Doctors pay special attention to diet for gout (or gout arthritis). The importance of diet is undeniable, approaches and recommendations vary, but diet is still accepted as part of the prophylactic treatment of gout exacerbation to minimize recurrence.
Defeat of the joints with gout is always a "burst", a sharp increase in sharp pain and inflammation. In the short term, the disease can ruin your life. A responsible approach to diet can prolong the asymptomatic course of gout for years, ie reduce the frequency of attacks and the risk of further development of the disease.
Women suffer from gout 10 times less often than men and more often after menopause. There are many causes of this disease: genetic predisposition, impaired renal function, obesity. Also, as a rule, gout occurs in humans after 40-50 years. However, the availability of foods, especially fast food, and a sedentary lifestyle help to "rejuvenate" the disease.
Basic nutrition rules for gout
To understand the principles of nutrition, you need to remember the root cause of gout. The disease is characterized by high levels of uric acid (sodium urate) in the blood. Over time, it accumulates in the joints and then forms balls (cavities filled with solid deposits) in the muscle tissue, forming kidney stones. Uric acid enters the body with the help of purines: the protein elements in our food.
Some Chemistry
Purine degradation is a common biochemical reaction that produces urate. They are excreted in the urine, ie excreted by the kidneys. Urates are a natural antioxidant that prevents premature cell division.
What happens to gout? Urethin levels rise sharply and the substance begins to crystallize in the joints.
The surface of the articular head has a smooth cartilaginous structure. Of course, sharp crystals damage it. When a person moves his limbs, he begins to feel severe pain. The inflammatory process begins.
Dietary Basics
It is clear from a brief chemical analysis that purines are formed from the breakdown of their protein compounds and enter the bloodstream. So, if possible, you should eliminate protein products from your diet.
Cut down on meat and fish as this food increases purines. Beef, lamb and pork should not be on the diet table. Large amounts of salt should be discarded. If possible, it is best to eliminate salt and hot spices from your diet. This is already related to the protection of the kidneys, kidneys like gout are in direct danger.
As with any diet, alcohol should be avoided for gout. Any alcohol (beer - especially for gout) is contraindicated for you, delays the excretion of uric acid from the kidneys and helps it to accumulate in the blood. A "low purine" diet will help minimize or eliminate the onset of gout.
Proper nutrition for gout - 50% successful treatment
By following certain dietary rules, you will slow down the development of the disease. Gout will continue without complications.
Here are some examples to make it easier to understand the purine content of the products:
- Dandruff bread - 24 mg;
- Legumes - 105 mg;
- herring - 128 mg;
- Liver of cattle - 300 mg;
- Oily fish of the salmon family - 100 mg;
- Chicken - 110 mg;
- Rabbit meat - 65 mg;
- Beef tongue and meat - 72-100 mg.
You can create a list of your favorite products in such a table. They should contain a minimum amount of purine.
Special dietary rules
It is recommended to eliminate all fried foods from the diet and switch to low-salt boiled, cooked, baked foods. Unfortunately, fish and meat broths also need to be cleaned. When making these rich soups, a significant portion of the purines enter the broth.
As with other diets, it is useful to organize fasting days. In addition to getting rid of the pain in your legs, you will lose extra pounds. This is a nice bonus for keeping your figure (and not just for women). The essence of fasting days is to eat only vegetables and fruits. Divide the meal into 5-6 portions and eat up to 1. 5 kg of vegetables and fruits. If you do not have a desire for such a fasting day, just buy low-fat kefir. Also during the day. We recommend that you stay in this system at least once a week.
It is better to "empty" the body every day during gout exacerbation. Once the inflammation subsides, you can return to your normal diet.
Important!You shouldn't go hungry with gout! Do not spend a day without eating as much as you want.
Foods for gout
You can get competent advice on diet from your doctor or dietitian. This article provides general information and nutrition guidelines for gout patients. However, each organism is unique, so it is worth choosing an individual list of foods and nutrition schedule. Keep a food journal.
