Diet for gout

dietary foods for gout

Gout is a disease characterized by metabolic disorders. With it, uric acid salts are deposited in the joints. Gout is a rather rare disease - there are three cases per thousand people. The disease affects men older than forty, and is manifested in menopause in women. Gout affects all joints, from the wrists to the ankles.

The main symptom of gout is inflammation of the joints. The onset of the disease occurs in the early morning or night hours, expressed by intense pain in the affected area. The temperature in the joint area rises, the skin begins to redden and glow.

In the treatment of gout the most important role is played by therapeutic diet, the purpose of which is to reduce the level of uric acid compounds in the body. In gouty arthritis, purine metabolism is disturbed, which leads to inflammation of the joints and the development of various types of urolithiasis (for example, uraturia). To normalize this exchange, diet number 6 developed by the professor is used.

Nutritional characteristics for men

If purines enter the body in large quantities, the production of uric acid increases, and its excretion through the kidneys slows down. As a result, the level of uric acid in the blood increases, and its crystals - urate - begin to settle in the tissues of the joints. The richest in purines are meat and fish products, dried meat, strong tea, coffee and cocoa.

Men get gout almost 10 times more often than women. In addition, members of the stronger sex have faced the manifestations of this disease much earlier. If it manifests itself in women, as a rule, after the age of 50, then men experience the first attack of gout at the age of 30 to 40 years.

This gender difference is primarily related to diet. Men consume a larger amount of food, in addition, they eat a lot of meat products and spicy spices, often splashing them with alcoholic beverages. All this leads to a significant increase in the level of uric acid in the blood, which is constantly maintained. A gout attack usually occurs suddenly and can be caused by a heavy meal, hypothermia or the common cold.

Gout can affect any joint, but in most cases the big toe is affected. The lesion is usually unilateral, and the first metatarsophalangeal joint on one of the legs becomes inflamed. The course of the disease, especially in the early stages, is usually paroxysmal. The duration of the attack varies from a few hours to a week. When gout becomes chronic, the pain can be constant.

Table 6 is recommended during remission, in the absence of severe symptoms. On the days of the attack, a 6E diet was indicated, which will also be useful for obese patients. It should be followed for several days until the pain stops. At the end of the attack, return to diet number 6.

Basic rules

Hypopurine diet for gout is based on alkalization, ie alkaline foods are included in the diet - plant and dairy foods. If there are no contraindications, it is recommended to drink more water - daily fluid intake should be an average of 2, 5 liters.

Prohibited foods include products that contain oxalic acid - especially spinach and rhubarb. The amount of salt is limited to 10 g / day, the consumption of protein and fat is reduced. If you are overweight, it is advisable to reduce the amount of food that contains carbohydrates.

Meat and fish must first be cooked, and then pans, roasts or rolls must be cooked from them. During cooking, harmful substances turn into soup, so it should not be used for cooking the first dishes. Soups and borscht are cooked only in vegetable soup with the addition of cereals, pasta or milk.

The classic system of therapeutic nutrition includes a fractional diet, it is necessary to eat at least four times a day. Thus, the load on the digestive tract and excretory organs will be optimal. At the same time, the caloric content of diet no. 6 is 2500-2700 kcal, child no. 6e - 1900-1950 kcal.

With the right menu, the diet will prove to be balanced and complete, and reducing the consumption of foods that contain purines will not have negative consequences.

It is desirable to cook food for a couple or boil, bake in the oven. It is better to completely exclude fried foods, especially in the acute period. The temperature of the finished products does not matter - you can eat hot and cold, but hot dishes are best absorbed.

Diet number 6 is recommended as a rule until long-term remission. This period can be different for each patient - one or two months will be enough to restore health, while others will need several years.

Permitted and prohibited products

The list of products is compiled so that a person gets fats, proteins, carbohydrates, as well as vitamins and minerals in sufficient quantities. Daily protein norm according to diet no. 6 is 80-90 g, fat - 80-90 g, carbohydrates - from 350 to 400 g.

