Recurrent arthritis with crystal clear gout stones can lead to osteoarthrosis and joint mobility disorders and joint deformities in severe cases. In recent years, epidemiological studies at home and abroad have suggested that the incidence of gout and hyperuricemia is increasing year by year and is increasingly becoming an important disabling disease.
The standard of living has improved, the diet structure and habits have changed, meat is readily available, wine is not drunken in a thousand glasses, and one becomes blessed with high blood uric acid. Perhaps this explains why gout is more prevalent in middle-aged and older men, and, surprisingly, some young men are also in pain – big bowls of alcohol and big pieces of meat, right?
The incidence of gout in the Inner Mongolia Autonomous Region is significantly higher than in other parts of the country, and herdsmen like to eat hot pot, haggis, eat barbecue, like to drink alcohol is not unrelated to strike.
So, can gout be prevented or not? If you do a good job of self-management, is it possible to “gout please do not come”?
Medical nutrition therapy tells us – reasonable dietary control can effectively limit the intake of exogenous purines, reduce the production of endogenous purines, promote the excretion of uric acid in the body, so that the blood uric acid drops, can play an auxiliary role in the prevention and treatment of various stages of gout.
There is no quick fix for longevity, but health care is a belief, a habit, and a persistence.
The most basic weight management. BMI greater than 24 should be alert. Once it is clear that they have crossed into the fat people, the daily diet calories have to be strictly controlled, not more than 25 kcal per kilogram of body weight. At a rate of 1 city pound of weight loss per week, slowly starve yourself into a standard body shape.
If it has been determined that the blood uric acid high people should not lose weight too quickly, excessive hunger can cause the body ketone body elevated, ketone body and uric acid can share the kidney tubules this lane, will block the traffic, resulting in an acute attack of gout.
After determining the calories, the next step is the food ration. The proportion of carbohydrates for energy supply should be 60 percent. It is best to avoid dried legumes and cereals and bran bread in coarse grains during acute attacks. The intake of coarse grains in the remission period should also be appropriate, after all, they contain moderate amounts of purines.
The total intake of fat is limited to about 40 grams, minus the amount contained in food, which is equivalent to 20 grams of vegetable oil.
Protein is a very important nutrient and is the main ingredient of the delicious food that your mouth is so fond of. In acute gout attacks, the amount of protein is calculated at 0.8 grams per kilogram of body weight per day, and only milk and eggs from animal sources contain both high quality protein and very little purine. Even yogurt is kept out because it contains more lactic acid.
Dietitians have divided food into 4 categories according to the amount of purine content, and in the acute period, you can only pick and choose from category 4.
During the remission period, the amount of protein can be relaxed to 1 gram per kilogram of body weight, and the more respected is the weekly “strict 2 loose 5” diet, that is, 2 days a week according to the practice of the acute period only eat the fourth category of food, and the other 5 days a little relaxed, can choose 2, 3 food.
Meat boiled in water and then discarded in soup can reduce the intake of purines by a considerable amount. The hot pot soup that is boiled and shabu-shabu for a long time is almost the home base of purines. Will comrades who love to drink hot pot soup and think that it is full of nutrition and tastes delicious be shocked?
Water is a detergent for gout sufferers. As long as the heart and lungs function normally, drink water, should keep the daily urine volume in 2000 ml, to promote uric acid excretion. With kidney stones, it is even more important to drink more water so that the daily urine volume reaches 3,000 ml. You can drink water before going to bed or in the middle of the night to prevent the concentration of urine at night. Strong tea, cocoa, coffee, all have a stimulating effect on the autonomic nervous system and can cause gout attacks, so avoid them if you can.
Alcohol is a trigger for gout sufferers. Alcohol consumption has the strongest correlation with gout. Wine can cause the accumulation of lactic acid in the body, and with uric acid excretion traffic jam is not? An excessive amount of alcohol at one time, while enjoying a large meal high in purines and fat, can cause an acute gout attack. Gout patients, quit drinking, must.
As a result, good self-management, three meals in moderation, but not hungry, not full, work and rest should be able to effectively control the acute attack of gout, reduce the recurrence rate, reduce complications, improve the quality of life, and achieve a good life.
Attachment: food purine content list
Category I (prohibited).
Anchovies, sardines, liver, kidney, brain, gravy
Category II (optional 1 time per week, not more than 100g each time)
Lentils, carp, sea bass, shellfish, pork, beef, beef tongue, chicken broth, duck, goose, pigeon, quail, rabbit, broth, eel, eel
The third category (can be used 4 times a week, not more than 100 grams each time)
Asparagus, cauliflower, string beans, green beans, kidney beans, fresh fava beans, spinach, mushrooms, cereals, crab, oysters, chicken, lamb, ham, bran bread
Fourth category (arbitrary choice)
Cereals: refined white rice, refined white flour, starch, refined white bread, cookies, buns, noodles
Eggs: all kinds of eggs and egg products
Dairy: all kinds of fresh milk and milk products
Vegetables: cabbage, carrots, bok choy, cucumber, eggplant, lettuce, kale, pumpkin, zucchini, winter squash, tomatoes, radish, potatoes, yellow sprouts, chickweed, snowy red, various kinds of potatoes
Fruits: all kinds of fresh and dried fruits, jams, fruit juices