For gout (or gouty arthritis), doctors tend to focus on diet in particular. The importance of diet is undeniable, approaches and recommendations are changing, but diet is still considered as part of preventive treatment of gout exacerbations to minimize their recurrence.
Loss of joints with gout is always an "explosion", acute pain and a rapid increase in inflammation. In a short period of time, illness can make life miserable. A responsible attitude to diet can prolong the asymptomatic course of gout for years, i. e. 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 the appearance of this disease: genetic predisposition, impaired kidney function, overweight. Also, as a rule, gout occurs in people after 40-50 years. But the availability of food, especially fast food, and a sedentary lifestyle contribute to the “renewal” of the disease.
Basic nutrition 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 bridges) in the blood. Over time, it accumulates in the joints, and later in the muscle tissue, forming tofu (cavities filled with solid deposits), kidney stones appear. Uric acid enters the body with the help of purines: the protein elements in our food.
Some Chemistry
Purine breakdown is a common biochemical reaction that produces urate. They leave the body with urine, that is, they are excreted by the kidneys. Urates are a natural antioxidant, a substance that prevents premature breakdown of cell tissue.
What happens to gout? The urate level increases significantly and the substance begins to crystallize in the nodes.
The surface of the articular head has a smooth cartilaginous structure. Sharp crystals, of course, damage it. The person begins to experience severe 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 protein compounds and enter the bloodstream. So if possible, 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 table. Large amounts of salt should be discarded. If possible, it is better to remove salt and hot spices from the diet completely. This is already about preserving the kidneys, since with gout, the kidneys are under direct threat.
As with any diet, alcohol should be avoided for gout. Any alcohol (beer - especially for gout) is contraindicated for you, it delays the secretion of uric acid by the kidneys, which contributes to its accumulation in the blood. A "low purine" diet will help minimize or eliminate the appearance of gout.
Proper nutrition for gout - 50% successful treatment
By following some dietary rules, you will slow down the progression of the disease. Ground floor will continue without complications.
To make it easier to imagine what purine content in products, we offer examples:
- Bran bread - 24 mg; Legumes - 105 mg;
- Herring - 128 mg;
- Liver of large horned animals - 300 mg;
- Fatty salmon family fish - 100 mg;
- Chicken meat - 110 mg;
- Rabbit meat - 65 mg;
- Cattle tongue and meat - 72-100 mg.
You can create such a table yourself by listing the products you want. They should contain a minimum amount of purines.
Special dietary guidelines
It is recommended to remove all fried foods from the diet and switch to boiled, stewed, baked foods that are low in salt. Unfortunately, fish and meat soups will also need to be removed. When preparing these rich soups, a significant portion of the purines go into the soup.
useful it is useful to schedule fasting days, as with any other diet. In addition to relieving leg pain, you will also lose those extra pounds. This is a good bonus to keep your figure (and not just for women). The essence of fasting days is to consume only vegetables and fruits. Divide the meal into 5-6 portions and eat up to 1. 5 kg of vegetables and fruits. If there is no desire for such a fasting day, then just buy low-fat kefir. Drink well throughout the day. We advise you to adhere to this system at least once a week.
During a worsening of gout, it is better to "discharge" the body every other day. Once the inflammation subsides, you can return to your normal eating schedule.
Important!You can not starve to death! As much as you like it, remember not a single day without eating.
Foods for gout
You can get competent diet advice from your doctor or dietitian. This article provides general information and nutritional guidelines for people with gout. However, each organism is unique, so it is worth choosing an individual list of food and meal schedule. Keep a food diary.
List of foods that can be consumed or restricted in use
A list of foods that can be consumed and should be restricted is presented in a list below.
- Lean dietary meat: rabbit, turkey, chicken;
- 3-4 times a week - alkaline mineral water still. 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 cereal;
- Eggs;
- Weak fish: pollock, hake, point. All the fish of the rivers;
- Dairy products: kefir, fermented baked milk, sour cream, milk, but with a reduced fat content - not more than 2. 5%;
- Vegetable oil;
- Rye or bran bread;
- Low fat and unsalted cheeses;
- Boiled or raw vegetables.
- Radish, eggplant, parsnip;
- Fruits can be eaten fresh;
- Manaferrat;
- Home baked goods;
- Legumes, asparagus, rhubarb, spinach. These plants contain a high content of oxalic acid, which maintains urates in the body;
- Mushrooms
- Arra
Prohibited food basket for gout in 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 question of how to lose weight is constantly on the agenda? And also for those with diabetes? Conversely, these people require a low carb diet.
A low carb diet and a low protein diet are two mutually exclusive diets. What kind of diet to choose? In such cases, it is recommended to limit yourself exactly to carbohydrates and the first three items from the list of forbidden foods. Why We will summarize it in the next chapter.
We have listed some of the allowed products. The general list of prohibited foods is as follows:
- Alcoholic and carbonated beverages. All drinks that can be called "tonic", packaged juices;
- Fish and meat soup
- Seafood: shrimp, mussels, squid
- By-products: liver, tongue, kidneys, hearts;
- ectioncakes such as: ice cream, baked goods, cottage cheese cakes;
- Foods that contain large amounts of salt;
- Canned meat and fish. In general, it is worth giving up canned foods;
- Fatty dairy products: cream, sour cream, cheese;
- Salted fish, smoked sausage, sausage, bacon and other semi-finished products. Such products contain harmful additives and preservatives. For example, monosodium glutamate is usually added to enhance the aroma;
General Principle of Food
So why, given such clear rules, is there still a possibility that they will not be strictly enforced in relation to products, especially for women? Why, if you have to make a choice between different diets, give priority to 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 diet is part of preventative treatment. Its second component is taking medications that reduce uric acid formation. 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 stay on a gout diet, the lower the dose of medication. And medicines are taken for many years, as the disease is chronic.
Doctors usually recommend the following about food:
- 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, this will significantly reduce 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 is about 1500-1800 kcal per day;
- the minimum amount of table salt and purine-containing food;
- should drink about 2 liters of water a day (especially for those who already have kidney stones);
- fasting is forbidden.
Ground Fighting Products
The following are considered popular remedies for gout:
- pineapple;
- turmeric;
- cherry juice;
- lemon;
- ginger;
- capsule.
Try green tea with ginger. The drink has the desired "diuretic effect". Green tea has been proven 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 rethink your attitude towards food. Thus, you can live comfortably without joint pain.
In open source, women will find useful and delicious recipes that are not intentionally posted here so as not to be overloaded with information. Get the right nutrition and diet for gout your way of life. Be healthy!