How does cheese affect gout symptoms. What types of dairy products are beneficial for gout sufferers. Which foods should be avoided to prevent gout flare-ups. How can dietary choices impact uric acid levels in the body.

The Surprising Relationship Between Cheese and Gout

Contrary to popular belief, cheese and gout are not always at odds. In fact, certain dairy products, including cheese, may play a beneficial role in managing gout symptoms and preventing flare-ups. The key lies in understanding which types of cheese and dairy products to incorporate into your diet and which to avoid.

The Uricosuric Effect of Dairy

Dairy products contain a substance called orotic acid, which has been shown to increase the excretion of uric acid from the body, particularly through the kidneys. Additionally, milk proteins such as casein and lactalnumin have a uricosuric effect, which means they can help protect against the development of gout.

What is a uricosuric effect? It’s a process that decreases plasma uric acid levels, helping to dissolve existing crystals and prevent the formation of new uric acid crystals around the joints. This effect is similar to that of uricosuric medications commonly used to combat gout.

Choosing the Right Cheese for Gout Management

When it comes to cheese and gout, quality matters. Here are some guidelines for selecting cheese that may benefit your gout management:

• Opt for low-fat cheeses
• Choose high-quality, non-processed varieties
• Avoid cheeses high in fat and added sugars
• Consume cheese in moderation as part of a balanced diet

By following these guidelines, you can potentially lower your uric acid levels and reduce the risk of gout flare-ups while still enjoying cheese as part of your diet.

Dairy Products: A Potential Ally in Gout Prevention

Beyond cheese, other dairy products may also play a role in gout prevention and management. Low-fat milk, yogurt, and cream can be incorporated into a gout-friendly diet to help decrease uric acid levels and lower the risk of gout attacks.

The Science Behind Dairy’s Gout-Fighting Properties

Research has shown that the proteins and compounds found in dairy products can have a positive impact on gout symptoms. Here’s how:

1. Orotic acid in milk increases uric acid excretion
2. Casein and lactalnumin proteins have a uricosuric effect
3. Low-fat dairy products may help reduce inflammation
4. Calcium and vitamin D in dairy support overall joint health

By incorporating these dairy products into your diet, you may be able to better manage your gout symptoms and reduce the frequency of flare-ups.

Foods to Avoid: Identifying Gout Triggers in Your Diet

While certain cheeses and dairy products can be beneficial for gout sufferers, there are other foods that should be limited or avoided to prevent flare-ups. Understanding these triggers is crucial for effective gout management.

High-Purine Foods: The Primary Culprits

Purines are compounds found in certain foods that break down into uric acid in the body. High-purine foods are often associated with increased gout risk and symptoms. Some foods to limit or avoid include:

• Red meat (beef, pork)
• Organ meats (liver, kidney)
• Certain seafood (sardines, anchovies, mussels)
• Game meats
• High-fructose corn syrup
• Alcohol, especially beer and spirits

By reducing your intake of these high-purine foods, you may be able to better control your uric acid levels and minimize gout flare-ups.

The Role of Weight Management in Gout Prevention

Maintaining a healthy weight is crucial for managing gout symptoms and preventing flare-ups. Excess weight can contribute to increased uric acid production and make it more difficult for your body to eliminate uric acid efficiently.

Strategies for Healthy Weight Loss with Gout

If you’re looking to lose weight to better manage your gout, consider the following strategies:

1. Focus on a balanced, nutrient-rich diet
2. Incorporate low-impact exercises like swimming or cycling
3. Stay hydrated to help flush out uric acid
4. Consult with a dietitian or nutritionist for personalized advice
5. Avoid crash diets, which can trigger gout attacks

By adopting these healthy habits, you can work towards a weight that supports better gout management and overall joint health.

The Importance of Moderation in Gout Management

While certain foods may be beneficial for gout management, it’s crucial to remember that moderation is key. Overindulgence, even in “safe” foods, can potentially trigger gout flare-ups or contribute to weight gain, which can exacerbate symptoms.

Balancing Your Diet for Optimal Gout Control

To maintain a balanced diet that supports gout management, consider the following tips:

• Practice portion control, even with gout-friendly foods
• Aim for a diverse range of nutrients in your meals
• Include a mix of proteins, complex carbohydrates, and healthy fats
• Stay mindful of your overall calorie intake
• Listen to your body and adjust your diet as needed

By adopting a balanced approach to your diet, you can better manage your gout symptoms while still enjoying a variety of foods.

Natural Remedies and Supplements for Gout Management

In addition to dietary changes, some natural remedies and supplements may help support gout management. While these should not replace medical treatment, they may provide additional benefits when used in conjunction with a healthy diet and lifestyle.

Promising Natural Approaches to Gout Relief

Consider exploring the following natural remedies and supplements for gout management:

• Cherry extract or tart cherry juice
• Vitamin C supplements
• Omega-3 fatty acids
• Turmeric and ginger for their anti-inflammatory properties
• Probiotics to support gut health

Always consult with your healthcare provider before starting any new supplement regimen, as some may interact with medications or have contraindications for certain health conditions.

The Impact of Hydration on Gout Symptoms

Proper hydration plays a crucial role in managing gout symptoms and preventing flare-ups. Adequate fluid intake helps flush uric acid from the body, reducing the risk of crystal formation in the joints.

Optimizing Your Fluid Intake for Gout Management

To ensure you’re staying properly hydrated, consider the following tips:

1. Aim for at least 8-10 glasses of water per day
2. Include hydrating foods like fruits and vegetables in your diet
3. Limit or avoid alcohol and sugary beverages
4. Consider herbal teas as a flavorful hydration option
5. Monitor your urine color as an indicator of hydration status

By prioritizing hydration, you can support your body’s natural ability to eliminate excess uric acid and potentially reduce the frequency and severity of gout attacks.

Understanding the Link Between Stress and Gout Flare-Ups

While diet plays a significant role in gout management, it’s important to recognize the impact of stress on gout symptoms. High levels of stress can potentially trigger gout flare-ups and exacerbate existing symptoms.

Stress-Reduction Techniques for Gout Sufferers

To help manage stress and potentially reduce the risk of gout flare-ups, consider incorporating the following techniques into your daily routine:

• Practice mindfulness meditation or deep breathing exercises
• Engage in regular physical activity, such as gentle yoga or walks in nature
• Prioritize sleep and establish a consistent sleep schedule
• Explore stress-reducing hobbies or activities you enjoy
• Consider talking to a therapist or counselor for additional support

By addressing both your diet and stress levels, you can take a more comprehensive approach to managing your gout symptoms and improving your overall quality of life.

The Importance of Regular Medical Check-Ups for Gout Management

While dietary changes and lifestyle modifications can significantly impact gout management, it’s crucial to maintain regular check-ups with your healthcare provider. These appointments allow for monitoring of your uric acid levels, adjustment of medications if necessary, and early detection of any complications.

Key Components of Gout-Related Medical Check-Ups

During your regular gout check-ups, your healthcare provider may focus on the following aspects:

1. Uric acid level testing
2. Assessment of joint health and function
3. Review of your current diet and lifestyle habits
4. Evaluation of medication efficacy and potential side effects
5. Screening for associated conditions, such as kidney problems or cardiovascular disease

By staying proactive with your medical care, you can work collaboratively with your healthcare team to optimize your gout management strategy and maintain long-term joint health.

Embracing a Holistic Approach to Gout Management

Effective gout management extends beyond simply avoiding certain foods or taking medications. It requires a holistic approach that addresses various aspects of your health and lifestyle. By combining dietary modifications, stress management techniques, regular exercise, and proper medical care, you can significantly improve your ability to manage gout symptoms and prevent flare-ups.

Key Elements of a Comprehensive Gout Management Plan

To create a well-rounded gout management strategy, consider incorporating the following elements:

• A balanced diet rich in low-purine foods and beneficial dairy products
• Regular physical activity tailored to your abilities and joint health
• Stress reduction techniques and mindfulness practices
• Proper hydration and weight management
• Consistent medical check-ups and medication management
• Education about gout triggers and early warning signs of flare-ups

By taking a comprehensive approach to gout management, you can work towards reducing the frequency and severity of gout attacks while improving your overall health and well-being.

