Shanxi Yellow River Hospital is to force a gout diet program (a)

 First, the dietary treatment goals
hyperuricemia and gout patients diet therapy has three main objectives:
Target: to reduce the intake of exogenous purine components to reduce sources of uric acid, to terminate as soon as possible symptoms of acute attack , control of acute gouty arthritis.
Objective Two: to limit excessive drinking three goals: to reach the normal range for weight control
Second, asymptomatic hyperuricemia
of the principles of the diet for a six principles: calorie restriction .
This is because the majority of patients with gout like high-calorie, high fat and high protein diet, which easily lead to over-nutrition, calorie intake too much. Therefore, we must control the daily requirement of calories, a balanced variety of nutrients intake.
Principle II: maintenance of ideal body weight. to prevent overweight and obesity.
gout patients are often nutrition, weight gain, which is significantly high correlation between uric acid. Regular Measurement of body weight, as measured by indicators of nutritional status . commonly used in standard body weight formula and the method to determine obesity, see the limit foods high in purines are free to choose low-purine foods, choose the appropriate middle purine content of food.
four principles: balanced nutrient intake.
carbohydrate intake accounted for 55% of total calories required ~ 60%.
A, the choice should not be selected in the coarse grains, flour and rice should be used as coarse grains with high purine content than refined grains.
B, do not eat fructose because fructose in high-calorie, 1g fructose provides energy for the 16.7Kj (4kcal).
C, the daily intake of fat should be less than 50g, the total calories 25% ~ 30%. D, protein intake should be less than normal, the daily intake per kilogram of body weight volume of 0.8 ~ 1.0g. purines found in protein foods and more.
Therefore, the choice of protein food, to use non-or less Han Piaoling food, such as milk, eggs and vegetable protein, but should pay attention to plants protein in soybeans, lentils also contain a lot of purines.
five principles: to develop the habit of the water.
night before going to bed, early morning, after exercise, sweat, drink a glass of water after a bath all. Each daily intake of water 2000 ~ 3000ml, can dilute the concentration of blood uric acid, and to promote renal excretion of uric acid.
Principle VI: to drink as little as possible, to stop drinking
A, the human body into the body to break down a large number of ethanol must expend energy, resulting in a lot of uric acid.
B, the wine's alcohol metabolism to increase blood lactate levels, hindering the renal excretion of uric acid, serum uric acid combined, causing arthritis, acute attack.
C , is generally believed that the low degree of beer drinking is safe, but I do not know a lot of beer contains purine and high in calories, easy to induce gout.
Therefore, acute gout, to alcohol, chronic intermittent efforts of alcohol to , if not non-drinking, alcohol consumption should be controlled, and slowly drink, not quietly drinking.
three gout patients food choices (food table purine)
of gout patients, must understand by the purine content of food items in the amount of food is divided into the following four categories.
1, non-purine foods: the purine content of less <20mg / 100g of food or non-Han Piaoling. mainly five types of food.
1) cereals: rice, polished rice, millet, corn, refined wheat flour, strong flour, refined white bread, bread, macaroni, noodles, thin noodles, soda crackers.
2) vegetables: carrots, cabbage, carrots , celery, cabbage, eggplant, Sonchus, cabbage, lettuce, beans, squash, cucumbers, zucchini, tomatoes, turnips, sweet potatoes, yams, potatoes, pickles, pickled vegetables, seaweed, kelp, onions, shallots.
3), eggs, dairy products: eggs, eggs, duck eggs, etc.; a variety of dairy milk, condensed milk, cheese, yogurt, malted milk, milk powder, honey.
4) sugar and confectionery: a variety of beverages including soft drinks, tea, chocolate, coffee, cocoa, all kinds of oils, peanut butter, agar jellies, jams, lotus root starch.
5) Others: a variety of fruit and dried fruit (apple, walnut, apricot, pear, orange , grapes, millet, etc.)
2, low-purine foods: foods per 100g purine content of less than 75mg, mainly include the following:
3, 1) Vegetables: asparagus, cauliflower, green beans, peas , green beans, snow peas, bean, soybean, peanuts, asparagus, spinach, mushrooms, garlic.
2) fish, shellfish: mackerel, herring, anchovy, tuna, whitefish, carp, lobster, crab, oysters.
3) livestock categories: chicken, ham, lamb, beef soup 4) Other: cereals, wheat bran, bread, vegetable oils, nuts, etc..
3, the purine foods: purine per 100g food content of 75 to 150mg, mainly:
1) fish: carp, cod, halibut, sea bass, barracuda, mackerel, eel and eel, etc..
2) meat: smoked ham, pork, beef, ox tongue, veal, duck, pigeon, quail, pheasant, rabbit, lamb, venison, turkey, etc..
3) Other: shellfish, lentils.