Gout is an ancient disease that has traditionally been considered to require a “low purine diet”. In fact, such a view is gradually being updated. The diet of gout patients cannot be distinguished only by “low purine” and “high purine”.
1. The risk of gout from sugary drinks and fruit juices is comparable to that of beer
Current research shows that sugary drinks and fruit juices have a high risk of causing gout, even higher than spirits and comparable to beer. This is due to the fact that although fructose does not contain purines, its metabolism eventually produces uric acid and reduces its excretion. And our beverages, which often contain large amounts of fructose syrup, include: carbonated drinks, juice drinks, sports drinks, jellies, etc. Therefore, gout patients must avoid high-sugar drinks (such as: cola, fruit orange, etc.).
2, high purine food in animal purines and plant purines have different effects on gout.
The metabolite of purine is uric acid, and it is traditionally believed that gout should limit the intake of high purine foods, but this is actually not entirely true.
Studies have found that meat-especially red meat-is more likely to trigger a gout attack. Vegetables, which are also high in purines, do not increase blood uric acid levels and are less likely to trigger a gout attack. For example, beans and soy products (tofu, tofu brain, soy milk, etc.), which used to be contraindicated for gout, are now believed to not only promote uric acid excretion but also reduce the risk of coronary heart disease and other related diseases, and should be encouraged in the diet.
Meat, especially red meat (pork, beef, lamb), is not only rich in purines, but also increases the incidence of gout and should be avoided or reduced in the diet.
White meat (i.e., poultry), which is also meat, is relatively safe, and the daily intake of appropriate fortified meat has little effect on blood uric acid. It can be consumed appropriately
3. Pay attention to the effect of spirits on gout attacks
Traditionally, it is believed that beer can induce gout, while white wine does not need to be avoided because it does not contain purines. But in fact, liquor can increase the incidence of gout by interfering with uric acid metabolism and upregulating inflammatory cell chemistry. Not only that, but alcohol is an independent risk factor for cardiovascular disease, a disease often associated with gout. It needs to be strictly contraindicated.
4. Pay attention to the effect of fat on gout attack
Traditionally, it is believed that gout requires a low purine diet, while the requirement of fat intake is often ignored. The actual fatty acids can promote inflammation, thus triggering a gout attack, which is the reason why many patients respond to a gout attack after eating a large meal. Not only that, but a high-fat diet is also an independent risk factor for cardiovascular disease, a disease often associated with gout. Gout patients should avoid the intake of high-fat diet.
5, pay attention to the choice of intake of fresh fruit with low fructose content
Traditionally, it is believed that fruits are alkaline food and contain a lot of vitamin C, which has a protective effect on gout. But now the study found that the intake of fructose is positively correlated with the occurrence of gout, so for gout patients, the intake of fruits with high fructose should be reduced, these fruits are: apple, fig, lychee, persimmon, cinnamon, prune, banana, orange, grapefruit, etc.. However, fruits containing lower fructose such as: plum, cucumber, watermelon, grape, strawberry, cherry, pineapple, plum, peach, olive, etc. have little effect on gout and can increase intake.
Overall, the current gout taboo is not as strict as in the past, but patients and friends still need to carry out dietary control, a jingle created by Dr. Xie for your reference.
Less meat, less sugar, less fat
Gout should eat less meat, high sugar diet, high fat diet
Seafood offal, wine and meat soup
Seafood, animal offal, wine and meat soup should be avoided
Vegetables are safe to eat
Vegetables (including soy products) can be eaten even if they are relatively high in purines.
Low-sugar fruits for health
Fructose increases the occurrence of gout. Low-sugar fruits are good for gout, and high-sugar fruits are not suitable for diet.