The Future of Gout Treatment: Emerging Research and Therapies

As our understanding of gout continues to evolve, researchers are exploring new treatment options and management strategies. Staying informed about these developments can help you make informed decisions about your gout care in consultation with your healthcare provider.

Promising Areas of Gout Research

Some exciting areas of ongoing gout research include:

1. Novel uric acid-lowering medications
2. Targeted anti-inflammatory therapies
3. Personalized nutrition plans based on genetic factors
4. Advanced imaging techniques for early gout detection
5. Gut microbiome interventions for gout management

While many of these research areas are still in early stages, they offer hope for improved gout management strategies in the future. Always consult with your healthcare provider before considering any new treatments or therapies.

Empowering Yourself: Education and Support for Gout Management

Living with gout can be challenging, but educating yourself about the condition and seeking support can make a significant difference in your ability to manage symptoms effectively. By staying informed and connected with others who understand your experiences, you can develop a more proactive and confident approach to gout management.

Resources for Gout Education and Support

Consider exploring the following resources to enhance your gout management journey:

• Join online or in-person support groups for gout sufferers
• Attend educational seminars or webinars about gout management
• Explore reputable health websites and publications for up-to-date information
• Consult with a registered dietitian specializing in gout nutrition
• Consider working with a health coach to develop personalized lifestyle strategies

By taking an active role in your gout education and seeking support when needed, you can develop the knowledge and confidence to effectively manage your condition and improve your quality of life.

Gout and Cheese – Is Cheese Good For Gout? – Uriciplex

In this article we will be discussing gout and cheese. We will look at whether the two go together, or if you should avoid cheese if you are prone to excess uric acid and gout flare ups.

Lowering Gout Risk with Dairy

So on the face of it you wouldn’t have thought that gout and cheese would go together well, this is often due to the historical concept of gout being an illness of over-indulgence and cheese being viewed as a treat for many people. However, the reverse might actually be true, with dairy products such as cheese, milks and yogurts being proven to actually help with gout and prevent flare ups. For many existing gout sufferers it is recommended to include the right type of dairy and cheese as part of your diet, as a way of combating gout and managing your condition. For those worried about flare ups, it can be a contributing dietary factor in reducing the potential risk of gout development.

The prevention of gout using dairy as part of your diet is down to a substance called orotic that can be found in milk. Orotic is known to help increase excretion of uric acid from the body, specifically the kidneys. The proteins casein and lactalnumin in milk are known to have a uricosuric effect, which protects against the development of gout. Uricosuric medication is used to combat gout, so to find this within milk and be able to have it as part of your diet is a much easier way to combat the joint pain. Uricosurics decrease plasma uric acid levels, dissolving crystals and prohibiting the formation of new uric acid crystals around the joints. If you are looking for added support alongside your diet a product such as Uriciplex is ideal as a safe, natural remedy that targets the root causes of gout with no side effects. You can use these together to decrease the chances of developing gout and managing the pain if you are already suffering from it.

The Right Type of Cheese and Dairy

Of course, not all cheeses and dairy are recommended. Some cheese and gout just don’t go together. The trick is to ensure you are eating the best quality, don’t buy and consume processed cheeses and any other dairy that is full of fat and sugars as these could potentially trigger a gout attack. Low-fat cheese and other types of low fat dairy, including milk, yoghurt and cream, can all be eaten when suffering from gout, and could actually help to decrease your uric acid levels, lowering the risk of gout in the process.

Low fat cheese is a really good food that can help as part of your diet when suffering with gout, or as a preventative measure, keeping things low fat, low-sugar and of the highest quality you can find and afford to have as part of your diet. Another important point as with all food and drinks when discussing gout is to always eat in moderation. Gluttony is a big factor in not only gout, but also other health problems if you are not eating a balanced, healthy diet.

Gout and Cheese – Yes Please

For many sufferers down the years, gout and cheese have been a companionship that works well. It has often been seen as a risk free protein and with the uricosuric effects of milk and those products created with milk, due to the orotic acid present in its makeup, you can eat cheese when suffering from gout, or are worried about the formation of uric acid crystals, and it won’t cause you harm. There is a word of warning however. There are certain types of cheese that will have an effect on your gout and possibly trigger it. Anecdotal evidence suggests that processed cheese, and those dairy products full of sugar and high in fat are more likely to trigger a gout attack. Our advice would be to only eat the best quality cheese you can afford and always eat in moderation as part of a healthy, balanced diet.

Foods to Avoid with Gout | What Triggers Gout?

Gout is a type of inflammatory arthritis that can cause pain in the feet and joints. It results from the buildup of uric acid in the joints, which can feel painful if it progresses as reported by MedlinePlus.

Uric acid is a breakdown product of purines, which are compounds that are found in some foods.

Anti-inflammatory and pain medications are common for treating gout, but what you eat can affect symptoms, too. In general, losing extra pounds and avoiding certain high-purine foods may help prevent flare-ups.

Foods to Avoid with Gout

Certain foods can lead to flare-ups of gout due to their high purine content. Other foods can contribute to gout by increasing the risk of weight gain.

The following are some foods that you may want to limit if you have gout or are at risk for it to prevent gout triggers:

1. Red Meat, Poultry and Organ Meat

Red meat, such as beef and pork, and poultry, such as chicken and turkey, are also high in purines. Organ meats include liver, kidneys, tongue, sweetbreads, pâte, and tripe. They are the foods that are highest in purines.

Keeping serving sizes of meat to 3 ounces and having meat only once a day, if at all, can help reduce the amount of purines that you get. You can also substitute plant-based proteins for meat and poultry. Veggie burgers, vegetarian hot dogs, chili with tofu and beans, and peanut butter sandwiches are all lower-purine choices.

2. Alcohol

Alcohol itself is not high in purines, but it can make gout worse. For one thing, beer contains purines. For another, alcohol causes the body to produce more purines and therefore more uric acid. Finally, alcoholic beverages can be high in calories and cause weight gain, which can cause flare ups. It is best to avoid alcohol or limit yourself to 1 (for women) or 2 (for men) drinks a day.

3. Sugar-Sweetened Foods

Sugar does not have many purines, but it may contribute to other conditions that can cause gout or make it worse. People who eat more added sugars tend to have a higher body weight and greater risk for prediabetes and diabetes. 

Sources of added sugars tend to be low in nutrients and high in calories. They can include sugar-sweetened beverages, ice cream, cakes, pies, candy, other desserts, and sugar-sweetened cereal and flavored oatmeal and yogurt. Eating fresh fruit for dessert and snacks, and mixing it into oatmeal, yogurt, and cereal, can help satisfy a sweet tooth without added sugars.

Tips for a Healthy Gout Diet

• Choose plant-based proteins, such as beans, tofu, or lentils, instead of red meat and organ meat.
• Low-fat dairy products, such as yogurt and cheese, are also good protein sources.
• Eating fruit instead of dessert or sugar-sweetened snacks can help reduce sugar consumption and increase vitamin C consumption.
• Most refined grains have whole-grain counterparts, such as whole-grain breads, oatmeal and whole-grain breakfast cereal, whole-grain pasta, and brown rice.
• It is easy to get an extra serving of vegetables by piling them on sandwiches or adding them to soups or stews.
• Caffeine can interfere with sleep, so it is best to avoid consuming caffeinated coffee and other caffeinated beverages within six hours of bedtime.

Foods to Eat When You Have Gout

Certain types of foods can reduce gout symptoms by lowering inflammation, being low in purines, or helping with weight control according to guidelines from the Centers for Disease Control (CDC).  

1. Fruit

Vitamin C is an antioxidant vitamin that helps reduce the risk of gout flare ups. Many fruits are rich in vitamin C, including citrus fruits, kiwi, mango, cantaloupe, and strawberries. Most types of fruit are low in purines as well.

