The 2017 China Gout Status Report White Paper shows that the number of patients with hyperuricemia in China has reached 170 million, and gout patients have exceeded 80 million. Gout has become the second largest metabolic disease in China after diabetes.
However, people's understanding and prevention experience of gout is relatively limited. Suffering from gout, can't eat soy products? Can you not take the medicine when gout does not occur?
A “diet list” for a gout patient
According to the content of strontium, the content of strontium in less than 50 mg per 100 g of food is low 嘌呤 food, medium 嘌呤 food between 50 and 150 mg, and food above 150 mg is sorghum food, as follows:
嘌呤 content <30 mg / 100 g
Vegetables, fruits, milk, eggs, nuts, white rice and its products, millet, buckwheat, oats in cereals, potatoes in potato, taro, sweet potato, cassava.
Medium 嘌呤 food
嘌呤 content between 30~75 mg/100g
Wheat bran, wheat germ, glutinous rice, etc., red beans, mung beans, peas, kidney beans, flower beans and other beans.
Soy products such as: dried bean curd, bean curd skin, yuba, tofu, lactone tofu, soy milk.
Live meat includes: pork, beef and mutton, pork, beef jerky, beef tongue, ham, aquatic products such as grass carp, squid, squid, squid, yellow croaker, squid, squid, halibut, black squid, fish balls, lobster , crabs, kelp.
嘌呤 content > 150 mg / 100 g
Yeast powder, chicken breast, animal internal organs such as liver, small intestine, brain.
Seafood such as octopus, squid, sardines, anchovies, squid, squid, squid, dried fish, shrimp, scallops, oysters, clams, soup, hot pot soup.
Patients with acute gout should choose low-grade foods. Medium-grade foods should be used during the remission period. However, the daily meat intake should not exceed 120 grams, especially not to concentrate on one meal. Sorghum food should be avoided as much as possible during the acute or remission period.
Beware of the 8 misunderstandings of gout:
For gout patients, reducing food intake by sorghum is not enough. You must be careful about these 8 gout errors.
Drinking white wine is no problem, the old point of view: In the past, it was always believed that gout patients could not drink beer, but liquor was rarely mentioned.
For gout patients, the wine produced by the grain cannot be drunk, including white wine. This is because alcohol intake can affect the excretion of uric acid. Alcoholic beverages contain sorghum substances. Drinking a lot of alcohol can promote the degradation of adenosine triphosphate in the liver, and can also cause hyperlactemia, resulting in increased uric acid production and reduced excretion.
Misunderstanding 2: Bean products can not be eaten, the old view: beans and soy products are sorghum food, gout patients can not eat. Beans, especially soy products, not only cause elevated blood uric acid levels, but also lower blood uric acid, which is a protective factor for gout. The diet of gout patients should increase the intake of protein appropriately, and replace the red meat with more saturated fatty acids with nuts, peanuts, soy products, and olive oil.
Misunderstanding 3: Fruits and vegetables can be eaten casually. Old point of view: fruits and vegetables are low-lying foods, and gout patients can eat them casually. Soft drinks, fruit juices, and sugar-rich fruits rich in fructose or sweetness are newly discovered gout risk factors. In addition, spinach and other vegetables containing high oxalic acid, easy to form calcium oxalate with calcium in the blood, may cause stones, gout patients should eat less.
Myth 4: Losing weight is to fast. The old view: Obesity is a high risk factor for gout. To lose weight is to fast or excessive hunger. Weight loss is very important for gout patients. The diet of gout patients should be controlled at 80%~90% of the normal food intake, and should not be fasted or excessively hunger. Weight loss should start from improving the lifestyle, namely: effective exercise, weight control, reduction of total calories by 10% to 20%, restrictions on tobacco and alcohol, less consumption of seafood, animal internal organs and other sorghum-containing foods, to avoid high blood uric acid.
Myth 5: You don't have to take medicine if you don't have it. The old point of view: Gout is just a joint pain, painful to eat a painkiller, no matter when it hurts. The fundamental problem of gout is high uric acid. Only by lowering uric acid can we reduce the number of gout attacks and reduce the damage caused by high uric acid. It is generally recommended to reduce blood uric acid to 360 or 300 micromoles per liter. Therefore, patients with frequent gout attacks can be treated with uric acid lowering during the remission period.
Usually drink plenty of water, drink 2000 ml, drink at any time, anywhere, especially during exercise, before going to bed, in the morning, after bathing.
Misunderstanding 6: Do not take medicine if you avoid it. Old point of view: Many patients think that if they control their diet, they can stop taking medicine. In fact, many gout patients have very strict diet control, and gout will still occur. Gout is a disease caused by a metabolic disorder of sputum, and the direct cause is high uric acid. Only control the diet, not taking medicine. Once diagnosed with gout, you should go to the Department of Rheumatology.
Myth 7: Simple gout does not cause other diseases. The old point of view: There is nothing terrible about gout. It is just that when the attack occurs, the patient feels more painful. When the acute phase has passed, there is no serious problem. Hyperuricemia is an independent risk factor for coronary heart disease, hypertension, and stroke. It is closely related to diabetes, hyperlipidemia, and obesity. Therefore, controlling hyperuricemia is not only to reduce the occurrence of gout, but to reduce its accompanying metabolism. The occurrence of chronic diseases such as disorders.
Myth 8: Gout is a geriatric disease. The old point of view: more than 90% of gouts occur in adult males, and tend to favor middle-aged and older people. It is a geriatric disease. Nowadays, young people are beginning to suffer from gout more and more, and it is no longer the exclusive disease of the elderly. Gout is common in young and middle-aged men, and women are relatively rare. It is a disorder of the human metabolic system.