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Diet Management For Gout

Introduction

  • Gout is a form of acute arthritis that causes severe pain and swelling in the joints. It is caused by the build up of too much uric acid in the body.
  • Uric acid is formed from the breakdown of purines which is found in all human tissues and in many foods. Normally, it dissolves in the blood and normally excreted in the urine. High consumption of purine rich diet maybe one of the causes that can raise uric acid levels in the blood.
  • Sources of dietary protein especially red meat and seafoods provide purines which may elevate the risk of gout onset.

Dietary management of gout

If you have developed gout, you may need to reduce foods that are high in purine. It is recommended that the purine intake should be between 100-150mg/day For the management of gout, foods are divided into three groups:

  • High purine content: These foods should be avoided.
  • Moderate purine content: These foods should be taken in restricted amounts.
  • Low purine content: These foods can be taken without limits.

The table below shows the sources of purine in foods.

FOOD CATEGORIES
HIGH PURINE (150-825mg purine/100g food)
MODERATE PURINE (50-150mg purine/100g food)
LOW PURINE (0-50mg purine /100g food)
To be avoided To be taken in moderate amounts Can be taken based on normal requirement
Cereals, cereal products Wholemeal bread, oatmeal and wheat bran * Limit to 2/3 cup per day Breads, rice, noodles, rice noodles, kuey teow, biscuits
Fruits All type of fruits and fruits juice
Vegetables Asparagus, lentils,beans,mushroom, spinach, cauliflower *Limit to 1/2 cup per day Almost all type of vegetables
Protein food Anchovies, sardines, liver, beef kidneys, brains, herring, mackerel Fish, poultry,meat, seafoods, bean, lentils, (peas and dhal) *Take 2-3 serving per day according to the Malaysian Food Pyramid Milk and milk product, eggs, cheese
Fat & Oil Any type (take moderately)
Soup Meat extracts Meat soups Vegetable soups
Others Yeast, alcohol especially beer (Limit to 1 drink 3 times a week) Drink 6-8 glasses of fluids a day. AVOID sugar, syrups, sweets,tea, coffee, chocolate, custard.

 

Last reviewed : 19 April 2012
Writer : Rohida bt. Saleh Hudin
Junidah bt. Raib
Faulina bt. Khamison