2. Vegetables

Some types of vegetables are high in purines, but they do not appear to cause flare ups. Many other types of vegetables are low in purines. Instead, vegetables can aid in weight control because they are low-calorie. Vegetables that are high in vitamin C include bell peppers, radishes, tomatoes, onions, broccoli, spinach, and cauliflower.

3. Dairy

Dairy products, such as milk, cheese, and yogurt, are low in purines, and they are a good fit for a diet to manage or prevent gout. They are good protein alternatives to meat, and reduced-fat dairy products are lower in saturated fat than full-fat ones.

4. Coffee

Do you depend on a cup of coffee to fully wake you up in the morning? That can be a healthy habit, with a few conditions.

• Total daily caffeine consumption stays under 400 mg, or the amount in a few cups of coffee.
• Your caffeine intake stops at least 6 hours before bed and does not interfere with sleep.
• The coffee does not come with a load of cream, sugar, or sugary syrup.

Coffee is linked to a lower risk for gout as well as prediabetes and type 2 diabetes. And that energy jolt you get? It boost metabolism, and research supports that coffee drinkers have lower risk for obesity.

5. Whole Grains

Like vegetables, whole grains can be high in purines, but, as with vegetables, the benefits of eating whole grains outweigh the possible increase in uric acid.

A study from the NCBI showed that whole grains are linked to lower systemic inflammation, and that can reduce episodes of pain from gout. In addition, people who eat more whole grains compared to refined grains tend to have lower risk for obesity.

Gout and Prediabetes

Prediabetes is a condition with higher-than-normal levels of blood sugar due to insulin resistance. People with gout are more likely to have diabetes, and people with diabetes are more likely to have gout. This may be because people with diabetes tend to have high levels of uric acid, and people with gout tend to have high levels of inflammation that is linked to diabetes.

Prediabetes is a condition that often leads to type 2 diabetes within several years, but making certain lifestyle choices can usually prevent type 2 diabetes. Many of these same choices are good for gout, too.

• Losing weight
• Reducing consumption of red meat
• Limiting consumption of sugar-sweetened beverages and foods
• Including reduced-fat dairy products
• Drinking a moderate amount of coffee

In addition, being overweight and eating a diet high in red meat or sugar-sweetened foods increase risk for prediabetes. Prediabetes usually does not cause symptoms, so recognizing these risk factors may be a clue that it is time to get blood sugar tested. 

Finding out that you have prediabetes as soon as possible gives you a chance to take steps to prevent or delay the onset of type 2 diabetes. If you qualify, Lark Diabetes Prevention Program can help you lose weight gradually and make healthier nutrition choices. These same changes can reduce the severity of gout, too.

Gout diet

How should you change your diet?

You should pay attention to the purine content of your food. A significant reduction in purine-rich foods such as meat, fish and shellfish is extremely important. Additionally, crash diets and fasting should be avoided, as they can cause a significant increase in uric acid levels. Draw up a gout diet plan for yourself. Below you can find a list of foods to avoid and what you should eat instead.

If you have other metabolic disorders, you are advised to consult your physician regarding your diet.

What can you eat and drink?

A gout diet is not a cure but may lower uric acid production and the risk of recurring painful gout attacks, as well as slowing the progression of joint damage.

What kind of foods are allowed?

Foods low in purines

• Yogurt, milk and eggs
• Whole-grain foods
• Oils rich in omega-3 fatty acids, for example rapeseed or linseed oil
• Nuts and legumes may also provide important health benefits without increasing the risk of gout
• Low-fat dairy products, including skimmed or low-fat milk, sherbet, low-fat yogurt and cottage or ricotta cheese
• High-fat dairy products, including whole milk, cream, butter, sour cream, ice cream, cream cheese, and other cheeses
• Patients with gout and a history of urolithiasis should be encouraged to drink >2 l of water daily and avoid dehydration.

What kind of foods should you avoid?

Foods rich in purines

• Meat intake is associated with an increased risk of gout (meats including beef, pork and lamb; processed meats including sausage, salami and bologna; bacon; hot dogs; hamburgers; poultry including chicken and turkey; chicken liver and beef liver)
• Seafood (like fish, shrimp, lobster and scallops)
• Purine-rich vegetables (peas, beans, lentils, spinach, mushrooms, oatmeal and cauliflower)
• Alcohol such as beer (including non alcoholic), spirits and sugary soft drinks

Dietary recommendations

How to reduce the uric acid level by choosing the right food.

Download PDF

Why is fructose connected with gout?

Fructose (fruit sugar) is the only carbohydrate that has been shown to have a direct effect on uric acid metabolism. It also plays a role in the risk of insulin resistance syndrome, which increases the risk of diabetes, and obesity, both of which are closely associated with gout. Consuming fructose may increase uric acid levels, especially in patients with hyperuricaemia or a history of gout.

Patients should consider reducing their consumption of fructose-containing foods as part of their gout diet. Reducing the number of soft drinks for example is a good first step.

Why should you avoid alcohol, especially beer?

Ethanol (alcohol) has an effect on uric acid levels and can therefore lead to gout. Studies have shown that this risk varies according to the type of alcoholic beverage; beer poses a bigger risk than spirits, but moderate wine drinking does not appear to increase the risk of gout.

Purines in beer, such as the highly absorbable guanosine, may have an effect on blood uric acid levels, thereby posing a greater risk for gout than spirits or wine. A daily glass of wine as part of your gout diet may actually have health benefits and does not pose an increased risk of gout.

Is cheese high in purines?

Dairy Foods and Gout

Full-fat dairy products like whole milk and ice cream are often discouraged for people with gout. However, studies have shown that increasing the amount of dairy products you eat, including cheese, yogurt, and ice cream, may reduce your risk of developing gout.

Click to see full answer

Likewise, people ask, what cheese is good for gout?

Low-fat dairy products to add to your diet include: low- or no-fat milk. low- or no-fat yogurt. low- or no-fat cottage cheese.

There are also a number of low- or no-fat versions of popular cheeses available, including:

• cream cheese (Neufchatel)
• mozzarella.
• Parmesan.
• cheddar.
• feta.
• American.

Furthermore, what foods are high in purines? Foods that contain high levels of purines include:

• wild game, such as veal, venison, and duck.
• red meat.
• some seafood, including tuna, sardines, anchovies, herring, mussels, codfish, scallops, trout, and haddock.
• organ meat, such as liver, kidneys, and thymus glands, which are known as sweetbreads.

Subsequently, one may also ask, are eggs high in purines?

Eggs are low in purines but consume them in moderation (Health Promotion Board recommends consuming up to four eggs per week). Essential fatty acids found in cold-water fish such as tuna can reduce gout inflammation.

What foods help lower uric acid?

Uric Acid diet: These foods will help you keep uric acid at normal levels

• Apples. Add apples in your diet.
• Apple cider vinegar. Intake of apple cider vinegar is also beneficial for people suffering with high uric acid.
• French bean juice.
• Water.
• Cherries.
• Berries.
• Fresh vegetable juices.
• Low fat dairy products.

How Dairy Products Like Milk, Cheese and Yogurt Can Help With Your Gout

Gout and Dairy

Researchers have known for years that dairy foods like milk, cheese and yogurt may help increase the excretion of uric acid in the body. There is a substance in milk called orotic that may help uric acid to be removed by the kidneys. In addition, it has also been suggested that dairy products do protect against gout development due to something called the “uricosuric effect” of the milk proteins casein and lactalbumin.

That’s why milk products have been recognized lately by the medical community as an important dietary factor in decreasing the risk of gout development. For existing gout sufferers it is also recommended to consume dairy products to manage this condition.

The Evidence That Dairy Lowers Gout Risk

There is plenty of evidence to prove this. In a 2011 study that examined the evidence on the effects of dairy products on hyperuricemia and gout observing the Health Professionals Follow-Up Study (HPFS) and the Nurses’ Health Study (NHS), the researchers found that in both studies the decreased risk of gout development was primarily linked with low-fat dairy products! On the contrary, high-fat dairy products were not linked with the risk of gout. The data also suggested that dairy products have a protective effect against gout especially low-fat dairy products.

