When diagnosing gout, in addition to medication, doctors first recommend a change in diet. Diet for gout is an integral part of the complex treatment of the disease. Its use speeds up recovery as much as possible, quickly relieves pain symptoms, reduces the severity of attacks and prolongs remission periods.
Principles and benefits of nutrition
The main goal of diet therapy is to organize such a diet that will help fight the pathology and prevent relapse. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease in the amount of uric acid;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increase in alkalinity of urine;
- weight loss in overweight;
- general health of the patient.
A hypopurine diet is developed on the basis of therapeutic principles and the rules of diet plans, including the prohibition of foods high in purine compounds, salts and oxalic acids. It is also required to reduce the amount of fat, carbohydrate and protein compounds consumed.
Therapeutic nutrition and diet for gout provides for an increase in the proportion of vegetables, fruits, natural drinks, kefir and cottage cheese in the diet. The most effective is a 4-5 single regimen of proper nutrition with an average calorie content in the range of 2500–2800 units.
Important!
The drinking regime should ensure the flow of liquid into the body in an amount of 2. 5 liters or more.
How to arrange meals
To maximize the effectiveness of the diet against gout, you must adhere to several recommendations:
- the main type of cooking is boiling, baking, steaming;
- drain the meat broth after boiling for 10 minutes;
- alternating meat, fish and vegetarian dishes;
- use only natural liquids;
- spend days of fasting;
- Avoid fasting.
Important!
With chronic diseases, it is necessary to contact a specialist for the development of an individual nutritional system.
The main types of diets
The organization of proper therapeutic nutrition will not completely eliminate gout, but will significantly alleviate the manifestation of the pathology and prevent its recurrence. The type of prescribed diet largely depends on the general condition of the patient, his weight, the presence of additional diseases and even gender.
The main type of medical nutrition for gout is a diet - table number 6. In addition, patients with gout, especially those who suffer from shortness of breath and obesity, often use diet table number 8, alkaline, rice and buckwheat diets. Kefir, cottage cheese, fruit or vegetable diets are good for fasting days.
Diet table number 6
It is primarily prescribed to patients with gout. It allows in a short time to normalize the exchange of purine compounds and eliminate the causes of crystallization and accumulation of uric acid salts.
Compliance with dietary requirements reduces the activity of uric acid reactions in the body. As a result, the patient's well-being quickly improves, the growth of the inflammatory process stops, swelling decreases, the feeling of pain and stiffness in the joints disappears.
Diet for high uric acid
It is based on the refusal or reduction of the menu of products with a high index of purines, refractory fats and salt.
It is proposed to replace them with products that have an alkalizing effect: dairy products, sour milk, cottage cheese, fruits and vegetables. The diet includes one fasting day per week.
Diet to aggravate gout
First of all, during an exacerbation, it is necessary to increase the amount of liquid you drink to 3 liters. Then completely exclude dishes with meat and fish. The lack of animal protein can be compensated for by increasing the proportion of milk and sour-milk products in the diet.
Before the end of the acute period of the disease, it is necessary to arrange fasting days with one type of food (cottage cheese, kefir, boiled vegetables, fruits) every other day.
Important!
Fasting causes a profuse release of uric acid and is strictly forbidden in gout.
Diet table number 8
Table number 8 strictly regulates the diet for gouty legs in patients with severe obesity. This diet aims to increase metabolism and get rid of excess fat in the body.
The main difference from the general requirements of a therapeutic diet for gout in this case is a moderate reduction in calorie content and intake of drinking liquid, averaging up to 1. 5 liters per day.
On a note!
In men with gout, the diet provides for maintaining the calorie content of food at a level not lower than 2100-2500 units. With gout for women, diet number 8 limits the menu in the range of 1400-1700 kcal.
buckwheat diet
The low calorie content of buckwheat allows it to be used in therapeutic dietary nutrition. Its consumption restores disturbed metabolic processes, quickly gives a feeling of satiety and allows you to forget about hunger for a long time. Buckwheat is a leader in the presence of vitamins and all kinds of trace elements.
