When diagnosing gout, doctors, along with medications, recommend that the patient first of all change his diet. Diet for gout is an essential component of the complex treatment of the disease. Its use will speed up recovery as much as possible, painWill relieve symptoms quickly, reduce the severity of attacks, and prolong remission.
Diet principles and benefits
The main goal of diet therapy is to organize a diet that will help fight pathology and prevent recurrence. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease in the amount of urine;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increased alkalinity of urine;
- weight loss when overweight;
- General health of the patient.
The hypopurine type of nutrition is being built on the basis of therapeutic principles and regimens of diet plans, which include the restriction of foods containing high rates of purine compounds, salts and oxalic acid. To reduce the consumption of fatty, carbohydrate and protein compounds. It is also needed for
Therapeutic nutrition and diet for gout provides an increase in the proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. 4-5 one-time diet of proper nutrition with an average calorie content in the range of 2500-2800 units is the mostis effective.
important!
The drinking regime should ensure the flow of fluid into the body in an amount of 2. 5 liters or more.
how to arrange food
To maximize the effectiveness of a diet for gout, you need to follow a number of recommendations:
- The main method of cooking is boiling, baking, steaming;
- Remove meat broth after 10 minutes of boiling;
- alternative meat, fish and vegetarian dishes;
- Use only natural liquids;
- spend fasting days;
- Avoid fasting.
important!
In the presence of chronic diseases, it is necessary to contact a specialist for the development of an individualized nutritional system.
Main types of diet
The organization of proper therapeutic nutrition will not completely eliminate gout, but it will significantly reduce the manifestation of pathology and prevent its recurrence. The type of diet prescribed is largely due to the general condition of the patient, his weight, the presence of additional diseases andEven depends on gender.
The main type of therapy for gout is a nutritional diet - Table No. 6. In addition, patients with gout, especially those with shortness of breath and overweight, often use diet table number 8, alkaline, rice and buckwheat diets. Kefir, cottage cheese, fruit or vegetable diet during fasting days. are suitable for.
Diet table number 6
It is prescribed in the first place to patients with gout. This makes it possible to normalize the exchange of purine compounds in a short time and eliminate the causes of crystallization and accumulation of uric acid salts.
Compliance with nutritional requirements reduces the activity of uric acid reactions in the body. As a result, the patient's well-being rapidly improves, the development of the inflammatory process stops, swelling decreases, joint pain and feeling of stiffnessdisappears.
diet for high uric acid
It is based on the refusal or reduction in the menu of products with a high index of purines, refractory fats, salt.
It is proposed to replace them with products with an alkaline effect: dairy, sour-milk, cottage cheese, fruits and vegetables. The diet provides for one fasting day per week.
diet for gout
First, during an exacerbation, it is necessary to increase the amount of fluid you drink to 3 liters. Then completely exclude dishes with meat and fish. Increasing the proportion of dairy and sour-milk products in the dietAnimal protein deficiency can be met.
Before the end of the acute period of the disease, fasting days should be arranged every other day, one type of food (cheese, kefir, boiled vegetables, fruits).
important!
Fasting causes rapid secretion of uric acid and is strictly prohibited in gout.
Diet table number 8
Table number 8 strictly regulates the nutrition of gouty legs in overweight patients. The purpose of this diet is to increase metabolism and get rid of excess body fat.
The main difference from the general requirements of a therapeutic diet for gout in this case is a slight decrease in caloric content and fluid intake, on average, up to 1. 5 liters per day.
On a note!
For men with gout, the diet provides for maintaining the calorie content of food at a level of less than 2100-2500 units. For women with gout, diet number 8 limits the menu from 1400 to 1700 kcal. .
buckwheat diet
The low calorie content of buckwheat allows it to be used in therapeutic dietary nutrition. Its intake restores disturbed metabolic processes, quickly gives a feeling of fullness and allows you to forget about the feeling of hunger for a long time. Buckwheat is a leader in the presence of vitamins and all kinds of trace elements.
Vegetable grain protein is better absorbed and able to completely replace the animal. At the stage of restoration of bone and muscle tissue, the product helps in regeneration processes. Buckwheat porridge in combination with kefir for goutIdeal for fasting days.
On a note!
Buckwheat is more often prepared with dietary food without salt. Buckwheat diet allows you to lose weight quickly, which has a positive effect on joints that are prone to the destructive effects of gout.
rice diet
Rice-based diets are often used as a way to cleanse the body and lose weight. Rice with arthritis speeds up the metabolism, removes excess water and salt, relieves bloating well. Manganese, Selenium, phosphorus, iron, zinc, which are part of rice, have a beneficial effect on all life support systems of the body.
The porous structure of the grain draws out accumulated harmful toxins, salts and slags from diseased joints. Rice diet can be used even on fasting days, especially during exacerbation of gout.
important!
For the diet, only brown or white long-grain boiled rice is used. When treating gout with nutrition, these grains can be used daily.
alkaline diet
Increased acidity in the body negatively affects metabolic processes. This is accompanied by a lack of calcium and the destruction of bone tissue. The use of an alkaline diet will help prevent processes harmful to health. The basis of the diet is fruit, sour. -There are milk and dairy products. This diet can be used during periods of exacerbation of gout and in the phase of remission.