On a follow up study in 2012 the researchers conducted a 3 month study with 120 gout patients who suffered from reoccurring gout flares. The gout patients were separated in 3 different groups. The first group was given lactose powder, the second group was given skim milk powder and the third group was given skim milk powder enriched with glycomacropeptide and G600 milk fat extract.

What was observed was in all three groups there was a decrease in the frequency of gout flares but a significant decrease was noted more in group 3 over all other groups, the group that received the enriched skim milk powder! The third group noticed bigger improvements pain-wise as well and joint stiffness!

Cow’s milk has been found to be an acute urate-lowering effect since it’s low in purines and it may reduce the activity of xanthine oxidase, the enzyme involved in the production of uric acid. Furthermore, cow’s milk has anti-inflammatory properties that may help you during a gout attack.

A 2004 study published in the New England Journal of Medicine also concluded that dairy increases the excretion of uric acid and decreases the development of gout. Foods included milk, cheeses and yogurt. A 1991 study which studied milk and soy consumption also found that uric acid levels decreased as quickly as after 3 hours of consuming milk! Ain’t that something? Unfortunately, for soy milk lovers, it did not have the same effect and soy actually increases uric acid levels but only slightly.

Finally, drinking 4 cups of milk a day may decrease gout risk by up to 40%! Try and drink one glass of milk daily. In a study of about 15,000 Americans who drank a glass of milk daily for a minimum of 6 years had a significant improvement of their uric acid level of about 25 mg/dl lower on average! In the same study, folks who ate all kinds of cheese also experienced lower uric acid levels. Also note yogurts with live cultures in them like probiotics are also good for your gut bacteria where up to 1/3 of uric acid is dissolved. Whatever the case, rest assured that dairy products should be part of a gout diet.

Posted by Spiro Koulouris

Six Foods To Avoid With Gout and the joint pain associated with gout

Inflammation of the joints can be painful no matter what type of arthritis you have. When it starts limiting your life and keeping you from doing the activities you love, that’s when something has to be done. Along with the proper treatment, medication plan, and natural daily joint supplements, you’ll want to closely monitor your diet if you suffer from gout. Gout is a build up of needle-sharp uric acid crystals. If gout affects your life, the foods you do and don’t eat will have a significant impact on your flare-ups and joint pain. To make sure you stay informed about which foods you should avoid with gout we’ve complied a list for you.

1. Purines

Purines are colorless crystallized compounds that are metabolized into uric acid. Therefore, you should try to avoid foods high in purines to decrease the buildup of uric acid. Some examples or foods high in purines include: kidney, liver, sweetbread, turkey, fish eggs and caviar, sardines, anchovies, gravy, and goose just to name a few.

2. Asparagus

We don’t recommend that you avoid vegetables all together, but some have higher purine content than others. Mushrooms, spinach, cauliflower, and asparagus are all high in purines. Eat these foods sparingly and fill your diet with other healthy veggies.

3. High fructose fruit

Fructose is what gives fruits their natural sweetness. Research has shown a correlation between gout symptoms and food high in fructose. These fruits include: pears, plums, grapes, peaches, prunes, and dates. We recommend limiting these fruits to one or two cups a day.

4. Alcohol

Studies say that acute attacks of gout are often triggered by overindulgence in alcohol. Beer increases your uric acid levels and makes it harder for your body to clear uric acid from its system. Some research says drinking wine in moderation is better, but most doctors say during a flare-up you should abstain from alcohol completely.

5. Red meat

Red meat is in the high purine category and should be avoided if possible. These meats include: beef, pork, and lamb. As an alternative we suggest trying white-meat poultry or tofu.

6. Dairy products high in fat

Full-fat dairy products like heavy cream and whole milk are discouraged for people with gout. However, some studies suggest incorporating dairy products like cheese and yogurt that are low in fat, into your diet may actually reduce your risk of gout. The best option then, is to choose dairy products that are low in fat. Fortunately, there are many low fat ice creams and other products on the market.

Gout may make your life uncomfortable, but it doesn’t have to become unmanageable. By monitoring your diet and making good food choices you can try your best to avoid flare-ups and joint pain. As a complement to a healthy diet, all natural joint supplements can help with pain relief and inflammation you may experience from gout. If you are unsure which type of joint supplement is for you, we can help. Download our free eBook How To Choose The Right Joint Supplement by clicking below.

Flexcin International has been helping people with joint pain since 2000 by making high quality joint supplements based on the ingredient Cetyl Myristoleate (CM8), which holds multiple patents for the treatment of arthritis.You can find more info about Flexcin here, or see our products here.

Cheese and Gout – Beneficial For Your Body

Cheese is a popular food that is used as a topping in most meals. You will see cheese included as a key ingredient in meals that relate to sandwiches, pizzas, soups, and various lasagna and spaghetti dishes.

One question that is frequently asked by those who suffer from gout would be whether or not it is safe to consume cheese.

You will be quick to discover that while not all cheeses are good for your health, cheese and gout actually have good connections.

Cheese and Gout – Is It A Healthy Food?

According to the International Dairy Foods Association 10.6 billion pounds of cheese were produced in the United States in 2011.

Combating gout and managing your condition depends on what types of cheeses you are consuming and how you are consuming them.

Cheese is a good source for calcium and protein, and also contains Vitamins A and B12, riboflavin, zinc and phosphorus.

Cheese also contains an abundance of Vitamin D, which would be 0.632 milligrams and 4% daily value.

There are legitimate links between Vitamin D and gout, and by consuming this vitamin you give your body the chance to develop strong bones and muscles.

Vitamin D consumption also gives your joints a necessary cushion to prevent more gout attacks from happening.

In cheese you can find 1.72 milligrams of Vitamin B5, which is a water-soluble nutrient that helps support adrenal function and a healthy nervous system.

Consuming foods that have Vitamin B5 are beneficial for your body because this vitamin helps the body excrete excess uric acid, effectively fighting off stress and gout attacks.

Cheese is a food that will help you prevent gout development. According to a combined study 

from the University of Auckland, a clear inverse relationship between low-fat dairy intake and gout risk has been shown.

Studies of healthy volunteers have shown that low-fat dairy intake has at least a moderate urate-lowering effect.

The American College of Rheumatology held a study that lasted over a 12-year period which examined the relationship between dietary risk factors and new cases of gout among 47,150 men who had no previous history of gout.

Results showed that there were 730 new cases of gout, but the higher level of consumption of dairy products, including cheese, was associated with a decreased risk.

The types of cheeses used in this study were cottage, ricotta and cream cheese.

Cheeses to Consume, Including Blue Cheese

Blue cheese in particular has its own health benefits.

A study was published in the journal Medical Hypothesis in December 2012, and it found that blue cheeses are beneficial in reducing the chance of getting cardiovascular disease because of a couple factors.

One factor would be the distinct veins of mold that run through the cheese.

The other factor would be secondary metabolites found in Penicillum Roqueforti.

The cheese that is considered to be the most beneficial for heart health would be Roquefort blue cheese.

A process occurs as the cheese ripens is helps promote a healthy gut, helps slow arthritis, and can slow the signs of aging.

According to the journal study the properties of blue cheese worked best in acidic environments, including the lining of the stomach.

If you are looking to make a healthy meal that includes cheese, combine it with a pinch of Yucca powder as this herb provides relief for the stomach.

There are many foods that are harmful in your attempt to recover from gout attacks because of how high in purine content those foods are.

You will be glad to know that there are plenty of cheeses that are safe to consume because of their low levels of purine content.

The type of cheese that has the highest amount of purine content would be limburger cheese, which has 32 milligrams of purines.

Most other cheeses are low in purine content as cottage cheese has only 9.4 milligrams, brie,  and edam with 40% and 45% fat content in dry matter contain 7.1 milligrams, and cheddar cheese contains 6 milligrams.

Cheese is also a great source of calcium, which plays a vital role in having healthy bones.

