Dietary Guidelines for High Uric Acid and Gout

During the holiday season, friends and family inevitably get together for meals, beer, drinks, hot pot, fish, seafood, etc., which have become a must-have on the table, coupled with staying up all night and working hard, therefore, just after the holiday, many people are faced with the plague of high uric acid and gout. They take the physical examination report and point to the blood uric acid value which is beyond the normal range and ask what is going on, does it matter, do they need to take medicine and what should they pay attention to? Gout patients are even more distressed to ask how to not relapse, how long to take medication, will it cause disability? So, in the face of high uric acid and gout, how do we do the best? Gout was once known as the “imperial disease”, is closely related to the “wine and meat” of the rich and powerful disease, has now become a new common civilization disease. Hyperuricemia is the pre-state of gout and the main risk factor for gout. Blood uric acid is metabolized from purine nucleotides and is excreted primarily through the kidneys to maintain dynamic balance. Increased uric acid production and/or impaired uric acid excretion can lead to hyperuricemia. The persistence of hyperuricemia may lead to gouty arthritis, gouty stones, urinary stones, gouty nephropathy and other diseases. Currently, it is believed that hyperuricemia has become an independent risk factor for hypertension, coronary heart disease, acute myocardial infarction, stroke and other cardiovascular and cerebrovascular events, and it is the “fourth high” after hypertension, hyperlipidemia, and hyperglycemia, thus becoming the “invisible killer”, so it is necessary to treat asymptomatic hyperuricemia. We must pay attention to asymptomatic hyperuricemia and take it seriously. In the occurrence of hyperuricemia, and our human factors are closely related to unhealthy eating habits. So what are the things to pay attention to? That is to say, how should we eat, drink and live? Some of these misunderstandings are worth noting: 1, do not eat seafood, animal offal, fish roe, bone broth and broth and other ultra-high purine food; eat less animal meat (pig, cow, sheep, etc.), poultry (chicken, duck, goose, etc.), fish, mushrooms, nuts and other high-purine food. Eggs (eggs, duck eggs, goose eggs, etc.), light-colored leafy vegetables (cabbage, cabbage, etc.), grain (white flour, millet, corn, etc.) and milk can be eaten without fear. 2, less fructose-rich or sweetened soft drinks and fruit juices, less sugar-rich fruits, pears, grapes, apples, lychee and other fructose content is very high, pay attention to do not eat too much, daily control of 200 to 400 grams is appropriate. Fruits that contain less sugar and taste less sweet are more suitable for gout friends, such as grapefruit, pomelo, strawberries and lemons. Fructose is a newly discovered risk factor for hyperuricemia. 3, in the past that beans are high purine food, but new research shows that beans, especially soy products not only does not cause elevated blood uric acid levels, but can reduce blood uric acid, they are gout protective factors. In addition to soy milk, tofu, dried beans in the production process will remove a large amount of water, easily soluble in water purine is also a large number of removed. Consumption advice: gout patients or people with high uric acid, the consumption of soybeans and soy products, first pay attention to reduce the amount of meat, as long as it is not a large number of thick soy milk, is encouraged rather than restricted. In addition, we usually just use a small amount of red beans, mung beans to cook porridge or soybeans and soybeans together with five grain soy milk, the amount of food per day is very small. And drinking a bowl of miscellaneous grains and eight treasures porridge and five grains paste is not so bad as to have an adverse effect on blood uric acid concentration. Mixed grains and beans are good for satiety and weight control, and for gout patients and hyperuricemia patients in remission, they help to maintain a healthy body weight, thus reducing the risk of morbidity. Handling suggestion: Soak beans and remove soaking water several hours in advance before cooking mixed bean porridge and rice or making soymilk. Five grains of soybean milk and mixed bean porridge, you can put more water and make it thinner. 4, the flavor of acidic food can eat? Taste is acidic substances may not be acidic food, and the taste is not acidic food is not necessarily not acidic food. Gout patients are allowed to drink vinegar and eat acidic fruits. There are even studies showing that taking acidic vitamin C orally can lower uric acid. 5. Drink more water and less alcohol. Friends with hyperuricemia and gout should drink more than 2,000ml of plain water every day to dilute the blood, increase uric acid excretion, and prevent or reduce gout attacks and stone formation. Replenish water in time after sweating, and it is more beneficial to drink water properly before going to bed. Try to drink less alcohol, especially beer, followed by liquor, it is recommended to drink wine instead of beer and liquor. 6, more exercise, weight loss. People with gout should choose fast walking, jogging, dancing, playing Tai Chi and other aerobic exercise helps to reduce weight, can reduce hyperuricemia and gout. Low temperatures can make urate less soluble and make gout more likely to occur. You should pay attention to keep warm when the weather changes, and if it is too cold outside, you can choose indoor activities. To summarize the above points, it is simply 9 words: keep your mouth shut, keep your legs open and drink more water.