As we all know, you should eat less meat when you get gout, and the gout attack after each big fish and big meat is well known to all. At the same time, doctors and patients warned that the title of rich and noble disease has virtually deepened the awareness of [eating less meat when gout occurs].
However, when some patients control their diet, [eating less meat] often becomes [not eating meat], because they are afraid of pain.
However, can gout really not eat meat? Don’t you have gout without eating meat? What problems should we pay attention to if we can eat?
Can gout eat meat?
First of all, gout can eat meat, but the type of meat, consumption and gout condition should be considered.
As to why so much should be considered, the most direct explanation is that [many patients are prone to gout after big fish and big meat]. If analyzed in depth, meat will affect gout treatment and control from the following aspects.
1. Purine in meat directly increases uric acid
Purine is metabolized into uric acid in the body, This directly affects the level of blood uric acid and even induces gout attacks. Most natural foods contain purine, including meat, which is usually high in purine content. Therefore, purine content and total purine intake are important indicators when choosing food and determining how much a food can be eaten.
2. The high cholesterol content in meat affects uric acid excretion.
Meat has a high cholesterol content, and excessive cholesterol will reduce the excretion of uric acid by the kidney, thus indirectly increasing the level of uric acid in blood.
3. Meat is generally high in calories.
Studies suggest that controlling the intake of food calories can reduce uric acid and control gout attacks, while meat generally has higher calories, so special attention is needed.
In fact, other foods should also consider these issues, but more attention should be paid when meat is involved.
How to choose the right meat?
When choosing food, purine content in food is an important judgment index. However, bean products and vegetables can not be limited by purine content.
However, when selecting meat, specific issues such as purine content of different meat and whether gout has occurred must be considered, and then the selection must be made according to the situation.
1. Do not eat ultra-high purine meat.
Animal viscera such as liver, kidney, brain and spleen; Sardines, anchovies, roe, shrimps and other aquatic products; Thick broth, thick fish soup, seafood hotpot soup and mutton hotpot soup, etc.
The purine content of these meats is very high, and gout patients are advised not to eat them.
2. Medium and high purine meat, limited to
Meat of pigs, cattle, sheep, deer and other livestock; Chicken, duck, goose, pigeon, quail, turkey and other poultry meat; Perch, carp, crucian carp, eel, eel and other fish; Oyster meat, shellfish meat, clam meat, crab, etc.
The purine content of these meats is relatively high, so it is recommended that gout patients eat them in a limited amount and not during acute attacks.
3. Meat with medium and low purines should be eaten in an appropriate amount.
Not all fish are ultra-high purine foods, of which salmon, tuna, white fish, lobster and other foods belong to medium and low purine foods, which can be eaten in an appropriate amount by gout patients.
4. Low purine [meat dishes], rest assured to eat
Milk and eggs have extremely low purine content, so gout patients can eat them at ease. As for eggs and other eggs, it is no problem to eat one or two every day.
Of course, in addition to limiting purine intake, gout patients also need to pay attention to less salt and less oil when cooking. Ensure daily salt intake below 5 g (a beer cover), eat less ham, sausage, hot dogs and other processed meat products. Daily cooking oil does not exceed 25 g ~ 30 g, try to choose cooking, steaming, fast frying, stewing, braising and other less oil cooking methods.
Don’t eat meat, gout won’t attack?
Some patients may ask [I have strictly avoided eating, why is uric acid still high and gout still high]?
This is related to the source of purine that the human body needs to metabolize. In fact, most purines come from ourselves, not food.
Even if a completely low purine diet reduces the blood uric acid level by up to 60 mol/L, while for the vast majority of gout patients, only 60 mol/L reduction cannot reach the target blood uric acid value. Therefore, diet control is important, but more important is drug therapy.
Pay attention to taking medicine, can meat be eaten freely?
Since taboos cannot solve the fundamental problem, is it not necessary to avoid taboos as long as you take medicine? The answer is, of course, no.
First of all, if there is no good lifestyle improvement, the effect of gout drugs will definitely be reduced. For example, the original 200 mg of allopurinol per day can control uric acid, because the diet is not controlled, you may have to eat 300 mg of allopurinol per day.
Secondly, if you suddenly eat a large amount of high purine foods, such as beer, fried chicken, barbecue, etc., the blood uric acid is likely to suddenly rise, resulting in acute gout attacks, and the patients will have to suffer again.
On the issue of dealing with meat, I hope gout patients will not stop eating because of choking. They can choose some livestock meat, fish, milk and eggs to eat properly to ensure their nutrition and eating well, but they should not let go of eating just because they are taking drugs.
Always take [lifestyle improvement + standardized drug therapy] as the motto of gout treatment to keep you away from gout.