will induce gout attacks. But as everyone knows, liquor can induce gout more than beer! Liquor with high alcohol content can induce neutral particle chemotaxis, reduce uric acid clearance and induce gout attack. Moreover, alcohol is an independent high risk factor for cardiovascular risk. For gout patients who often have high blood pressure and diabetes, liquor is tantamount to poison!

There is controversy in international academic circles about the intake of red wine. But I suggest that it is best not to drink. If you are really "greedy for wine", drink only a small amount.

3, prohibit high fructose diet (sweet drinks)

Many people may not know that fructose can also induce gout attacks! Fructose is a monosaccharide and its metabolite is uric acid. Its ability to raise blood uric acid and induce gout is very strong, and it is often easily overlooked. Most sweet drinks sold in the market (such as coke, fruit orange, etc. ) contains a lot of fructose. We met many young patients in the clinic. They don't like drinking, and they don't like eating viscera, seafood or broth. They just like drinking. As a result, the blood uric acid remains high, which is very sad.

4. Reduce the intake of red meat

Pork, beef, mutton, venison and rabbit meat are called "red meat". A series of studies abroad show that the more red meat is consumed, the more obvious the serum uric acid level is, and the higher the incidence of gout is, which will lead to a significant increase in the incidence of cardiovascular diseases, especially coronary heart disease, and gout patients are prone to coronary heart disease. Therefore, gout patients should limit the intake of red meat.

5. Reduce the high-fat diet

Fat does not contain a lot of purine, but obesity is an independent risk factor for gout. Hyperlipidemia, hypertension and diabetes are often "good friends" of gout, and a high-fat diet is also the most taboo for these diseases. From these aspects, high-fat diet must be reduced!

Dietary advice for gout

1, vegetables

According to the traditional concept, vegetables also need to be eaten according to purine. But in fact, recent research shows that no matter how high or low the purine content of vegetables is, it will not lead to the increase of uric acid content in blood. Therefore, no matter what vegetables, you can safely eat them. At the same time, the vegetable-based diet is more in line with the nutritional needs, and at the same time reduces the occurrence of "good friend" diseases such as diabetes, hypertension and hyperlipidemia.

2. Milk and eggs

Milk and eggs will not induce gout attacks. As a source of high-quality protein, they are very suitable for gout patients. Yogurt counts!

3. Blueberries and cherries

As a "carambola" in gout treatment, research shows that it has a certain effect of reducing uric acid. Suitable for gout patients.

Common dietary misunderstandings

1, soy milk can't be drunk and tofu can't be eaten.

Soybean has a high purine content, and gout patients should really reduce the intake of dried soybeans. But once it becomes soybean milk and tofu, after being diluted, filtered and ground with a lot of water, the purine content is greatly reduced, so it is no longer a high purine diet. Instead, it is a low purine diet. Current research shows that soybean milk and tofu not only do not increase blood uric acid, but also have a certain protective effect on gout/hyperuricemia. As long as gout patients don't overdo it, it's no problem to drink soy milk and eat tofu!

You can't eat any seafood.

It is true that many seafood belong to the category of "high purine diet". But not all seafood is like this. Salmon, jellyfish, sea cucumber, tuna, white fish, etc. All belong to a low-and medium-purine diet and can be eaten in moderation. Even the sea crab that everyone likes to eat is not a high-purity diet, and a small amount of it is completely ok!

3, tea and coffee can not be eaten.

Coffee can promote uric acid excretion, and tea can affect uric acid and its products. These are all drinkable. However, it should be noted that coffee companion is "vegetable fat", which is an independent risk factor of cardiovascular disease and should be avoided. Gout patients who like to drink coffee can keep the habit of drinking coffee, but avoid using coffee partner or 3 in 1 coffee.

Do you eat gout?

Dietary factors have always been a hot topic in the field of gout, whether as an auxiliary means to optimize gout management or as an intervention means for patients who have not yet reached the treatment standard of reducing uric acid. However, the specific impact of diet on gout management is still controversial.

For this reason, American scholar Danve and others screened the related studies of diet, heredity, body mass index and individual food, and evaluated the correlation between the above factors and serum uric acid level and gout. This review was published in Best Practice of Clinical Rheumatology on June, 2008 165438+ 10/8. (impact factor 4.098).

Relative effects of diet, heredity and weight on serum uric acid level

Genes have more influence than diet.

In the meta-analysis of 6 cohort studies including 16760 patients, compared with dietary factors (including beer, alcohol, red wine, soft drinks, skim milk and meat), the change of blood uric acid level is more related to genetic factors: each of these foods may lead to the change of blood uric acid of about 1%, and genetic factors may lead to 23.9%.

A study involving 465,438+09,060 European participants concluded that, based on population attribution analysis, diet has relatively little influence on serum uric acid level and hyperuricemia, while body mass index (BMI) and genetic factors have greater influence.

Obesity affects more than just diet.

The analysis of 44,654 non-gout men shows that the combined scheme of stopping hypertensive diet, not drinking alcohol and not using diuretics can prevent more than 50% gout events among overweight and normal weight men. But in obese men, the above interventions can not prevent gout. This shows that obesity is an important risk factor for the development of gout, which exceeds the potential beneficial effect of dietary intervention.

Generally speaking, diet is related to serum uric acid level, but the influence is relatively small. Obesity and genetic factors are important determinants of hyperuricemia/gout.

Effect of individual food on serum uric acid level

For certain foods, alcohol, foods rich in purine and foods rich in fructose may increase the risk associated with hyperuricemia/gout:

Alcohol: beer and spirits will increase the risk of hyperuricemia, but wine or moderate drinking does not seem to increase this risk; All types of alcoholic beverages, including beer, spirits and wine, are related to gout events and the increased risk of gout attacks.

Purine-rich foods: such as animal liver, chicken breast, scallops, etc. Studies have shown that purine is associated with hyperuricemia, gout events and increased risk of gout attacks.

High fructose corn syrup (a sweetener): it is related to the increased risk of hyperuricemia and gout events, and its influence on gout attacks needs to be studied.

ACR gout management guidelines in 2020 suggest that gout patients should limit their intake of alcohol, purine and high fructose corn syrup. In addition, vitamin C may reduce serum uric acid level, but there is not enough evidence to show this beneficial effect. ACR guidelines do not recommend vitamin C supplementation for gout patients.

Diet can affect the level of serum uric acid, but obesity and genetic factors are more important determinants of hyperuricemia/gout. Therefore, for most patients with hyperuricemia/gout, diet intervention alone is not enough to achieve adequate disease management.

Therefore, in order to better control the disease, dietary intervention should be taken as an auxiliary measure, and drug treatment is the core of gout management. In short, on the basis of paying attention to drug treatment, in view of the adverse effects of certain foods on blood uric acid level, people at high risk of gout/hyperuricemia and patients should pay attention to eating less/not eating such foods, such as alcohol and purine-rich foods.