How to eat healthy for gout patients?

  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, patients often ask: Why do I have gout? What are the things I should not eat in the future?  These questions, how to answer appropriately, may refer to the following.  1.What people are susceptible to gout?  In addition to genetic susceptibility, most people have bad habits in their dietary life.  Current epidemiological studies have found that drinking alcohol, eating too much red meat, eating too much seafood, and exercising too little can increase the risk of 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, an additional daily serving (80 grams of raw weight) of red meat, the risk of gout will increase by 45%; 3, an additional daily fruit (such as 1 apple or orange), the risk of gout decreased by 27%; 4, body mass index (BMI) on the risk of gout is very strong; BMI for each increase of 1, even if the same distance every day, the risk of gout will increase by 18%. People with a BMI over 27.5 have 16 times the risk of gout than those with a BMI below 20 and 4 times that of those with a BMI between 20 and 22.5.  5, every 1 cm increase in waist circumference, even if running the same distance, the risk of gout increases by 6%; 6, every 1 km increase in daily running distance, the risk of gout is reduced 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 decreases by 45% Of human blood uric acid, more than two-thirds is 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 do not function 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 calculate the purine content of food.  2. What should people with high uric acid 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 food 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’ bodies may not be obviously obese, but the level of uric acid 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 excessive body fat and obese waist and abdomen, weight loss itself is conducive 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 to reduce obesity and insulin resistance status.  5, substantially increase the intake of fresh vegetables and fruits, especially low-sugar fruits and vegetables; 6, increase the intake of low-fat milk; 7, strictly abstain from alcohol, do not drink sweet drinks, drink more water; In addition, patients with gout and hyperuricemia should also undergo body composition analysis and comprehensive physical examination.  3. Tips Clinicians should remember to remind patients that while avoiding foods with high purine content, alcohol and sweet drinks, the only way to really get the body adjusted is to improve the patient’s overall metabolic function 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.