Presumably everyone is not unfamiliar with the word "gout". Just walking and walking, the nickname of 脚后跟痛 also always wonders if he has gout; Summer and my friends Drinking beer while eating seafood , And occasionally make a joke or two, don’t get gout again. But what kind of disease is gout? Will I get gout if I eat seafood and drink beer?
The following nickname will take you to untie the veil of gout.
01 What is gout
4da1a It is directly related to hyperuricemia caused by decreased uric acid excretion, especially acute characteristic arthritis and chronic tophi disease. mainly includes acute onset arthritis, tophi formation, and tophi chronic arthritis , Urate nephropathy and uric acid urinary tract stones, severe cases may have joint disability and renal insufficiency.
02 Can eating beer and seafood together cause gout?
Purines are indeed metabolized into uric acid. The accumulation of uric acid does cause gout, and seafood does contain quite a lot of purines. However, purine is widely present in food, not only in seafood. Generally speaking, seafood and meat contain more purines, and the content of animal organs is higher. Some plant foods, such as soy products, also contain purines. For gout patients, eating any food with high purine content may cause symptoms .
In addition, the metabolites of alcohol in beer in the body will compete with uric acid for the excretion pathway, which affects the excretion of uric acid . Eating any food with high purine content and then drinking alcohol will theoretically lead to such consequences. Alcohol is an important factor in increasing the risk of gout, and it has nothing to do with whether you eat seafood or not.
However, for people with gout symptoms, any high-purine food should be avoided, seafood is only one of them (not even the highest purine content); any alcoholic beverage should be avoided , Beer is just one of them.
03 Does a gout need life-long treatment?
The drug treatment of patients with gout cannot be generalized. Drugs can neither be taken nor stopped, nor can they be taken for a long time without paying attention to monitoring the effects of medication. The severity of each gout patient is different. Some may be able to avoid gout attacks well by diet control alone, some require medication for a period of time, and some require long-term or even lifelong medication. The specific decision should be made by the clinician based on comprehensive judgment .
04 Self-management of gout patients
1. Lose weight! Research shows that increased body mass index (BMI) is an independent risk factor for gout. As BMI increases, the prevalence of gout increases. When the BMI is 21 to 23 kg/m2, the relative risk (RR) of gout is 1.4; when the BMI is 30 to 35 kg/m2, the RR rises to 3.26. Therefore, moderate weight loss can prevent gout.
2. Advocate drinking low-fat milk. A recent study found that there is no obvious correlation between gout and total protein intake, but is closely related to insulin resistance. Limit the intake of carbohydrates, increase the intake of protein and unsaturated fatty acids, which can improve insulin sensitivity and help hematuriaThe excretion of acid reduces the risk of gout.
3. Limit alcohol consumption. The correlation between drinking and hyperuricemia and gout has always been recognized around the world-blood uric acid value is proportional to total alcohol intake: daily alcohol intake increases by 10g, and RR for gout can increase by 1.17 times.
The nickname below is attached to the food that can and cannot be eaten for gout, please collect it!
You can eat a little bit of food: pig brain, mung beans, pork belly, rape, red beans, pig intestine, garland chrysanthemum , Black beans, lamb, beef, peanuts, tofu, eel, dried tofu, kelp, soy milk, enoki mushroom, chicken thigh, crucian, mushroom, chicken breast, chestnut, lotus seed, pork, crab.
Foods that cannot be eaten (try not to eat): Clams, bean sprouts, mullet, scallops, hairtail, chicken liver, conger eel, shiitake mushrooms, pork liver, saury, dried small fish ,prawn.
Foods for gout patients: Spinach, milk powder, lemon, egg white, egg yolk, celery, pepper, ginger, cabbage, spring onion, orange, orange, watermelon, apple, pig Blood, sea cucumber, white rice, corn, flour, honey, potato .
Editor: Liu Yixun
Reference:
[1] Wang Tingting, Xu Yanhua, Guo Yuqian, Li Zhijuan, Cheng Zhifeng. Research on gout[J]. Advances in Medicine, 2019,19(02):389-392.
[2]Kang Yi,Jiang Lisheng. Significance of diet for the prevention and treatment of gout[J]. Journal of Jiangxi University of Traditional Chinese Medicine, 2019,31(03): 14-16.
[3]Li Xiang. "Dietary and Nutritional Intervention for Gout Patients"[A]. Chinese Nutrition Society, Asia Pacific Society of Clinical Nutrition, Jiangsu Science and Technology Association, China Center for Disease Control and Prevention Institute of Nutrition and Health, Agriculture Institute of Food and Nutrition Development, Ministry of Rural Affairs, Shanghai Institute of Nutrition and Health, Chinese Academy of Sciences. Nutrition Research and Clinical Practice-The 14th National Nutrition Science Conference and the 11th Asia-Pacific Clinical Nutrition Conference, the 2nd Global Chinese Nutrition Scientist Abstract compilation of conference papers [C]. Chinese Nutrition Society, Asia Pacific Society of Clinical Nutrition, Jiangsu Science and Technology Association, Chinese Center for Disease Control and Prevention Institute of Nutrition and Health, Institute of Food and Nutrition Development, Ministry of Agriculture and Rural Affairs, Shanghai Institute of Nutrition and Health Research, Chinese Academy of Sciences So:,2019:1.