Calcium keeps your bones from becoming soft and breakable, and allows your muscles to function properly.

You need calcium in your diet since your joints are made of bone. Cheddar cheese has 307 milligrams of calcium per 1.5-ounce serving, while mozzarella cheese has 333 milligrams of calcium per 1.5-ounce serving.

If you are in the age range of 19 to 50, you will need 1,000 milligrams of calcium per day.

If you are over 71 years of age you will need 1,200 milligrams of calcium per day.

Scientists at the University of Korea found that cheese has the right combination of calcium, proteins and vitamins.

It also contains an amazing probiotic called Propionibacterium Freudenreichii, which is used to ferment some cheeses, including Swiss.

This probiotic has anti-inflammatory and immune-boosting benefits. You would be treating yourself to a good salad meal if you were combine cheese with turmeric as toppings.

While this discovery may be stunning, large amounts of cheese intake can actually lower LDL cholesterol levels.

A study conducted by the University of Copenhagen compared hard cheese to butter and the effects of each in a diet routine.

49 men and women participated in this study by replacing part of their habitual dietary fat intake with 13% of energy from cheese or butter.

Results showed that after 6 weeks the cheese intake proved to lower LDL cholesterol compared to the butter intake.

Although it is fairly easy to consume too much cheese, many studies that look at high cheese intake don’t indicate any links with obesity.

Cheese can genuinely be beneficial if its is consumed in moderation. Due to its high fat and salt contents, which is especially the case in cheeses like blue Roquefort, it is important to consume cheese in moderation.

Cheese can range from below 10 grams to 35 grams per 100 grams in fat content.

Salt also has key functions in cheese, contributing to flavor, texture, and most importantly safety.

Salt controls the growth of any bacteria that are used in nearly all cheese production.

Also known as sodium chloride, salt is guaranteed to be an ingredient in the making of cheese.

Roquefort, Feta and Danish Blue cheese contain 1,670, 1,440 and 1,220 milligrams of sodium respectively, while cottage cheese contains only 300 milligrams of sodium. All cheeses vary greatly in sodium content.

Fat – Link Between Cheese and Gout

During the ripening of Italian hard cooked types of cheese, such as Parmigiano Reggiano and Grana Padano, a partial lipolysis of fats occurs.

Fat is present in these types of cheeses, from a maximum of 25.5% to a maximum of 31.4%.

Cholesterol content is fairly low, having an average of 83 to 91 milligrams per 100 grams of cheese.

Various studies indicate that dairy fat consumption is associated with markers of better metabolic health and that dairy fat can protect you from metabolic dysfunction.

Those who suffer from gout have their recovery hindered by eating foods that have saturated fats.

Unfortunately one possible setback with cheese is that it contains 27.8 grams of saturated fat, which amounts to 139% daily value.

If you were to make a meal such as pizza, make sure to use cheese as an ingredient in moderation.

Conclusion

While not every kind of cheese is beneficial for your body, depending on your health, overall cheese is a generally healthy food to consume even if you suffer from gout.

Cheese and gout have considerable links, but most of those links are positive.

It is not recommended to center your gout diet around only cheese, but you should be safe to incorporate cheese as an ingredient in most meals.

According to most scientific studies, cheese has been revealed to be a possible superfood of sorts, so unless you happen to be lactose intolerant your body should receive more helpful benefits than setbacks.

References:

1.Dalbeth, N. and Palmano, K. April 13, 2011. Effects of dairy intake on hyperuricemia and gout. Auckland, New Zealand. https://www.ncbi.nlm.nih.gov/pubmed/21188562

2.H.K. Choi,  Atkinson, K., Karlson, E.W., Willett, W., and Curhan G. 2004. Purine-Rich Foods, Dairy and Protein Intake, and the Risk of Gout in Men. Boston, MA, USA. https://www.nejm.org/doi/full/10.1056/NEJMoa035700

3.Petyaev, I.M. and Y.K. Bashmakov, Y.K. December 2012. Could cheese be the missing piece in the French paradox puzzle? Cambridge, UK. https://www.ncbi.nlm.nih.gov/pubmed/22981595

4.Kwon, G., Lee, J., and Lim, Y.H. August 17, 2016. Dairy Propionibacterium extends the mean lifespan of Caenorhabditis elegans via activation of the innate immune system. https://www.nature.com/articles/srep31713#results

5.Hjerpsted, J., Leedo, E. and Tholstrup, T. December 2011. Cheese intake in large amounts lowers LDL-cholesterol concentrations compared with butter intake of equal fat content. Frederiksberg, Denmark. https://www.ncbi.nlm.nih.gov/pubmed/22030228

6.Summer, A., Formaggioni, P., Piero Franceschi, Di Frangia, F., Righi, F., and Malacarne, M. September 2017. Cheese as Functional Food: The Example of Parmigiano Reggiano and Grana Padano. Parma, Italy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654426/

Read the Medical Information Disclaimer HERE

Nutrition for gout

Gout – is a bright representative of metabolic diseases. Currently, there is an increase in this disease, especially among men. Companions of gout – frequent feasts, picnics, “kebabs”, festivities with an excess of various protein, usually meat, food, abundantly flavored with alcohol. With gout, there is a violation of the metabolism of uric acid, it accumulates in the body, which ultimately leads to the development of gouty arthritis, the appearance of uric acid stones in the kidneys.Proper nutrition plays a leading role in the treatment of gout.

With gout exclude all foods rich in purines: legumes, beans, peas, soybeans, sorrel, spinach, tomatoes, offal (kidneys, liver, lungs, brains), crayfish, game, fatty fish, meat of young animals (veal , young lamb, broiler chickens) canned meat and fish, sausages, small sausages, sausages, barbecue, beer, wine and other alcoholic beverages, strong tea, coffee; first courses on meat, bone, fish broths, any products, drinks containing fructose, as well as honey.Since an excess of dietary lipids prevents the excretion of uric acid by the kidneys and provokes an acute attack of gout, foods rich in fats should be excluded. With excess weight, an increase in blood cholesterol, pork fat, butter, sour cream, mayonnaise are excluded, the amount of kcal should be 1500 per day. Mineral waters are also not recommended.

All dairy products are recommended without restrictions (milk, kefir, yogurt, yogurt, low-fat cheese), cereals in water and milk, salads from beets, carrots, cabbage, cucumbers, stewed vegetable stew from the specified vegetables, zucchini, vegetable and milk soups …Potatoes in any form, bakery and flour products without restrictions, if there is no excess weight.

Boiled or drinking soft water up to 2.5 l / day to improve the excretion of uric acid through the kidneys. In this water, you can cook fruit drinks, jelly from lingonberries, cranberries, blueberries, currants.

Egg 2-3 pcs. in Week. Outside of an exacerbation of the disease, boiled lean meat (pork, beef) is allowed 2 times a week, as well as boiled or lightly fried fish 2 times a week.

Take care of yourself and be healthy!

Healthcare Institution “Zhodinskaya Central City Hospital”

Doctors have named the right remedy for the prevention and treatment of gout

Taiwanese scientists have proven that a vegetarian diet reduces the risk of gout and promotes its treatment. From the results of their work, which was published in the journal Clinical Nutrition, it follows that avoiding meat products is one of the most important means of preventing this disease.

The cause of gout is a violation of the metabolism of purine bases, adenine and guanine, which are compounds that make up the RNA and DNA of all living things.In the human body, purines break down to uric acid and in this form are excreted in the urine. When purine metabolism is disturbed, the concentration of uric acid in the blood increases (hyperuricemia) and crystals of its salt (sodium monourate) are deposited in organs and tissues. Salt deposits in the joints are the cause of severe pain in gout. The toes suffer from severe pain first, then the disease affects the knees, ankles.

This disease is more common in industrialized countries and mainly in men at a relatively young age – 40-50 years.But lately, women have also begun to get sick with gout – usually after menopause.

The consequences of this disease can be the most severe – from kidney damage to heart attack.

