Ketogenic diet to lose weight Suffering from acute gouty arthritis
What is the ketogenic diet that causes high uric acid in Xiao Zhang? Is it harmful to the human body?
The ketogenic diet is different from our daily weight loss diet, because the daily weight loss diet is based on a low-fat diet, while the ketogenic diet is different, mainly low-carbohydrate, moderate protein and high-fat diet. Of course, the focus of the ketogenic diet is to control carbohydrates or non-carbonated diets.
The ketogenic diet is mainly a diet that replaces carbohydrates with fat , which means that when our body consumes glucose, it slowly begins to burn fat to provide energy for the body; fat is oxidized and decomposed into three types in the liver Acidic substances, acetoacetic acid, β-hydroxybutyric acid and acetone, are collectively referred to as ketone body. Burning fat will cause the body to enter a ketogenic state, thereby achieving the result of high-speed fat burning.
The diet pyramid of the ketogenic diet
What do you usually eat on the ketogenic diet? mainly includes eating more meat, high-fat fish, eggs, butter, butter, nuts, vegetable oil, avocado, green vegetables, etc.; avoiding sugary foods, beans, soy products, root vegetables, low-fat processed foods, Starch staple food, alcohol, etc.
This looks healthy. But what happens if strict low carbohydrate levels are used? Generally speaking, there will be mild ketoacidosis. Some people say, does the ketogenic diet cause ketosis? Is a disease? "Ketosis" mainly affects diabetes patients. Some experts say that ketosis itself is not necessarily harmful.
Comparison of burning fat between ketogenic diet and low-fat diet
Why does ketogenic diet make gout attack? Patients with gout, please avoid four weight loss misunderstandings
Why does Xiao Zhang adopt a ketogenic diet to lose weight,What caused the increase in uric acid? There are two main reasons: On the one hand, this is because when our body gains calories by burning the original fat in the body, the large amount of ketone bodies produced by fat metabolism can easily prevent the excretion of uric acid from tubules. This leads to increased blood uric acid levels and induces an acute attack of gouty arthritis. On the other hand, pork, beef, lamb, chicken, duck, shrimp, fish and other meats in the ketogenic diet are all medium-purine foods. Excessive intake of these foods leads to excessive production of purines in the body and uric acid Increase.
Some gout patients are eager to lose weight, but fail to notice that inappropriate weight loss may lead to excessive uric acid production or decreased uric acid excretion. Dr. Liu concluded that in addition to the ketogenic diet, the following four ways to lose weight may lead to increased uric acid:
- Weight loss misunderstandings (1) Hunger weight loss: Excessive hunger, β-hydroxybutyric acid in the human body The increase in organic acids such as free fatty acids and lactic acid will competitively inhibit the secretion of uric acid from the renal tubules, leading to a decrease in uric acid excretion, which will significantly increase the blood uric acid level of and cause acute attacks of gout.
Hunger can easily lead to competitive excretion of lactic acid and uric acid
- Promote uric acid excretion, so use fruits to lose weight. It seems that I eat less purines, but I eat a lot of fructose ,Fructose will promote the synthesis of endogenous uric acid during the decomposition process of the human body and induce gout.
Just eating fruits means that your fructose intake will increase
- Weight loss mistakes (3) Strenuous exercise to lose weight: sprinting, cycling, high-speed swimming, or short-distance high-speed swimming Push-ups, parallel bars, sit-ups and other short-distance high-speed exercises or strength training, which last for a short time, rely on carbohydrates to provide energy but it is difficult to consume fat, which indirectly leads to a decrease in uric acid excretion, thereby increasing uric acid.
Strenuous exercise, especially strength training, can easily lead to an increase in uric acid
- Weight loss misunderstandings (4) lean weight loss: loses a lot of fat within a short period of time. At the same time that the source of purine increases, the excretion of uric acid is affected, which leads to the increase of the corresponding uric acid in the body, which may induce an acute attack of gout.
Being thin can easily lead to an increase in endogenous uric acid
How do gout patients lose weight? The doctor recommends an executable weight loss program in six steps
Although weight loss methods such as the ketogenic diet are not suitable for gout patients, weight loss is necessary for gout patients. Because obesity has an impact on kidney function, and at the same time, the increase in the diet of obese patients and the change in living habits can lead to an increase in the synthesis of uric acid in the liver.
is not only for gout patients, but also for anyone who is overweight should consider losing weight. But losing weight is not an easy task, what should I do? Dr. Liu believes that it is necessary to walk in six steps:
- The first step: participate in aerobic exercise. Perform aerobic exercise reasonably in daily life, and it is recommended to persist for a long time. You can do about 150 minutes of exercise per week, such as walking, jogging, slow swimming, slow cycling, dancing, Tai Chi, etc., to ensure a certain exercise intensity. At the beginning, the amount of exercise should be smaller, and the amount of exercise should be gradually increased; pay attention when exercising. Protect the joints, and exercise to replenish water at the same time.
Swimming belongs to aerobic exercise
- The second step is to take appropriate nutrients. Weight loss is not about keeping away from fat and protein. Suitable fat has a full effect, can delay hunger, and protein can increase calorie consumption. Appropriate intake of fish, shrimp, chicken, duck, pork, beef, etc., but excessive intake of high-purine foods in the "ketogenic diet" is not recommended, nor is it recommended to consume excessively processed fats from meat dishes. You can control calories and increase protein supplements.
Nutrition intake should be reasonable
- The third step, eat more fruits and vegetables. To lose weight, eat more cereals that are rich in dietary fiber, which provide relatively low calories; moderate intake of rice flour, bread, noodles and other foods; reduce intake of starchy vegetables such as potatoes, yams, and lotus roots, which contain carbon water The compound is high, and the amount should be controlled; more intake of green leafy vegetables such as cabbage, Shanghai greens and carrots, loofah, zucchini, broccoli and other fruits and vegetables; moderate intake of fruits such as blueberries and cherries with less sugar, also You can choose cucumber, tomato and other substitute fruits.
Green leafy vegetables are good for uric acid excretion
- The fourth step,Do not eat out. Try not to eat out as much as possible, because the food in restaurants outside is rich in oil, heavy salt, fat and sodium, which is not conducive to weight control.
Restaurant food is usually heavy oil and salt
- The fifth step is to learn to solve difficulties. Weight loss is generally afraid of persistence, especially insisting on food control and exercise control. Learn to reject food and let yourself feel "guilt" after eating and drinking.
Body mass index and obesity
- The sixth step is to maintain the standard body weight. If you only rely on diet to lose weight without participating in physical exercise, your weight will rebound once you stop dieting. Therefore, in order to prevent weight rebound, it is necessary to learn to reduce the diet and increase the amount of exercise at the same time, while maintaining the standard weight after the weight is gradually reduced.
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