Essay On Gout

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4. DIETARY GUIDELINES
Diet plays a role in the management of gout. Dietary guidelines related to gout should put into consideration its effect on other diseases. The aim is not only to reduce risk and frequency of acute gout attacks and lower serum uric acid levels but also to maintain ideal health.
There are many misconceptions about diet and gout. It is commonly thought that foods such as citrus foods cause gout. However, there is no evidence that this could be true. What is known is that some foods appear to trigger attacks of gout. Such foods contain high levels of purines, a compound that can be converted into uric acid in the body. One-third of the purine the body handles comes from your diet, implying that the chance of getting gout may be reduced if less purine is eaten. Not all purine rich foods are thought to cause gout. Vegetables such as asparagus, mushrooms, cauliflower and spinach are rich in purines but appear less likely to cause gout than diets containing red meat and seafood (shellfish).

Low purine foods to include in a balanced diet include;
• Low-fat dairy products
High consumption of low fat dairy products is associated with decreased gout risk, possibly because casein and other milk proteins have uricosuric properties. Low dairy foods such as skim milk and eating foods made with them such as low calorie yogurt helps to reduce risk of gout attacks. Moderate amounts of dairy products should be ingested with at most three portions of dairy products daily
• Fresh fruits (less sugary fruits) and vegetables (except peas, beans, lentils)
All patients must aim for seven to ten servings from the vegetables and fruit group. Foods rich in vitamin C such as oranges, tangerines, strawberries and red bell peppers ca...

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...ic effect, coffee (regular of decaffeinated) can also be considered as long term preventative measure as it lowers urate levels as well as the risk of gout and some associated comorbidities. This protection increases with an increase in number of cups of coffee consumed per day.
Avoid high fat foods such as cream sauces, fried foods and foods containing trans-fat (hydrogenated vegetable oils).

(Saag & Choi 2006)
5. CONCLUSION
Since food can directly set off gout attacks, it is important that gout patients be properly counselled as to which foods to eat and those to avoid. Dietary control could be sufficient in a patient with mildly raised uric acid levels. For those with chronic gout, diet alone might not prevent recurrent attacks. With all the above mentioned it is important to pay attention to diet in gout patients especially when starting on gout medication.

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