Disorders of purine metabolism, especially at an early stage of the development of the disease, can be eliminated with medication and an appropriate diet. Vegetarian food is especially helpful in the treatment and prevention of gout, according to a recent study by Taiwanese scientists.

“We were able to show that a vegetarian diet reduces the risk of developing gout and that this effect is not limited to lowering uric acid levels,” says Chin-Long Lin of Fu Jen Catholic University in Taipei, Taiwan.

The nearly 10-year study involved a total of 14,000 patients who were divided into conditional groups – among them were meat eaters, vegetarians and vegans. At the beginning of the experiment, none of them had symptoms of gout, and they had not smoked or drank alcohol for at least two years. In terms of nutrition, about 4,700 volunteers said they did not eat meat or fish.

Within five to nine years after the beginning of the observation, the first 226 patients developed gout — these were those who ate meat products.In the vegetarian group, the risk of gout was 67% lower than in the meat-eaters. The researchers also found that the uric acid levels of vegetarians who ate eggs and dairy products were significantly lower than those of vegans who did not consume any animal products.

An interesting fact was that vegetarians ate more soy products, which are high in purine, instead of meat and fish. However, a plant-based, purine-rich diet did not increase the risk of gout. Thus, the researchers suggest that plant purines are safer than animal purines.

What’s more, soy and other plant-based ingredients appear to suppress inflammation associated with gout, decrease uric acid production and promote its elimination from the body.

For this reason, the paper says, a vegetarian diet may be ideal for treating and preventing gout while preventing comorbidities such as hypertension, diabetes and cardiovascular disease.

What you can eat with gout – we make a balanced menu

Gouty arthritis is a chronic condition that affects the joints of the big toes and is painful.Symptoms of pathology appear in the form of seizures, which occur mainly after heavy loads on the legs and eating junk food. Improper diet is one of the main factors that provoke exacerbation of gout. In this regard, people suffering from gouty arthritis are advised to adhere to a special diet. The consumption of healthy foods will not only prevent an exacerbation of the disease, but also significantly reduce the severity of its symptoms, reduce pain and inflammation. What can you eat with gout so as not to harm the body and help heal the disease?

Healthy products

Nutrition for this pathology should be enriched with vitamins, which are present in large quantities in vegetables and fruits.It is important to eat small meals often. Alkaline mineral water should be drunk between meals to enhance the effect of the diet. What should the diet of patients with gout consist of?

1. Fermented milk products. These include cottage cheese, kefir, whey, fermented baked milk. You can eat them daily, without limiting yourself in quantity.
2. Hard cheese. It is recommended to give preference to only low-fat varieties of this product. Grated cheese can be used for dressing cereals.This will make the meals more nutritious and nutritious.
3. Chicken eggs. It is allowed to use 1-2 pieces. per day, preferably boiled or raw.
4. Fish of large varieties. For gout, choose lean marine fish.
5. White meat. Poultry meat (chicken, turkey) is considered useful. Lean veal and rabbit meat are allowed for consumption. You can eat meat dishes no more than 2 times a week and the portion should not exceed 250 grams.
6. Bread products made from rye or bran flour.
7. Fresh vegetables. Vitamins are rich in cabbage, carrots, zucchini, cucumbers, watermelons, melons, pumpkin. They can also be eaten stewed, combined with potatoes.
8. Natural herbs and spices. With gout, you can use bay leaf, peppercorns, citric acid, celery root for cooking.
9. Greens. Garden vegetation can and should be eaten every day. Lettuce leaves, dill, parsley contain trace elements, acids and minerals necessary for the body.
10. Fruits and berries. Fruits that have a bright red and burgundy color are considered especially useful: strawberries, cherries, currants, wild strawberries, blackberries. Apples should be eaten not only of red, but also of green varieties.
11. Vegetable oil. It is advisable to add olive, flaxseed, mustard oil to food.

The foods described are what you can eat for gout and what constitutes a dietary component. Food is close to vegetarian, thanks to which it helps not only to get rid of the manifestations of gouty arthritis, but also helps to improve the functioning of other body systems.

Prohibited foods for gout | Competently about health on iLive

Gout is a common recurrent disease that is accompanied by increased deposition of uric acid salts inside the joints and in the kidneys. During exacerbations of gout, along with drug treatment, the patient will definitely be prescribed a diet, since certain changes in diet can keyly affect the course of the disease. For example, if you exclude from the diet foods that are prohibited for gout, then you can “transfer” the disease into a stable period of remission, and also significantly alleviate its symptoms.

Even limiting the diet of unwanted foods with gout will have a positive effect on the course of the disease. And if you eliminate them completely, then you can establish stable control over gout.

When composing a diet for a patient with gout, it is necessary to “remove” those foods that:

• promote the production and deposition of uric acid in the body;
• contribute to the disruption of metabolic processes.

The diet during an exacerbation of gout and during a recession of symptoms is slightly different.But the products prohibited for gout, the patient should not use throughout the rest of his life.

List of prohibited foods for gout

• Broths based on meat, offal, fish or mushrooms.
• Canned and pickled foods.
• Sauces with hot peppers, garlic, vinegar.
• Fatty fish, fish roe.
• Byproducts (liver, kidneys, heart, lungs, etc.).
• Fatty meats.
• Salo.
• Sausages (dry, boiled sausage, sausages, wieners, etc.).
• Smoked products (lard, meat, cheeses, fish, etc.).
• Hot spices (horseradish, mustard, wasabi, ketchup, chili, etc.).
• Beans (beans, peas, lentils, peanuts).
• Salt in large quantities, as well as salty snacks, chips, crackers, salted fish (ram) and meat.
• Processed cheeses, feta cheese, suluguni, cheeses with a high percentage of fat.
• Chocolate, Nutella, Nesquik, cocoa, strong teas and coffee.
• Pastry with butter cream.
• Sorrel leaves, rhubarb.
• Radish.
• Grapes and raspberries.
• Cauliflower.

In order to accelerate the excretion of uric acid salts from the body in case of gout, it is important to drink plenty of water:

• in the acute period – 2.5-3 liters;
• during the period of subsiding symptoms – 1.5-2 liters.

Dehydration of the body with gout should not be allowed, as well as prolonged dry fasting is unacceptable – this contributes to the massive accumulation of purines and uric acid salts in the tissues, which can provoke the development of an attack of the disease.

There are a number of other prohibitions for gout:

1. Protein intake should be limited to 0.9 g per 1 kg of patient weight.
2. Animal protein can be no more than 70% of the total daily amount of proteins.
3. Fish or meat can only be eaten in a boiled form, since this is the only way to get rid of a certain part of the purines, which will “go” into the broth.
4. The daily amount of salt is limited to 9 g.
5. The use of alcoholic beverages for gout is out of the question – this is a taboo.Even one glass of wine or other drink can cause a new gouty flare-up.
6. You can’t starve, nor overeat.

Tomatoes, butter, fresh milk, honey, cream, sour cream – their use should be limited during an exacerbation of the disease.

The use of prohibited foods for gout is the main cause of frequent attacks and complications of the disease, and this is stated not only by health workers, but also by patients themselves.

Do not worry about the diet: there are a lot of products that are allowed and even recommended for use with gout, and their list is very diverse.

Unfortunately, not all patients immediately exclude foods prohibited for gout from their daily menu – after all, the habit of eating in this way has been developed for years, and it is very difficult to give up the usual diet right away. It doesn’t matter: you can give up such forbidden foods gradually: first – from fatty meat, lard, then – from fatty fish, etc. If you act in this way, the disease will stop steadily progressing.

Other information

Temporary procedure for admitting patients to a health resort in conditions of persisting risks
the spread of the new coronavirus infection COVID-19

In accordance with the “Recommendations for the organization of the work of sanatorium-resort institutions in the conditions of persisting the risks of the spread of COVID-19” to enter the sanatorium, you must have the following documents with you:

1.Health resort card (registration form 072 / y “Health resort card”, approved by Order of the Ministry of Health of Russia dated December 15, 2004 N 834n, registration form 076 / y “Health resort card for children”, approved by the Order of the Ministry of Health of Russia dated December 15, 2004 N 834n)

2. Certificates (conclusions) of an epidemiologist or pediatrician / general practitioner / general practitioner (family doctor) on the absence of contact with patients with infectious diseases for the last 14 calendar days, issued no later than 3 days before the date of departure to the sanatorium.