Prohibited and permitted products
In order to properly rebuild the nutritional system, you need to know which foods will benefit and help in the fight against arthritis, and which ones will have a harmful effect and aggravate the disease.
All food products can be listed in the table of dietary staples for gout based on the quantitative content of purines, salt, fat and other harmful substances. The main indication for dividing the list of products for gout is the content of purine compounds. Is.
| high in purines | low purines |
|---|---|
|
|
important!
It is strictly forbidden to take any amount of alcoholic beverages for gout.
what products are useful
By determining the level of purines and unhealthy fats in foods, you can find out which foods can be eaten with gout without harm to health, and which ones should be limited.
On a note!
Fruits in the group of products that are especially useful for gout include pears, bananas and apples. Malic acid, which is part of the fruit, is able to neutralize the action of uric acid.
Potassium destroys uric acid crystals, which contributes to its accelerated removal from the body. Ascorbic acid heals, restores and strengthens connective joint tissues. Fruit nutrition especially in the composition of fermented milk productsuseful from.
Great benefits for gout will be regular use of fresh cherries and cherry compote. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins inhibit the inflammatory process in arthritis.
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 unlimited quantities in the diet for gout.
which foods cannot be eaten
Summary In addition to the products indicated in the table, strong meat, fish and mushroom broths should be excluded from the diet. They are contraindicated due to the high content of purines in them, which can lead to an exacerbation of gout. Unwashed and fish, canned meat, In which contains a large percentage of salt. Their use with a purine diet disrupts the water-salt balance and contributes to the 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, inhibiting the process of its withdrawal. The disease starts again.
daily menu for the week
A wide list of products allowed for consumption makes it possible to personally approach the choice of dishes and eat right for any patient with gout. The recommended diet for the week is balanced, complete and composed of foods useful for gout.
| breakfast 1 | Omelet 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, Kiss |
| breakfast 1 | Rice Porridge, Pear Broth, Tomato Salad |
| breakfast 2 | Fruit Salad, Kisses |
| dinner | Onion soup with forest mushrooms, barley porridge, dried fruit compote |
| afternoon tea | Pear, Pumpkin Fritters |
| dinner | Yogurt Soufflé, Linden Tea |
| breakfast 1 | Wheat Porridge, Apricot Juice |
| breakfast 2 | Yogurt with cherries, rosehip broth |
| dinner | Fish meatballs, vegetable stew, soup with apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| dinner | Pilaf with plums, kefir |
| breakfast 1 | Rice Casserole, Milkshake, Coleslaw with Apples |
| breakfast 2 | Strawberry with cream, green tea |
| dinner | Beetroot, buckwheat, turkey breast with plums, mint tea with sour cream |
| afternoon tea | Pancakes with Strawberry, 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, plus an apple |
| dinner | Egg soup, Cabbage rolls and turkey meat with vegetables, Apple juice |
| afternoon tea | Cottage cheese with banana, strawberry tea |
| dinner | Rice Pudding, Tomato Juice |
| first breakfast | poached egg, green tea |
| second breakfast | Pears, Green Tea with Marshmallow |
| dinner | Borscht without meat, macaroni and cheese, fruit mix |
| afternoon tea | Baked Apples with Cheese, Lemon Drink |
| dinner | Vinaigrette, decoction of linden |
In addition to the main menu, allowed vegetables and fruits can be consumed in unlimited quantities. It is better not to use wheat bread for patients with arthritis, including the big toe.
important!
The addition of natural honey to gout can cause an allergic reaction to food.
diet recipes
The proposed sample menu for the week includes a number of dietary dishes that you need to eat. If desired, use the list from the table of allowed foods for gout and what you can and can't eat with gout, Can be replaced with others using its recommendations.
borscht without meat
Peel 1 beet, carrot, onion. On a coarse grater with a tomato or 1 tbsp. On a grated grated onion and root vegetables boil in olive oil. Altomato. 4 potatoes cut into cubes, boil in 1. 5 liters of waterFor 10 minutes. Add fresh cabbage, cut into strips, until cooked. For 5 minutes. - Vegetable marmalade. Decorate with salt to taste. Add parsley, dill and a spoonful of sour cream when serving.
Pilaf with Prunes
Wash a glass of rice. In a skillet with vegetable oil, put 2 onions into strips and 2 carrots into cubes. Boil everything a little. 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 for 20 minutes under a tight lid.
Kheer
Boil half a cup of rice in 1 liter of water for 10 minutes. Drain the water, wash the rice. Pour it with a glass of milk and cook for another 25 minutes. Until you get soft porridge. 2Beat eggs and steam 50 grams of raisins. Mix everything with chilled oatmeal, add salt and 1 tsp on the tip of a knife. Sahara. Bake in a greased skillet in an oven over medium heat until golden brown. Cherry syrupServe with
Strawberry Tea
Strawberries with a pinch of dry leaves pour a glass of boiling water, 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 for gout should become a daily norm in the patient's life. This will slow down or completely stop the development of pathology. As a result, it will be possible to avoid damage to other organs.
important!
It should be remembered that the diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist should be followed at all stages of treatment.