Have you noticed that more and more people are suffering from gout? In China a few decades ago, the incidence of this disease was very low, but now it has become an important disease threatening men’s health. The reason why there are considerably more male patients than female patients is that estrogen has the effect of promoting uric acid excretion. As a result, hyperuricemia rarely occurs in young women. However, after menopause, women may also be afflicted by this disease.
As a doctor, I am often asked: Doctor, why do I have gout? What are the things I can’t eat in the future? How to answer these questions appropriately, you may refer to the following.
What kind of people are susceptible to gout?
In addition to genetic susceptibility, most people have bad habits in their diet and life.
Current epidemiological studies have found that drinking alcohol, eating too much red meat, eating too much seafood, and exercising too little all increase the risk of developing gout. Studies have also found that being overweight and obese in the waist and abdomen are risk factors for gout. In addition, men who gain weight at a young age are more likely to suffer from gout, especially those who have gout in their families, should be highly alert.
1, every 10 grams of alcohol intake, the risk of gout will increase by 19%;
2.Eating one more serving (80 grams raw weight) of red meat per day increases the risk of gout by 45%;
3.Eating one more fruit (such as 1 apple or orange) per day will reduce the risk of gout by 27%;
4.Body mass index (BMI) has a great impact on the risk of gout; for every 1 increase in BMI, even if you run the same distance every day, the risk of gout will increase by 18%. And BMI more than 27.5 people, the risk of gout is BMI below 20 16 times, is BMI in 20 ~ 22.5 people 4 times.
5, every 1 cm increase in waist circumference, even if running the same distance, the risk of gout increased by 6%;
6, every 1 km increase in the distance of daily running, the risk of gout decreased by 8%;
7, in the standard 10 km running test, every 1m/s increase in running speed (3.6 km / h), the risk of gout decreased by 45%.
The human blood uric acid, more than two-thirds of the endogenous uric acid, food sources are only a small part. This uric acid is excreted by the kidneys in 70% of cases, and hyperuricemia only occurs when the body’s metabolism is disturbed, producing more endogenous uric acid, and the kidneys are not functioning well enough to handle the excess uric acid in a timely manner. Therefore, it is more important to improve the body’s ability to metabolize uric acid than to be calculating the purine content of food.
What should I instruct my patient with hyperuric acid to eat?
After reading these studies, you will also be able to know how to live a life conducive to controlling uric acid and preventing gout.
1. Reduce the intake of red meat foods
Our clinicians also found that many gout patients have the habit of eating a lot of red meat. These people also usually have a significant state of obesity. According to our dietary guidelines, combined with the patient’s condition, gout acute attack should not eat meat, remission or hyperuricemia state, the average daily intake of red meat should be controlled within 50 grams is good. It is best not to eat animal offal.
2, reduce the intake of seafood food
Long-term consumption of large amounts of seafood is also considered by the global medical community as one of the risk factors for gout. Because seafood food is relatively low in calories, some patients may not be significantly obese, but the uric acid level is high.
3. Reduce dietary calorie and fat intake
Fat itself will hinder the excretion of uric acid by the kidneys, and a diet high in fat will also lead to obesity and metabolic disorders. For patients with high body fat and obese waist and abdomen, weight loss itself is beneficial to the improvement of metabolic disorder status.
4.Change the content of staple food
Do not eat refined white + fat staple food combination, moderately increase the proportion of mixed grains and potatoes, reduce obesity and insulin resistance state.
5, substantially increase the intake of fresh vegetables and fruits, especially low-sugar fruits and vegetables
6.Increase the intake of low-fat dairy products
7. Strictly abstain from alcohol, sweet drinks, and more water
In addition, patients with gout and hyperuricemia should also undergo body composition analysis and comprehensive medical examination.
Tips
Patients should be reminded that while avoiding foods with high purine content, alcohol and sweet drinks, the only way to truly adjust the body is to improve the overall metabolic function of the patient through proper nutrition and weight loss and fat reduction.
When the overall metabolic level of the body improves, the problem of uric acid will also gradually improve. For patients who have not yet developed gout, weight control and improvement of metabolic disorders can largely prevent the disease from progressing to the gout state and prevent all the serious consequences caused by it.