Admission to the sanatorium of patients and accompanying persons who have undergone a new coronavirus infection COVID-19 will be carried out no earlier than 14 calendar days from the date of recovery.

Upon arrival at the sanatorium, each guest in the accommodation department must fill out an epidemiological analysis form.

The principle of social distancing continues to operate on the territory of the sanatorium, in the pharmacy on the territory of the sanatorium there is an opportunity to purchase personal protective equipment (masks and gloves).

Treatment procedures are released in accordance with the recommendations of Rospotrebnadzor (MR 3.1./2.1.0197-20 of 06/23/2020).

Accommodation in a sanatorium of minors who have reached the age of 14, in the absence of legal representatives near them

From January 1, 2021, the settlement of vacationing minors under the age of 14 is carried out on the basis of identity documents of the parents (adoptive parents, guardians) who accompany them, provided that such an accompanying person provides notarized consent of legal representatives, and also the birth certificates of these minors.

Accommodation in the sanatorium of minor citizens who have reached the age of 14, in the absence of legal representatives next to them, is carried out on the basis of identity documents of these minors, subject to the provision of a notarized consent of the legal representatives (one of them).

Accommodation of foreign citizens for rest and treatment

Accommodation of foreign citizens on vacation is made only with advance booking (no later than 7 days before the date of arrival).

A foreign citizen must provide passport data and inform the planned duration of stay in the sanatorium.

90,000 Nutritional therapy for joint diseases

Diseases of the joints occupy a significant place in the general structure of morbidity in the population of developed countries.

Many diseases with an articular component acquire a chronic progressive course and are among the leading causes of disability.

Nutritional support in the complex treatment of rheumatic diseases can attract attention for its non-drug therapeutic effects.

The most common pathological process that damages connective tissues in rheumatic diseases is inflammation.

Currently, the key role of derivatives of fatty acids, prostaglandins, in the pathogenesis of the inflammatory process has been proven. Diet can affect the production of prostaglandins and antibodies in a variety of diseases.

Chronic inflammatory process leads to metabolic changes with loss of protein and thus affects immune function.Deficiencies in protein and other nutrients affect the cells of the immune system and their function.

Biologically active fatty acids, prostaglandins and leukotrienes, derivatives of arachidonic acid, are involved in the process of inflammation; this important fatty acid is incorporated mainly into the membranes of phospholipids. The nature of these active foods can be altered by the fatty acids in the food. Of course, anti-inflammatory drugs have a much more active effect on the synthesis of pro-inflammatory enzymes, but diet modification can be a reliable and effective means of altering the reactivity of tissues involved in the inflammatory process.

Medical nutrition for gout

Gout is a disease based on a violation of the exchange of purine bases, associated with a hereditary (family) predisposition and clinically manifested by acute or chronic damage to the joints and internal organs due to the deposition of uric acid salts.

There are two forms of gout – primary (idiopathic) and secondary, caused by other diseases or medication.

The leading causes of gout are:

• Increased production of uric acid as a result of excessive consumption of foods containing purine bases and / or their increased synthesis of genetic origin.
• Violation of the excretion of uric acid by the kidneys.

Before effective drugs were available, diet was the only treatment for gout.

The goal of diet therapy is to reduce uric acid compounds in the body.

Nutritional approaches in the treatment of patients should differ depending on the severity of the process, the frequency of crises, the level of uric acid in the plasma, and body weight.

Principles of diet therapy for gout:

• Limiting the amount of foods rich in purine bases (meat, fish).
• Introduction of products poor in purine bases (milk, cereals).
• Introduce a sufficient amount of liquid.
• If you are overweight, you need to reduce it.

Medical nutrition for exacerbation of gout

In the event of an acute gouty attack, the patient must follow a strict diet and adequate drug therapy.

For the entire period of exacerbation, a diet is prescribed, consisting mainly of liquid food: milk, lactic acid drinks, jelly, compotes, vegetable and fruit juices (citrus fruits), vegetable soups and liquid cereals.For the period of exacerbation of gout, any meat and fish products are strictly prohibited. It is necessary to ensure that the patient does not suffer from hunger and consume up to 2 liters of liquid per day. Especially useful on such days is the use of alkaline mineral waters. This diet is prescribed for 1-2 weeks.

During the period of exacerbation subsiding, a limited number of meat dishes are allowed (once or twice a week, 100-150 g of boiled meat). On other days, dairy products, eggs, cereals, potatoes, vegetables and fruits are recommended.

Medical nutrition for gout outside an acute attack

Some restriction of proteins, fats (especially refractory ones) is recommended. In the presence of concomitant obesity, you should limit and easily digestible carbohydrates. Salt is moderately limited (up to 5-7 g together with the content in foods), the percentage in the daily diet of vegetables, fruits and dairy products increases, which lead to a shift in urine indicators to the alkaline side. To correct violations of water-salt metabolism, it is recommended to consume a large amount of liquid (in the absence of contraindications from the cardiovascular system).The amount of free liquid should be up to 2 liters per day.

Foods containing a large amount of purines (more than 150 mg per 100 g of product) are excluded from the diet of a patient with gout. These include: beef entrails (brains, kidneys, liver), meat extracts, sardines, anchovies, small shrimp, mackerel, legumes. Reduce the consumption of products containing 100 g of 50-150 mg of purines – meat products (beef, lamb), poultry, fish, crustaceans, vegetables (peas, beans, lentils).It should be emphasized that the meat of young animals is richer in purines than the meat of adults, so it should also be avoided.

For gout outside the attack on the background of obesity, a diet using fasting days is recommended. The decrease in the energy value of the diet for gout is carried out due to a sharp restriction of baked goods and sugar.

When gout is combined with diabetes mellitus, more attention is paid to the total calorie intake, the amount of fat and cholesterol consumed in the diet.

If you have gout and kidney damage, it is important to increase your vegetable intake and reduce your salt intake.

If gout is combined with hypertension or coronary heart disease, then a low-calorie diet low in cholesterol, saturated fat and sodium is indicated.

Medical nutrition for osteoarthritis

Proper nutrition for osteoarthritis, especially of the knee and hip joints, avoids overweight problems and satisfies the body’s needs for vitamins and minerals.In osteoarthritis, antioxidants (vitamins A, E and omega-3 fatty acids) and vitamin C with manganese are especially important, which contribute to the production of chondroitin and glucosamine.

The menu should include vegetables, fruits, herbs, low-fat dairy products, whole grains, fish, olive and butter, nuts.

Medical nutrition for osteoporosis

Osteoporosis is a systemic disease of the bone skeleton, characterized by a decrease in bone mass per unit volume with a violation of the microarchitectonics of bone tissue.Osteoporosis leads to a high risk of bone fractures. This is one of the most common diseases. Often women suffer from osteoporosis (80% of all patients with osteoporosis) and people of older age groups. This is especially important, since the life expectancy of the population of civilized countries is increasing. A hip fracture in people over 65 is a high risk factor for death; more than half of patients never return to their original functional state.

WHO puts the problem of osteoporosis in fourth place after cardiovascular, oncological and diabetes mellitus.

The most common causes of osteoporosis are disorders of calcium and vitamin D intake with food, postmenopausal transition, intake of glucocorticoids and excessive amounts of alcohol.

Diet therapy for osteoporosis is used against the background of drug therapy, as well as as a prophylaxis for the development of osteoporosis. In the diet therapy of osteoporosis, the main role is given to substances such as calcium and vitamin D, the use of which can weaken the process of osteoporosis progression, although there are many nutritional factors that affect bone development (proteins, vitamins and minerals).