Protein needs are covered mainly by dairy products, about 25% of fat is found in vegetable oils, and most carbohydrates can be obtained from fruits and sugars. When diet number 6 is followed, the body receives about 150 mg of vitamin C, 1. 5 mg of thiamine, 3. 5 g of potassium, 0. 75 g of calcium and 0. 5 mg of retinol per day.

Table of allowed foods for gout:

> zxtable border = "1" cellpadding = "0" >Product group Sorte Flour products, bread Rye, wheat and soft bread First courses, cereals, sauces Soups with added cereals, vegetables, vermicelli, milk; milk cereal porridge; sauces based on milk, sour cream, tomato juice or vegetables; stewed mixtures and purees of vegetables, salads of fresh vegetables, vinaigrette Meat, poultry Lean pork and veal, rabbit, chicken, turkey Fish Pike, perch, asp, cod, pollock, bream, as well as all seafood - shrimp, squid, mussels, octopuses Milk products When buying, pay attention to the fat content in the product: kefir - 1-2%, cottage cheese - 3%, sour cream - 10-15% Sir Brynza, mozzarella, suluguni, ricotta, as well as unsalted soft cheeses Eggs Chicken (1 piece per day) or quail eggs (not more than 4 pieces per day) can be cooked, baked, stewed cereals Everything except oatmeal and whole grains Vegetables Potatoes, corn, beets, onions, garlic, cabbage, eggplant, tomatoes, pumpkins and zucchini Greenery Dill and primrose Butter All kinds of vegetables and creamy Fruits Citrus fruits, strawberries, pears, green apples, dates, apricots, dates, cherries, cranberries - fresh, baked and dried walnuts All species except peanuts, but not more than 30 g / day spices Cinnamon, vanilla, bay leaf, citric acid, vinegar Drinks Sour, compotes, fruit and berry decoctions, fruit drinks, green and poorly brewed black tea, milk-fruit shakes and smoothies, vegetable and fruit juices (diluted with water), chicory drinks, alkaline mineral water, yeast Sweet Marmalade, caramel, honey, jam, marshmallow, jam, jams and marmalades, meringue protein, marshmallows

It should be noted that meat and fish should not be eaten often - 2-3 times a week is enough. In addition, one serving should not contain more than 150 grams of meat and 160 grams of fish. It must also be borne in mind that the soup in which these products are cooked should not be eaten. The same goes for seafood soup.

If whole milk is used, it is better to dilute it with water beforehand. It is desirable to add butter to ready meals, and not use it in its pure form. Potatoes and cucumbers are especially useful because they contain potassium. This element helps eliminate uric acid from the body naturally.

It is recommended to replace animal fats with vegetable fats as much as possible so as not to overload the digestive tract and kidneys. Many of the approved foods have the ability to remove excess urate and reduce inflammation.

Some vegetables and fruits can be consumed, but in limited quantities. These include radishes, beets, cauliflower, green onions, peppers, asparagus, radishes, celery and plums. It is also impossible to abuse legumes, mushrooms, pickles, marinades and sausages.

Earlier, doctors forbade eating tomatoes because of their oxalic acid content. Today, this vegetable is rightly considered one of the most useful for gout on the feet. The percentage of acid in tomatoes is negligible, but it contains vitamins, minerals and organic acids.

Ripe tomatoes are a source of vitamin C (they contain almost the same as citrus fruits), B.oneand B2, PP, K and carotene, as well as potassium, phosphorus and iron. Thanks to this composition, it strengthens the immune system, normalizes metabolic processes and reduces the intensity of inflammation during an attack.

Reference: tomatoes bring maximum benefits after heat treatment and in combination with vegetable fats.

Prohibited products

If you eliminate harmful or purine-rich foods from your diet, it will almost immediately affect your well-being. The frequency and intensity of gout attacks will be reduced, and the work of the urinary and cardiovascular systems will be normalized.

