Some vegetables are slightly high in purine and should not be eaten by gout patients? The doctor refuted the rumor and explained it to you in detail

01

Some netizens asked: "What kind of vegetables can't gout patients eat?"

Literally, there are two explanations for this question, one is what vegetables gout patients cannot eat, and the other is what “vegetables” gout patients cannot eat, and this dish represents all the vegetables that may appear on the dining table. Dishes, today we will briefly talk about this issue.

If we want to talk about what vegetables or vegetables cannot be eaten by gout patients, we must first have a basic understanding of gout, know what easily induces gout, and what is the pathological basis of gout?

02

gout

In fact, all of us may have heard of this disease many times, because there are really too many people suffering from gout around us. According to data, the number of people with hyperuricemia in our country is as high as 120 million, and gout patients are There are 17 million people, and this data is still in the past, and today, these data may be even larger.

So what exactly is gout? In fact, the pathological basis of gout is hyperuricemia, which means that there is a substance in our body called blood uric acid.

So how did this blood uric acid come from? It mainly has two ways. One is to generate blood uric acid through the metabolism of purines in our food. 20% of the source of blood uric acid in our body is also called exogenous blood uric acid. The other 80% is produced by our body's own metabolism, such as after cell apoptosis, this blood uric acid is called endogenous blood uric acid. In the past, we all thought that blood uric acid was a complete waste and did not have much benefit to our body, but now research has proved that an appropriate blood uric acid concentration has a certain effect on controlling inflammation and anti-oxidation, and can also It acts as a defense against neurological and autoimmune diseases, and it is now known that low blood uric acid levels are associated with certain neurological diseases, such as Parkinson's and Alzheimer's.

So how much is the normal blood uric acid concentration in our blood more appropriate? The answer is 420 μg/ml.

So what happens if this concentration is exceeded? If the blood uric acid concentration in our body exceeds the upper limit of this normal value, the excessive blood uric acid may form urate crystals because it is in a supersaturated state. This urate crystal is the culprit that induces gout. When a small amount of uric acid is deposited, the patient will not have special symptoms. These uric acid deposits are like silent killers, secretly lurking in our bodies. There are multiple parts, but if the amount increases, it is very likely that under some incentives, such as a meal of overeating, a trauma, and a cold to induce gout attacks, and once a gout attack occurs, there will be a lot of pain in the future. There is a high chance of recurring attacks.

Therefore, gout is a crystalline inflammatory reaction. When an attack occurs, you can imagine that there are countless tiny urate crystals at the attack site, which are constantly stimulating the attack site like needles, and there must be inflammation. In response, the patient will experience unbearable pain, local rapid redness, swelling, and heat.

03

Why is blood uric acid abnormal?

So after everyone understands the disease of gout, they will definitely ask why there is so much blood uric acid? Can't our normal body excrete excess blood uric acid?

If you have such an idea, it means you are very smart! This is indeed the case. Our blood uric acid is normally in a state of balance. It is formed and excreted. This excretion is mainly through two ways, one is excretion through urine (70%), and the other is excretion through the intestinal tract, However, if the function of excretion is hindered, the production of uric acid is too much, or the combination of the two will lead to an increase in uric acid.

There are many reasons for the abnormality of uric acid, such as problems with the kidney itself, dysfunction of excretory function, or eating too much high-purine diet, long-term overeating, excessive drinking and drinking a lot of fructose-rich foods Many factors, such as drinks and strenuous exercise, may cause abnormal blood uric acid. Many studies have shown that genetic factors also play a very important role, accounting for about 20% of abnormal blood uric acid factors. At present, there are dozens of genetic factors known to easily lead to abnormal uric acid, some of which can cause obstacles to the excretion of uric acid through the urine, and some can cause obstacles to the excretion of uric acid through the intestinal tract.

It can be said that the onset of gout is ultimately caused by the interaction of genetic factors and acquired factors.

And these acquired factors, dietary factors are usually the most common incentives, so as a gout patient, how should you better control your blood uric acid and try not to make your gout recur?

04

How to control the diet of gout patients?

I wrote a lot earlier, in fact, to let everyone better understand the problem of gout and high uric acid. Next, we can talk in detail about what ingredients can gout patients eat?

Under normal circumstances, we define the ingredients of gout patients as three ingredients with low, medium and high purine content. Foods with a purine content of less than 50 mg per 100 grams are low purine food ingredients, those with a purine content higher than 150 mg are high purine content ingredients, and those between 50 mg and 150 mg are medium purine content. content of food.

For gout patients, it is recommended to consume as much food with low purine content as possible, appropriate food with purine content, and try or not recommend eating food with high purine content.

For example, in the table provided by Dr. Xie below, the green ones are ingredients with low purine content, which can be eaten by gout patients, while the black ones are ingredients with medium purine content. mg, and the frequency of intake should not be more than twice a week, and red foods with high purine content should be avoided as much as possible. In addition, everyone should also pay attention to the fact that our bodies are very easy to absorb the purines contained in meat ingredients, which can easily lead to the increase of uric acid. Therefore, even some meat ingredients with purine content, if they are internal organs, then Try not to ingest it.

In addition, there is another kind of food that is very easy to induce gout attacks, and that is seafood. In particular, certain shellfish ingredients, as well as ingredients such as dried small fish, sardines, and saury, should be avoided by gout patients.

Like the above, everyone may know it at ordinary times, but everyone is very puzzled, what about vegetables? For tofu, asparagus, spinach and other ingredients, can gout patients eat them?

