The basic principle of diet control for hyperuricemia is to not drink alcohol, not eat animal organs (such as liver, kidney, brain, heart, etc.) and meat soup, and eat less seafood. And strictly abide by the following taboos:
1 Maintain a standard weight: If you are overweight, you should lose weight slowly. It is not advisable to lose weight quickly or fast, so as to avoid the production of uric acid due to a large number of cells disintegrating. As a result of gout attacks, weight loss should be less than 1kg per month.
The calories of the resting person are calculated per kilogram of body weight (104.6~125.5k) (25~ 30kcal) for manual workers, and 125.5~167.4kJ (30~40kcal) for manual workers. Obese or overweight people should limit total calories and adopt a low-calorie diet, that is, 41.8~83.7k1 (10~20keal) per kilogram of body weight per day. Generally, it is advisable to reduce the staple food by 50g per day for obese people.
2 Limit the intake of purine:Purine intake should be less than 150mg per day during acute attack. During the remission period, it can be appropriately relaxed, and the daily intake of 300~500mg, but the intake of purine should be less than 15 two days a week0mg.
3 Properly limit protein intake Entry: According to the standard body weight, 0.8~1.0g/kg per day, about 40~65g/d, mainly plant protein, animal protein can be milk, eggs (eggs and milk do not contain nuclear protein), fish, poultry Use animal meat as little as possibleIf you want to use it, you need to pass water and discard the soup slag, so that about 50% of the purine can be dissolved in the soup to reduce the intake of purine. 4 Choose alkaline foods: Milk, vegetables, and fruits are alkaline foods, which can alkalize the blood, increase the dissolution of uric acid, and the excretion of diuric acid (rice, noodles, fish, meat, eggs) For acidic food).
5 Avoid tobacco and alcohol: The lactic acid in the body increases after drinking, and lactic acid and uric acid are excreted competitively, which reduces the excretion of uric acid.6 Avoid Eating yeast-fermented foods: Yeast is rich in nucleic acids, so avoid eating yeast-fermented bread and beer.7 Avoid yogurt: Yogurt can produce lactic acid in the body and reduce uric acid excretion.
8 Avoid fructose: Fructose can increase the production of uric acid, honey contains higher fructose, so it is not suitable for consumption.9 Prohibit strong spices and condiments: Pepper, Spicy condiments such as pepper and mustard can excite autonomic nerves and increase the production of uric acid.
Attachment: Purine content of common foods (100g food)
(1 ) Foods with little or no purine content: White rice noodles, rich flour, corn, macaroni, soda crackers, cabbage, lotus, celery, cucumber, eggplant, tomato, lotus, potatoes, cream, artificial Cream, cookies, coffee, eggs, tea, fruits, nuts, Sugar and candy, various beverages, various fats (foods that can be eaten every day)
(2) Foods with less purine content (less than 75mg):Asparagus, Cauliflower, kidney beans, green beans, spinach, mushrooms, oatmeal, lobster, crab, bread, etc. (foods that can be eaten in limited amounts during acute attacks).
(3) Which foods with higher content (75-150mg): Lentils, carp, cod, fish, shellfish, water-smoked ham, pork and other poultry meats (relief Food that can be eaten in limited quantities).
(4) Foods with very high purine content (150~1000mg): liver, kidney, pancreas, brain, heart, gravy, sardines, fish, oysters, yeast, Dried beans, fish eggs, etc. (absolutely restricted food).
The dietary conditioning plan should be individualized and immediate Pay attention to the changes in the blood uric acid of patients, and adjust the diet plan in time for different patients and different conditions in order to effectively control the condition and delay the progression of kidney injury.
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