Vegetable cereal protein is better absorbed and can completely replace animal protein. In the phase of restoring bone and muscle tissue, the product helps in regeneration processes. Buckwheat porridge in combination with kefir is ideal for fasting days with gout.
On a note!
With diet food, buckwheat is more often prepared without salt. The buckwheat diet allows you to quickly lose weight, which has a beneficial effect on joints that are prone to the destructive effects of gout.
rice diet
The rice-based diet is most commonly used to cleanse the body and lose weight. Rice with gout speeds up metabolism, removes excess water and salt, relieves swelling well. Manganese, selenium, phosphorus, iron, zinc, which are components of rice, have a beneficial effect on all life support systems of the body.
The porous structure of grain draws out accumulated harmful toxins, salts and waste products from diseased joints. The rice diet can also be used on fasting days, especially during aggravation of gout.
Important!
Only brown or white long-grain steamed rice is used for nutrition. When treating gout with food, these cereals can be used daily.
alkaline diet
Increased acidification of the body has a negative effect on metabolic processes. This is accompanied by calcium deficiency and the destruction of bone tissue. The use of an alkaline diet helps to prevent health-endangering processes. The basis of the diet is fruit, sour milk and dairy products. This diet can be used both during the period of exacerbation of gout and in the stage of remission.
Prohibited and permitted products
In order to properly rebuild the nutritional system, you need to know which foods help and help in the fight against gout, and which have harmful effects and cause exacerbation of the disease.
In the table of staple foods of the gout diet, all foods can be included according to the quantitative content of purines, salt, fat and other harmful substances. The main feature for dividing the list of products for gout is the content of purine compounds.
| High in purines | Low purine |
|---|---|
|
|
Important!
It is strictly forbidden for gout to consume beverages containing any amount of alcohol.
Which products make sense
By determining the levels of purines and unhealthy fats in foods, you can find out exactly which foods are safe to eat for gout and which ones should be limited.
On a note!
Among the fruits in the group of particularly useful products for gout are pears, bananas and apples. Malic acid, which is part of the fruit, can neutralize the effects of uric acid.
Potassium destroys uric acid crystals, which contributes to its accelerated removal from the body. Ascorbic acid heals, restores and strengthens the connective tissues of the joints. Especially useful is the nutrition of fruits in the composition of fermented milk products.
Great benefits for gout bring regular use of fresh cherries and cherry compotes. Berries contain antioxidants that fight free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
Useful substances contained in strawberries and strawberries neutralize uric acid and prevent its crystals from forming in the joints.
On a note!
You can include these berries and fruits in the diet for gout in unlimited amounts.
What foods can not be eaten
In addition to the products indicated in the summary table, it is necessary to exclude strong meat, fish and mushroom broths from the diet. They are contraindicated due to the high content of purines in them, which can lead to a sharp exacerbation of gout. Undesirable and fish, canned meat, which contain a high percentage of salt. Their use with a purine diet disrupts the water-salt balance and contributes to additional deposition of salts in the tissues of the joints.
The list of prohibited foods for gout also includes tea, coffee and cocoa. These drinks should not be drunk with gout as they retain uric acid in the body and interfere with the withdrawal process. This leads to a relapse of the disease.
Daily menu for the week
A wide list of products allowed for consumption makes it possible to approach the choice of dishes individually and eat properly for each patient with gout. The recommended diet for the week is balanced, complete and consists of foods useful in gout.