Therefore, the following are excluded from the daily menu:

> zxtable border = "1" cellpadding = "0" >Product group Sorte flour products Rolls, cakes, pastries, eclairs First dishes and sauces Meat, fish, mushroom soups; Sour soup, peas, lentils and beans, mayonnaise and base sauces Meat, poultry All kinds of sausages, meat of young lambs, calves and sheep, fatty pork, offal, goulash Fish Fatty fish - sardines, herring, anchovies, tuna, mackerel, trout, salmon and caviar Sir Spicy and salty cheeses Vegetables Sorrel Fruits Grapes, raspberries, figs, viburnum Thick Margarine, fat Spices Mustard, horseradish, hot pepper Drinks Strong tea, coffee, cocoa, alcohol of any strength

It should be noted that purines in alcoholic beverages do not decompose into uric acid when swallowed. However, they are able to suppress the synthesis of the hormone vasopressin, which maintains normal fluid levels. Its active production stimulates kidney function, due to which excess uric acid is excreted quickly.

After drinking alcoholic beverages, vasopressin production decreases and the person suffers from dehydration. The volume decreases, and the viscosity of the circulating blood increases, which leads to an increase in uric acid levels.

In addition, the amount of moisture in the cartilage tissue drops to a critical level, due to which it loses its strength and elasticity. Cartilage becomes dry and cracked, unable to withstand normal loads. As a result, the joint becomes even more inflamed and painful.

Reference: rheumatologists consider vodka relatively safe because it does not contain purines. However, you can drink it in very small quantities - no more than 50 grams.

Fasting days

Diet number 6 provides 1 day of relief per week. On this day, a mono-diet is followed, which consists either of vegetables and fruits only, or of sour-milk products. You must eat equally fractionally, avoiding a strong feeling of hunger, and drink water and drink in the same amount.

The size of one portion is approximately 150 gr. For example, one of these days you can eat about 400 grams of fresh cheese and drink ½ liters of kefir. Another option is 1 - 1, 5 kg of apples or oranges. If you plan to eat vegetables, then you should choose only one variety (except radish and sorrel). Vegetables are used cooked, stewed, baked or raw, as well as in the form of juice.

Today, mineral water can be bought in any supermarket, and drinking it is useful for people with pathologies of the endocrine system and metabolic disorders.

Some people do not like vegetables and dairy products. In that case, you can eat rice and apples all day. Rice (75 g) should be cooked in milk diluted with water and eaten in small portions during the day. Apples can be eaten fresh or cooked compote, but without the addition of sugar. A maximum of 3 apples are allowed per day.

Reference: fasting is strictly forbidden, because it leads to a sudden increase in the concentration of uric acid in the blood.

How to eat with a gout attack

If the attack has started, a strict diet is necessary, but not longer than 3 days. For this period, it is necessary, above all, to exclude meat and fish. With a long course of gout attacks, fasting days should be done 2-3 times a week.

The complete menu for one day can look like this:

  • 1 breakfast - half a cup of infusion of rose hips, chicory decoction or alkaline mineral water;
  • 2 breakfasts - ½ portions of rice or semolina porridge, a glass of milk;
  • snack (1-2 hours after the 2nd breakfast) - a glass of strawberry jelly or a few pieces of fresh strawberries;
  • lunch - ½ portions of mashed vegetable soup, a glass of apple compote;
  • afternoon snack - a glass of carrot juice or tomato juice;
  • dinner - a glass of bifilin, fermented baked milk or kefir;
  • before bedtime - lightly brewed black or green tea with the addition of milk and honey.

Once the attack is over, you need to gradually expand your diet and introduce cooked meat into your diet. For better assimilation, it is recommended to go through a meat grinder or make steamed cutlets, meatballs and meatballs.

Seven-day diet menu number 6

Proper nutrition, which is recommended for patients with gout, is varied. In addition, all the recipes are very simple, and the diet dishes are delicious and satisfying. From the allowed products, everyone can choose the ones they like the most.

