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Chinese health 中医保健 >>
Family health medicine 家庭
2013年01月21日
Gout patients don't into diet error
Beijing university people's hospital clinical nutrition vice director of division of dietitians LiuPeng
Sources: health
Gout is a disturbance to the protein metabolism, uric acid synthesis increase or discharge reduction, cause hyperuricemia, when the blood uric acid concentration is too high, uric acid is in the form of sodium salt deposition in the joints, soft tissue, cartilage and kidney, causes the organization's foreign body inflammatory reaction.
By the purine metabolism and uric acid, and normal person from your diet of purine accounted for only 20%, the rest of the purine metabolism of the body is in the process of. From food intake of purine is less, but rarely use by the body, most of the decomposition into uric acid, so from the diet for a purine for uric acid influence also nots allow to ignore. Reasonable diet is beneficial to the recovery of the patients with gout, unreasonable diet can make gout patients with more severe disease. So, gout patients to avoid misunderstanding in diet.
Error 1: don't need to control total energy intake
Some people think that gout diet principle is to try to eat less purine content high food, told the daily total energy intake no special requirements.
Analysis: this kind of understanding is not correct. Body mass index is positively correlated with hyperuricemia, so for the obese or overweight patients with gout in addition to containing high content of purine food outside, still must control the daily total energy intake. But in the original daily energy intake basis reduced by 10% ~ 15%, monthly weight loss 0.5 ~ 1 kg, and gradually make weight down to ideal range. In the meantime, avoid by all means is weight loss too fast, otherwise easy cause gout acute attack.
Suggestion: for the obese or overweight patients with gout, daily dietary intake of total energy according to each kilogram standard weight and ~ 25 kilocalorie calculation, reduced protein and fat energy ratio.
Erroneous zone 2: animal foods are high purine food
Some people think that animal foods are high purine food, so in their diets to fish, meat, eggs, milk and animal food at a respectful distance.
Analysis: this kind of understanding is not correct. Animal food refers to fish, meat, eggs, milk, such as the kinds of food, rich in protein, fat, carbohydrate, vitamins, minerals and so on many kinds of nutrients. Many of the food really contains a lot of purine, such as liver, broth and some fish, but the milk, eggs are low purine food, but also rich in essential amino acids, gout patients can eat.
Suggestion: gout patients should follow the principle of low purine diet and limit the animal internal organs, seafood, fish, meat and animal food intake. For milk, eggs, it gout patients can edible, hypercholesterolemia patients need to pay attention to egg yolk don't too much. In addition, due to the purine soluble in soup, all kinds of broth of purine content high, the illness lighter gout patient also appropriate edible, but can will lean the boiling soup after abandon limited food.
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