| breakfast 1 | Omelette with herbs, rosehip broth, carrot salad |
| breakfast 2 | banana, kefir |
| dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| Afternoon tea | Apple, Cheesecake, Lemon Tea |
| dinner | Zucchini caviar, kissel |
| breakfast 1 | Rice porridge, pear broth, tomato salad |
| breakfast 2 | fruit salad, kissel |
| dinner | Onion soup, barley porridge with wild mushrooms, dried fruit compote |
| Afternoon tea | Pear, pumpkin fritters |
| dinner | Curd Casserole, Linden Tea |
| breakfast 1 | Wheat Porridge, Apricot Juice |
| breakfast 2 | Yoghurt with cherries, rosehip broth |
| dinner | Soup with fish cakes, vegetable stew, apple jelly |
| Afternoon tea | Cheesecake with sour cream, compote |
| dinner | Pilaf with plums, kefir |
| breakfast 1 | Rice casserole, milkshake, coleslaw with apple |
| breakfast 2 | Strawberries with cream, green tea |
| dinner | Beetroot with sour cream, buckwheat, turkey breast with plums, mint tea |
| Afternoon tea | Pancakes with strawberries, carrot juice |
| dinner | Cheese casserole with herbs, pear compote |
| breakfast 1 | Oatmeal with raisins, tomato juice, fruit salad |
| breakfast 2 | Cucumber salad with olive oil, orange juice |
| dinner | Buckwheat soup, zucchini baked with rice, orange juice |
| Afternoon tea | Banana, oatmeal jelly |
| dinner | Steamed fish with vegetables, kefir |
| breakfast 1 | Millet milk porridge, plum juice |
| breakfast 2 | Salad with young carrots and garlic, with an apple |
| dinner | Egg soup, cabbage rolls with vegetables and turkey, apple juice |
| Afternoon tea | Cottage cheese with banana, strawberry tea |
| dinner | rice pudding, tomato juice |
| 1. Breakfast | Poached egg, green tea |
| 2. Breakfast | Pear, green tea with marshmallow |
| dinner | Borscht without meat, macaroni and cheese, fruit compote |
| Afternoon tea | Apples baked with cottage cheese, lemon drink |
| dinner | Vinaigrette, decoction of linden |
Permitted vegetables and fruit may be consumed in unlimited quantities in addition to the main menu. It is better not to use wheat bread for patients with gout, including the big toe.
Important!
Foods with the addition of natural honey for gout can cause allergic reactions.
Diet Recipes
The suggested sample menu for the week includes many diet dishes tailored to your dietary needs. If desired, they can be replaced with others, using a list from the table of allowable foods for gout and recommendations on what you can and cannot eat with gout.
Borscht without meat
1 peel beet, carrot, onion. Simmer onions diced in olive oil and root vegetables grated on a coarse grater with the addition of a tomato or 1 tbsp. l. Tomato. Cut 4 potatoes into cubes, boil in 1. 5 liters of water. For 10 mins. Add fresh cabbage cut into strips until cooked. For 5 mins. - Vegetable stew. Season with salt. When serving, add parsley, dill and a spoonful of sour cream.
Pilaf with plums
Rinse a glass of rice. In a cauldron with vegetable oil add 2 onions cut into strips and 2 carrots cut into cubes. Let everything simmer. Add 10 pieces of washed and chopped plums. We pass everything until the vegetables are soft. Pour rice, mix so that it is completely saturated with oil, pour 2 cups of boiling water. Add spices and salt to a minimum. After boiling, reduce the heat and cook under a tight lid for 20 minutes.
ricepudding
Boil half a cup of rice in 1 liter. water for 10 minutes. Drain the water, rinse the rice. Pour it with a glass of milk and cook for another 25 minutes. until you get a soft pulp. Whisk 2 eggs and steam 50 g raisins. Mix everything with cooled porridge, put salt on the tip of a knife and 1 tsp. Sahara Desert. Bake in a greased pan over medium-high heat until golden brown. Serve with cherry syrup.
strawberry tea
A pinch of dry leaves with strawberries pour a glass of boiling water and soak for 3 minutes. Drink without sugar.
With these recipes for every day, you can improve your well-being and reduce the manifestations of pathology.
Conclusion
Proper nutrition in gout should become the daily norm in the patient's life. This will slow down or even completely stop the development of pathology. This can protect other organs from damage.
Important!
It must be remembered that the diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist must be followed at all stages of treatment.