10/17/2017

Gout Diet: Foods To Avoid - What Should you Scratch From Your Grocery List?

Gout Diet: Foods To Avoid - What Should you Scratch From Your Grocery List?

Diets which are high in purines as well as full of protein have long been thought of causing a heightened risk of gout (a type of arthritis caused by high levels of uric acid in the body which form crystals in the joints, resulting in pain and inflammation). Results from a study led by Dr. Hyon K. Choi, reported in the March 11, 2004 issue of The new England Journal of Medicine, offer an interesting twist.

About the Study

Choi's research team followed 47,150 men with no prior history of gout over a 12-year period. The conclusion: during the 12 year period of assessment, 730 men were diagnosed with gout.

  • Study participants who consumed the highest amount of meat were 40 percent more likely to have gout than those who ate the least amount of meat.
  • Study participants who ate the most seafood were 50 percent more likely to have gout.
  • This specific study, though, not all purine-rich foods have been associated with an increased risk of gout.
  • There was no increased risk associated with a diet which included: peas beans mushrooms cauliflower spinach

Even Though These Foods are Considered High in Purines

Choi's staff also found that low-fat dairy products decrease the risk of gout and overall protein intake had no effect. Ultimately, diets shown to be connected to gout are the same kinds of diet related to cardiovascular disease.

Recommendations for Seafood Should be Individualized

At this point, it may seem like it receives confusing. Isn't seafood typically recommended as part of a diet which is healthy for the heart? Yet research has revealed that there is a strong, undeniable link between seafood and gout. How does Choi reconcile what seems like conflicting information? He believes "recommendations for seafood should be personalized."

Sorting Out the Myths

More importantly, how does an individual begin to sort the myths from the facts and decide what to buy in the grocery store? According to the School of Washington, Department of Orthopedics:

Obesity can be associated with high uric acid levels in the blood. Those people who are obese should consult with their doctor in order to decide on a reasonable weight-loss program. Fasting or severe dieting can actually raise uric acid levels and cause gout to worsen. Usually people can eat what they like within limits. People who have kidney stones as a result of uric acid may need to actually eliminate purine-rich foods from their diet because those foods can raise their uric acid level. Consuming coffee and tea is not a problem but alcohol can raise uric acid levels and trigger an occurrence of gout. Consuming at least 10-12 eight-ounce glasses of non-alcoholic fluids each day is recommended, especially for people with kidney stones, to help flush the uric acid crystals from your physique. Foods Higher Inside Purines.

Johns Hopkins Lists Meals Which are Increased in Purines

Foods very high in purines include: hearts herring mussels yeast smelt sardines sweetbreads.

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Foods moderately high in purines include: anchovies grouse mutton veal bacon lean meats salmon turkey kidneys partridge trout goose haddock pheasant scallopsGout Medications

Experts at Mayo Clinic suggest that medications for gout have reduced the need for dietary restrictions, but some change could reduce the severity or frequency of gout attacks. Dietary modification may also be liked by people who cannot endure gout medications.

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Chris Randon is an expert in nutrition specialized in human health, and is based in Los Angeles, Carlifornia.

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