What should gout patients pay attention to in their diet and living?

  Gout is a group of diseases caused by genetically related disorders of purine metabolism. It is characterized by recurrent acute arthritis with severe pain that affects life and work, and can also manifest as a variety of chronic symptoms such as joint stiffness or deformity, gout stones, kidney damage, urinary tract stones, and hyperuricemia. Gout is seen all over the world and is related to various factors such as genetics, gender, age, lifestyle, dietary habits, degree of economic development, concomitant other diseases, and medication. High purine, high protein diet and alcohol consumption are the three major risk factors for gout. Epidemiological surveys show that the level of blood uric acid is significantly positively correlated with education level, economic income and social status, and brain workers are more likely to suffer from gout than physical workers. With the increasing standard of living of our people, the incidence of gout has increased, and it can be considered a common disease among modern people.  Therefore, the self-care of gout patients is very important, and the current popular four cornerstones of health “reasonable diet, appropriate exercise, quit smoking and alcohol, mental health” is also the basic strategy for the diet and living of gout patients.  We know that gout is mainly caused by high levels of uric acid in the body. Excessive uric acid production or reduced uric acid excretion can increase blood uric acid levels, but hyperuricemia and gout are not completely equivalent. Uric acid is a metabolic product of purines. 20% of uric acid in the body comes from high purine foods, and as a metabolic waste product with no physiological function, 1/3 is degraded by bacteria in the intestine and 2/3 is excreted in the urine. In fact, excessive uric acid production and reduced uric acid excretion can exist alone or be accompanied by both, therefore, a reasonable diet for gout patients is very important.  1, limit the intake of high purine food gout can be considered as a disease out of eating, so a reasonable choice of food is particularly important. Since uric acid is produced by purines, reducing the level of uric acid requires reducing the intake of foods with high purine content. Which foods are high in purines? Animal offal, sardines, oysters, clams and crabs are rich in purines. Fish and shrimp (especially sea fish), meat, nuts and beans are also rich in purines, so these foods should be eaten sparingly, especially during acute attacks of gout. You can eat eggs, milk and other foods rich in protein but relatively low in purines, vegetables and fruits.  2.Ensure enough water is consumed. Since most of the uric acid is excreted with urine, and uric acid has a certain degree of saturation in urine, so you should drink a lot of water to ensure enough urine volume to make more uric acid excreted from the body. In the summer, people sweat more, urine volume is low, the indicators of gout patients fall slowly, to ensure that the daily urine volume in the 1500-2000ml or more, in order to consider the amount of water is sufficient.  Second, appropriate exercise Gout patients are mostly young and middle-aged men, some patients combined with high weight (obesity), hypertension, hyperlipidemia, hyperglycemia or glucose tolerance abnormalities, so moderate exercise is also very important, in the exercise to pay attention to the following two points: 1, to avoid excessive exertion, tension exercise to moderate, each person’s degree of disease and individual physique is different, the amount of exercise varies from person to person, in order not to fatigue is good. Exercise to walking, taijiquan, taiji sword, cycling is more appropriate. Acute pain in the patient, do not force exercise, remission period or intermittent exercise is better. Before and after exercise appropriate more water.  2, clothing, shoes and socks to be comfortable sports dress to loose type is good, so that the patient parts of the blood circulation is sufficient to avoid or reduce the discomfort brought about by the movement.  Third, strictly limit the intake of alcohol Fourth, a balanced mind, under the guidance of doctors medication 1, maintain a good psychological balance, timely monitoring of biochemical indicators.  2. Trust the doctor and use the medication under the doctor’s guidance.