In fact, there are many scholars of this kind of doubt, so scholars from many countries have conducted a lot of research, especially in countries that consume more vegetables, such as China, Japan, and South Korea. A lot of research has been done on the induction of gout attacks, and the current research results show that the appropriate intake of plant foods, especially some plant foods with a slightly higher purine content, does not lead to an increased risk of gout attacks. Moreover, the protein in plant-based ingredients will not induce the attack of gout, and it is a very good supplement to the nutrition of gout patients. In addition, plant-based ingredients are rich in dietary fiber. These dietary fibers can also help patients excrete some uric acid through the intestines. Although the amount is not large, it is better than nothing! Interested friends can refer to some related literature.

Here's the answer to what vegetables can gout sufferers eat: that's all! It’s just that some plant-based ingredients, such as spinach, contain a lot of oxalic acid. We all know now that it is best to blanch the spinach before eating it to remove most of the oxalic acid in the spinach. Use it with confidence.

Seeing this, there must be many friends who will say, why do some patients have gout attacks after eating tofu? In fact, it is not known whether tofu actually induces gout attacks, because there are many factors that induce gout attacks, and many people do not control uric acid very well. Usually, uric acid is as high as 500~600, so it is possible to eat anything. Induce a gout attack! In addition, the cooking method of plant-based ingredients is also very particular. If you eat tofu with a deep-fried cooking method, use a lot of sauces or seasonings, or even cook a pot of tofu seafood soup with shellfish, then Eating tofu can also induce gout attacks. In addition, nothing is absolute. We cannot rule out that some people have a special constitution, that is, they cannot eat tofu. It's safe.

We need to know that if many gout patients strictly control their diet, they cannot consume too much meat, because the purine in meat is very easy to be absorbed by the body, while the purine in plant food is not easily absorbed by the body. Absorption, and the protein and other nutrients contained in plant-based ingredients can be a good supplement. If gout patients can’t eat more meat and vegetables can’t eat normally, how can gout patients live?

So when it comes to the issue of tofu, we can just talk about what kind of dishes are suitable for gout patients. Usually, we recommend that gout patients choose to cook with a light diet, low salt, and as little as possible. The use of deep-frying cooking methods can lead to an abnormally high purine content in the ingredients. For example, a piece of ordinary chicken has a medium purine content, which is suitable for gout patients to properly ingest, but once it is made into fried chicken, purine Will be as high as more than 500, then it is definitely not suitable for gout patients to ingest. When choosing to cook, try not to put too many sauces. This is a point that is easily overlooked. Some friends have a heavy mouth in their diet and like to eat a lot of various sauces. The purine content in these sauces Not low, some sauces even contain high purine content.

05

What other precautions should gout patients have?

It is recommended that gout patients, if gout recurs within a year, should use drugs to control uric acid scientifically and rationally with the help of a professional rheumatologist and immunologist. After all, the effect of controlling uric acid through diet is not particularly high. Diet control can reduce blood uric acid by about 60. If the blood uric acid of a gout patient is 560, then through strict dietary control, the uric acid can only be controlled to around 500, which is still higher than 420. We require that the uric acid of gout patients meets the standard. The value is 360. If the patients with tophi should be controlled below 300, then strict dietary control may play a role, only a drop in the bucket, and can not really help gout patients solve their problems and really reduce the recurrence rate of gout, so The drug is still needed.

In addition, gout patients must not drink alcohol in their diet, do not drink a lot of drinks containing more fructose, drink more water, and exercise scientifically and reasonably, jogging, brisk walking, swimming, yoga and cycling are all very good exercises, and some Flexibility training is also of great significance for maintaining the range of motion of joints in patients with gout.

Nowadays, household equipment is also developing rapidly. You can purchase a self-monitoring instrument for blood uric acid to monitor your blood uric acid at any time. It is the same as the instrument for measuring blood sugar. You can determine your blood uric acid concentration by taking a little blood. Although the value may not necessarily be particularly accurate, the fluctuation of blood uric acid can be known if measured continuously. This is also very important for the control of blood uric acid. And friends can go to the hospital to compare the blood uric acid test with their own home instrument test to see what the error is. After a few more tests, we know the correct value of our blood uric acid.

06

Summarize

For gout patients, plant-based ingredients are safe, and proper intake does not increase the risk of gout attacks, and the protein, dietary fiber, various minerals and calcium in plant-based ingredients are all beneficial to the body of gout patients. It is a very good supplement. If the gout patient controls the diet excessively, it may cause malnutrition, and it will not have any benefit for the control of blood uric acid. When cooking plant-based ingredients, try to pay attention to the cooking method, do not fry, and use low-salt. Some vegetable vegetables should be blanched in water before cooking, which is relatively safer.

For some meat or seafood ingredients, proper intake is ok, but you must choose ingredients with purine content. In addition, you should pay attention to the cooking method during cooking. At the same time, the intake should not be too much. The frequency of intake should not be too much. It is generally recommended to consume 1 to 2 times a week, and the amount of each intake should not exceed 100 grams. Sometimes we should not be too absolute in the control of uric acid, otherwise it will be bad to cause malnutrition.

Everyone should know that although diet is a common factor leading to gout attacks, it is not the decisive factor. After all, the blood uric acid concentration that can be affected by diet is only about 20% of the blood uric acid in our body. Diet and living habits, a combination of factors can better help patients control uric acid to normal.

I am Xie Xinhui who insists on explaining the knowledge of complex diseases in simple language. It is not easy to code words. If you agree with my point of view, please help to follow or like it. If you or your family and friends also have trouble with uric acid, Please forward this article to those who need it, thank you!