For gout (or gout), doctors tend to focus on diet. The importance of diet is undeniable, approaches and recommendations are changing, but diet is still considered part of preventative treatment of exacerbations of gout to minimize recurrence.
Defeat of the joints with gout is always an "explosion", acute pain and rapid increase in inflammation. In a short time, the disease can make life miserable. A responsible attitude towards diet can prolong the asymptomatic course of gout for years, ie reduce the frequency of attacks, as well as the risk of further development of the disease.
Women suffer from gout 10 times less often than men and often after menopause. There are many reasons for this disease: genetic predisposition, decreased renal function, obesity. Also, as a rule, gout occurs in people after 40-50 years. However, the availability of food, especially fast food, and a sedentary lifestyle contribute to the "revitalization" of the disease.
Basic Diet Rules for Gout
To clearly 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 uric acid) in the blood. Over time, it accumulates in the joints, and later in the muscle tissues, forming tufts (cavities filled with solid deposits), kidney stones appear. Uric acid enters the body with the help of purines: protein elements in our food.
Some chemistry
Purine breakdown is a common biochemical reaction that produces urine. They leave the body with urine, ie they are excreted by the kidneys. Urea is a natural antioxidant, a substance that prevents premature cell breakdown.
What about gout? The urinary level rises sharply and the substance begins to crystallize in the joints.
The surface of the articular head has a smooth cartilaginous structure. The sharp crystals, of course, destroy it. The person begins to feel intense pain when moving the limbs. The inflammatory process begins.
Diet Base
From a brief chemical analysis it is clear that purines are formed by the breakdown of their own protein compounds and enter the bloodstream. This means, if possible, that you should exclude protein products from your diet.
Reduce meat and fish as this food increases purines. There should be no beef, lamb or pork on the diet. Large amounts of salt should be discarded. If possible, it is best to eliminate salt and spices from your diet altogether. This is already related to the preservation of the kidneys, as with gout, the kidneys are under immediate threat.
As with any diet, alcohol should be avoided for gout. Any alcohol (beer - especially for gout) is contraindicated for you, it delays the excretion of uric acid by the kidneys, which contributes to its accumulation 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 progression of the disease. Gout will continue without complications.
To make it easier to imagine the purine content, we offer examples:
- Bran bread - 24 mg;
- Legumes - 105 mg; Herring - 128 mg;
- Large horned animal liver - 300 mg;
- Fatty fish of the salmon family - 100 mg;
- Chicken meat - 110 mg;
- Rabbit meat - 65 mg;
- Beef tongue and meat - 72-100 mg.
You can create such a table yourself with the products you like. They must contain a minimum amount of purines.
Special dietary guidelines
It is recommended that you remove all fried foods from your diet and switch to boiled, cooked, low-salt cooked foods. Unfortunately, fish and meat broths also need to be removed. When preparing these rich soups, a significant portion of the purines are added to the broth.
It is useful to organize fasting days, as with any other diet. In addition to relieving the pain in your legs, you will lose those extra pounds. This is a nice bonus for maintaining 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 parts and eat up to 1. 5 kg of vegetables and fruits. If there is no desire for such a fast, then just buy low-fat kefir. Drink throughout the day. We advise you to follow this system at least once a week.
When gout worsens, it is best to "unload" the body every other day. Once the inflammation has subsided, you can return to your normal diet.
Important!They should not starve for gout! As much as you want, do not miss a single day without food.
Foods for gout
You can get proper dietary advice from your doctor or dietitian. This article provides general information and dietary guidelines for people with gout. However, each organism is unique, so it is worth choosing an individual list of foods and diet plan. Keep a food magazine.
List of foods that can be consumed or restricted in use
A list of foods that can be consumed and should be limited is presented in a list below.
- Lean diet meat: rabbit, turkey, chicken;
- 3-4 times a week - still alkaline mineral water. For example, Narzan. Pay attention to the sodium content in such bottled water, it should be low
- Fruit drinks, dried fruit compotes, green tea?
- Any cereals?
- Eggs?
- Lean fish: pollock, cod cod, cod. All the fish of the river Dairy products: kefir, fermented baked milk, sour cream, milk, but with reduced fat content - not more than 2, 5%.
- Vegetable oil?
- Potatoes?
- Rye or bran bread?
- Low fat and unsalted cheeses;
- Boiled or raw vegetables.
- Radish, eggplant, parsnip?
- Fruits can be eaten fresh.
- Berries?
- Homemade baked goods?
- Legumes, asparagus, rhubarb, spinach. These plants contain a high content of oxalic acid, which retains uric acid in the body.
- Mushrooms
- Nuts
Forbidden grocery basket for women and men
In the gout diet, restrictions refer to protein foods, it is recommended to focus on carbohydrates in the diet. What about those who are overweight and the issue of how to lose weight is constantly on the agenda? And also for those with diabetes? Instead, these people need a low carb diet.
Low carb and low protein are two mutually exclusive diets. What kind of diet to choose? In such cases, it is recommended to 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 mentioned some of the allowed products. The general list of prohibited products is as follows:
- Alcoholic and carbonated beverages. All drinks that can be called "tonic", packaged juices.
- Fish and meat broths
- Seafood: shrimp, mussels, squid
- By-products: liver, tongue, kidneys, hearts;
- Confectionery such as: ice cream, grilled, cottage cheese desserts;
- Foods that contain large amounts of salt.
- Canned meat and fish. In general, it is worth giving up canned food.
- Fatty dairy products: cream, sour cream, cheese;
- Salted fish, smoked sausages, sausages, ham and other unfinished products. Such products contain harmful additives and preservatives. For example, sodium glutamate is usually added to enhance the taste.
Principle of general nutrition
So why, given such clear rules, is it still possible not to be strict about their products, especially women? Why, if you have to make a choice between different diets, do you prefer protein? Although they are proteins, as we discovered, they are the cause of the appearance of uric acid in the blood.
Important!Uric acid levels are effectively maintained with medication.
As a reminder, gout is part of preventative treatment. Its second component is taking drugs that reduce the formation of uric acid. Now these drugs are so effective that, increasing the dosage, the doctor must monitor the achievement of target values of uric acid in the blood. The better you can follow a gout diet, the lower the dosage of the drug. And medicines are taken for many years, as the disease is chronic.
Doctors generally recommend the following with regard to diet:
- Your BMI should be between 18, 5 and 25
- if your BMI is over 25, lose weight! If you lose weight by 5-7 kg, it will significantly reduce the further development of gout
- eat a mediterranean diet
Also:
- frequent and fractional meals in small portions up to 6 times a day.
- the energy value is about 1500-1800 kcal per day.
- Minimum amount of table salt and foods containing purines.
- you should drink about 2 liters of water a day (especially for those who already have kidney stones).
- Fasting is forbidden.
Gout Control Products
The following are considered folk remedies for gout:
- pineapple;
- turmeric?
- cherry juice
- lemon?
- ginger?
- pepper.
Try green ginger tea. The drink has the desired "diuretic effect". Green tea has been shown to be an anti-cancer agent, which is also good. But, the truth is, this is a completely different story.
Summary
Listed foods that are classified as "forbidden", even in small doses, will worsen gout. Remember that this disease can not be cured, so you need to completely reconsider your attitude to food. So you can live peacefully without joint pain.
In open sources, women will find healthy and tasty recipes that are deliberately not published here, so as not to overload the information. Make the right food and diet for gout your lifestyle Be healthy!