List of foods that can be consumed or restricted
The following is a list of foods that can be consumed and should be restricted.
- Lean diet meat: rabbit, turkey, chicken;
- 3-4 times a week - still alkaline mineral waters. For example, Narzan. Pay attention to the sodium content of such glass water, it should be low;
- Fruit drinks, dried fruit compotes, green tea;
- Any cereals;
- Eggs;
- Lean fish: pollock, hake, pike. Whole tea fish;
- Dairy products: kefir, baked milk, sour cream, milk, but with a low fat content - not more than 2, 5%;
- Vegetable oil;
- Potatoes;
- Rye or bran bread;
- Low-fat and unsalted cheeses;
- Cooked or raw vegetables.
- Radish, eggplant, dwarf;
- Fruit can be eaten fresh;
- berries;
- Homemade products;
- Legumes, asparagus, rhubarb, spinach. These plants contain high amounts of oxalic acid, which keeps urate in the body;
- Mushrooms
- Hazelnuts
Prohibited gout basket in women and men
Restrictions apply to protein foods in the gout diet, and attention should be paid to carbohydrates in the diet. People who are overweight and how to lose weight is always on the agenda? Both for diabetics? Instead, these people require a low-carbohydrate diet.
A low carb diet and a low protein diet are two mutually exclusive diets. Which diet should you choose? In such cases, it is recommended that you limit yourself to carbohydrates and the first three items on the list of prohibited foods. Why? We will summarize in the next chapter.
We have listed some of the permitted products. The general list of banned products is as follows:
- Alcoholic and carbonated beverages. All drinks, packaged juices, which can be called "tonic";
- Fish and meat broths
- Seafood: shrimp, mussels, squid
- By-products: liver, tongue, kidneys, hearts;
- Confectionery: ice cream, baked goods, cottage cheese desserts;
- Foods with large amounts of salt;
- Canned meat and fish. In general, canned foods are worth avoiding;
- Fatty dairy products: cream, sour cream, cheese;
- Salted fish, smoked sausages, sausages, ham and other semi-finished products. Such products contain harmful additives and preservatives. For example, monosodium glutamate is usually added to enhance flavor;
General Dietary Principle
Well, why is it likely that such explicit rules should not be applied at all, especially when it comes to products for women? Why choose protein if you have to choose between different diets? Despite the presence of proteins, as we have found, they are the cause of the formation of uric acid in the blood.
Important!Uric acid levels are effectively protected by medication.
Recall that the gout diet is part of preventive treatment. The second component is to take medications that reduce the formation of uric acid. Now these drugs are so effective that by increasing the dose, the doctor must monitor the achievement of target values of uric acid in the blood. The better you can follow the gout diet, the lower the dose. Because the disease is chronic, drugs have been taken for many years.
Doctors usually recommend the following when it comes to nutrition:
- Your BMI should be between 18. 5 and 25
- If your BMI is above 25, lose weight! If you lose 5-7 kg, it significantly reduces the further development of gout
- Eat a Mediterranean diet
Also:
- frequent and partial meals in small portions up to 6 times a day;
- energy value 1500-1800 kcal per day;
- food with a minimum amount of salt and purine;
- need to drink about 2 liters of water a day (especially for those who already have kidney stones);
- Fasting is forbidden.
Gout Combat Products
The following are considered folk remedies for gout:
- pineapple;
- turmeric;
- cherry juice;
- lemon;
- ginger;
- capsicum.
Try green tea with ginger. The drink has any "diuretic effect". Green tea has been proven to be an anti-cancer substance, which is good. But the truth is that this is a completely different story.
Summary
Even in small doses, the products listed as "prohibited" will aggravate gout. Remember that this disease cannot be cured, so you need to completely rethink your approach to food. So you can live peacefully without joint pain.
In open sources, women will find healthy and tasty recipes that are not intentionally placed here, so as not to overload the information. Make the right food and diet for gout your lifestyle. Bless you!