In terms of content and completeness of assimilation, the best sources of calcium are milk and dairy products. If the daily diet includes 0.5 liters of milk and fermented milk drinks, 50 g of cottage cheese and 10 g of hard cheese, then this provides more than half of the recommended calcium intake, and in an easily digestible form. The calcium content in the green mass of plants is significantly inferior to the content in dairy products.

The daily amount of calcium is difficult to cover with food alone.In this regard, calcium salts are used for medicinal purposes.

It is important to eat foods with a high content of magnesium, an element that is part of the bone tissue and ensures the absorption of calcium by the body. The most magnesium-rich foods are sesame seeds, nuts (almonds, hazelnuts), sunflower seeds, watermelon, oatmeal.

Analysis of numerous studies of postmenopausal women showed that adequate intake of vitamin D reduced the risk of developing hip fractures.

The best sources of vitamin D in the diet are fatty fish, liver, fish roe, milk fats, eggs. Vitamin D deficiency can be easily prevented by using these foods and / or taking small doses of vitamin D supplements.

The protein content in the diet of osteoporosis patients should be at the physiological level, since protein deficiency leads to a negative nitrogen balance and a decrease in reparative processes, and an excess can contribute to an increased excretion of calcium in the urine.In recent years, soy products have found frequent use in the treatment and prevention of osteoporosis. It is known that the composition of soy proteins includes isoflavones – plant estrogens that have an estrogen-like effect. Several studies have shown that the inclusion of soy products in postmenopausal women leads to a decrease in the incidence of bone fractures.

The consumption of table salt should be reduced, since sodium increases the excretion of calcium in the urine.

Moderate coffee consumption is a minor risk factor for osteoporosis.

Medical nutrition for rheumatoid arthritis

Rheumatoid arthritis is a systemic disease, the pathogenesis of which is based on a complex set of autoimmune disorders.

Principles of diet therapy for patients with rheumatoid arthritis

• Adequate provision of the body’s needs for nutrients and energy.
• Introduction of a physiological quota of protein into the body, with particular attention to the balance of the amino acid composition.
• Limiting the amount of fat in the diet, without reducing the quota of vegetable fat (ratio of animal to vegetable fat 2: 1).
• Reduction of the carbohydrate part of the diet, mainly due to easily digestible (sugar, sweets).
• Reducing the amount of table salt (up to 3-5 g per day).
• Ensuring the intake of an adequate amount of vitamins, including antioxidant ones.
• Compliance with the principle of mechanical and chemical sparing with the maximum removal of extractive substances by eliminating strong meat and fish broths, smoked meats.
• Compliance with frequent and fractional meals (eating at least 5-6 times a day).

In obese patients with rheumatoid arthritis or in the presence of overweight, meals from cereals and pasta (cereals, side dishes) should be replaced with vegetables (raw or boiled), the amount of bread should be reduced to 100 g per day, sugar should be excluded.

Diet for gout | Sanatorium Gorny

Gout is a chronic disease based on metabolic disorders (purines).In this disease, uric acid salts (urates) accumulate in the body. An excess of these salts disrupts the normal functioning of the kidneys and joints.

Treatment of this disease is complex and dietary adherence is an important part. The main task of the diet for gout is to reduce the daily energy value of food and reduce the intake of exogenous purines into the body.

General rules. Duration of the diet.

General dietary rules for gout:

• Eat small meals.Overeating should not be allowed.

• The daily diet should include hot dishes, semi-liquid food, fresh vegetable salads, seasonal fruits.

• The number of meals per day should be no more than 4.

• Complete rejection of alcohol

• You can not arrange “fasting” days in the form of a head

The diet must be followed constantly, the slightest inaccuracies in the diet will contribute to the accumulation of purines in the body and the deterioration of the function of joints and kidneys.

Nutrition for acute gout

An exacerbation of gout is accompanied by a number of unpleasant symptoms:

One of the signs of an exacerbation of gout is attacks of acute arthritis. Such attacks develop suddenly. Two to three days before the attack, chills, low-grade fever, dyspeptic disorders, and general irritability may occur. During an attack, the metatarsophalangeal joint of the first toe is most often affected. Pain appears and rapidly increases, the joint swells, the skin over it turns red, the temperature in the joint area rises.The pain is aggravated by any touch, even from touching the sore joint to the blanket. After a few days, the symptoms of arthritis gradually subside, mobility is restored and the patient feels practically healthy until the next attack.

During the period of exacerbation of the disease, you need to switch to an almost vegetarian diet. It is necessary to completely exclude all meat and fish blues from the diet. You can eat liquid milk porridge, vegetable soups, fruits and berries. Observe the drinking regime.You need to drink about 1.5 liters of water per day. You can drink alkaline mineral water.

Nutrition for chronic gout

Outside the exacerbation of the disease, it is necessary to follow a diet with a low purine content. It is useful to include in the diet meals with a lot of vegetables. You can eat fruits and berries. Only vegetarian soups can be prepared.

It is mandatory to take fluids on an empty stomach and between meals. It is better to cook food by boiling and stewing.Meat, poultry and fish must be pre-boiled, the first broth is drained, since it contains a large amount of purines. Meat and fish dishes can be consumed no more than two to three times a week.

Fasting days are held once a week. Fasting days activate the excretion of metabolic products. One type of food is allowed on these days. It can be low-fat kefir, cottage cheese, apples, watermelon. On fasting days, you need to drink at least two and a half liters of water, but only if there are no contraindications from the urinary and cardiovascular system.

Types of diets

Diet number 6 provides for the restriction or exclusion of the use of foods containing purines, oxalic acid and table salt. The diet necessarily includes alkalizing foods – milk, fruits and vegetables. The volume of fluid is increased, the intake of fats and proteins is slightly reduced.

What can you eat with gout? List of approved products.

MEAT: Boiled turkey, rabbit, chicken.
VEGETABLES: Potatoes, carrots, cabbage, zucchini, eggplants, cucumbers, beets.
DAIRY PRODUCTS: Milk, kefir, fermented baked milk, yogurt, acidophilus, low-fat cottage cheese, cheese, yogurt, butter.
FRUIT: Apples, pears, apricots, plums, oranges.
DESSERT: Marmalade, marshmallow, jam, marshmallow, honey.
ROUPS: Buckwheat, oatmeal, rice.

What should not be eaten with gout? List of fully or partially limited products.

VEGETABLES: Sorrel, beans, peas, horseradish, chickpeas.
MEAT: Red meats (beef, veal), pork, sausages, sausages, ham.
FISH: Red fish, red caviar, shrimp, squid, mussels, crab, herring.
SUB-PRODUCTS: Liver, kidneys, brains, hearts, fat.
FRUITS AND BERRIES: Figs, raspberries, cranberries, grapes.
DESSERT: Chocolate, cakes with cream.
ALCOHOLIC BEVERAGES: All beverages containing alcohol.

Gout Nutrition Menu (Power Mode)

We recommend predominantly vegetarian dishes, low-calorie foods, various cereals, fresh and boiled vegetables, fruits.Be sure to drink water between meals and before meals.

Diet recipes for gout

Sample menu for a day with gout:

Breakfast: Buckwheat porridge cooked in water with the addition of milk. Butter. Tea with milk

Lunch: Fresh fruits or berries

Lunch: Vegetarian borscht. Mashed potatoes with lean fish fillets.Berry compote.

Snack: Yogurt. Herbal tea. Marshmallow.

Dinner: Dumplings with cottage cheese or potatoes. Weak tea.

Nutritionist comments. Pros and cons of dieting.

Treatment of gout in the Gorny sanatorium necessarily includes dietary food. Patients receive advice on how to eat properly for gout at home, which helps to avoid exacerbations and complications.

“Choosing the right sanatorium is a significant step towards maintaining and improving health. Gorny is a resort complex that combines the experience and knowledge of Russian and Soviet balneology. The presence of modern medical equipment and innovative installations, the professionalism of the staff and love for their work will serve as a guarantee for the extension of longevity ”- chief physician of the sanatorium Karaulov Alexander Olegovich.

References:

1. Zhelyabina O.V., Eliseev M.S. Diet for gout and hyperuricemia.