Monday

  • For breakfast: cheesecakes with honey, chamomile tea.
  • For lunch: rice soup with potatoes, buckwheat with boiled chicken, a slice of black bread.
  • For the afternoon snack: apple and carrot fruit casserole, a glass of rose hips.
  • For dinner: roasted eggplant, boiled veal, compote.
  • Before bed: a glass of fermented baked milk.

Tuesday

  • For breakfast: scrambled eggs of 3-4 quail, milk sausage, fresh cucumber salad, chicory drink.
  • For lunch: milk soup with pasta, potato pancakes with sour cream, green tea.
  • For afternoon snack: wheat bread toast, jam, a glass of alkaline mineral water.
  • For dinner: steamed cod, stewed mixture of vegetables with carrots and zucchini, bread with bran.
  • Before bed: curdled milk.
milk soup for gout

Milk soup with vermicelli has a low calorie content, but is an excellent source of protein and complex carbohydrates. In addition, this dish contains potassium, iodine, manganese, iron, copper, calcium, vitamins B, C and D.

Wednesday

  • For breakfast: hard-boiled egg, rice porridge with milk, sandwich with white bread and cheese.
  • For lunch: mashed potatoes with boiled turkey, cherry jelly.
  • For afternoon snack: fresh cheese with walnuts and grated prunes, a glass of milk.
  • For dinner: stuffed peppers with sour cream sauce.
  • Before bed: a glass of kefir.

Thursday

  • For breakfast: grated apple and carrot salad, white bread toast with marmalade, weak tea.
  • For lunch: lean borscht with sour cream, beef cutlet with millet porridge, black bread.
  • For afternoon snack: fresh cheese paste made from crushed fresh cheese with the addition of vanilla, butter and sugar. To prepare, you need 200 grams of fresh cheese, 15-20 grams of butter, 2, 5 tablespoons of sugar and a pinch of vanilla. You can add sour cream or fruit to the finished pasta.
  • For dinner: potatoes baked with cheese. Such a pan is made simply - potatoes are cut into thin plates and put salt in a small form. Add salt, vegetable oil and grated cheese. Cover the form with foil and place in the oven for half an hour. Remove the foil 5-10 minutes before you are ready.
  • Before bed: chamomile tea.

Friday

  • For breakfast: sandwiches with doctor's sausage, pear jelly.
  • For lunch: beetroot soup, sour cream if desired, vermicelli with chicken meatballs.
  • For afternoon snack: carrot chops, tea.
  • For dinner: soft-boiled chicken egg, roasted zucchini, orange juice.
  • Before bed: apple.

Saturday

  • For breakfast: buckwheat with diluted milk, cottage cheese with vermicelli, rosehip soup.
  • For lunch: beef stew with boiled potatoes, tea with lemon.
  • For afternoon snack: a glass of carrot juice.
  • For dinner: barley soup and vegetables, cheese sandwiches, compote.
  • Before bed: a decoction of wheat bran.

Sunday

  • For breakfast: potato pancakes with sour cream, a glass of milk.
  • For lunch: roasted lean pork with stewed cabbage, fruit jelly.
  • For afternoon snack: fresh cheese pudding.
  • For dinner: roasted pumpkin with honey.
  • Before bed: cranberry juice.
fresh cheese pudding for gout

Fresh cheese pudding is a delicious, easily digestible food rich in animal proteins.

Reminder: remember that one of the days must be unloading.

This is a sample of a 7-day diet that is recommended for people with gout. However, such a diet will be useful for a healthy person: a fractional meal, a minimum of animal fats and a significant amount of vegetables and fruits have a beneficial effect on the gastrointestinal tract, and also contribute to the normalization of body weight.

Thanks to diet number 6, uric acid is excreted from the body in time and thus prevents inflammation in the joints. The use of foods with low purine content or without them significantly increases the effectiveness of drug therapy.

As the reaction of urine passes to the alkaline side, the breakdown of kidney stones (stones) is accelerated and facilitated, and they leave the body painlessly. Proper nutrition significantly reduces or eliminates pain and allows to achieve stable remission. Be healthy!