The diet for gout is based on minimizing the amount of purines in the diet, which helps reduce uric acid levels in the body and normalize metabolism. The basis of the diet consists of vegetables, fruits, berries, cereals, dairy products. The amount of meat and other protein foods should be limited. Diet is considered a mandatory part of treatment, because without it, medications are ineffective.
The benefits of a gout diet
Benefits of nutritional therapy:
- a diet full of high enough calories allows you not to feel hungry;
- get rid of harmful foods containing oxalic acids and purines, reduce the severity of gout symptoms, relieve pain, swelling;
- adherence to a diet reduces the risk of relapse and severity;
- a healthy diet with restriction of spicy, fatty, fried foods improves overall well -being and body condition;
- proper food selection reduces the risk of complications, including renal failure, atherosclerosis, the formation of gouty nodes in internal organs;
- dietary dishes are easy to prepare and do not require expensive ingredients.
Eating a diet can help lower uric acid levels and slow or stop gout attacks.
Proper nutrition without simultaneous therapy cannot cure a person completely, but serves as a necessary aid in combating pathology and relieving the patient from painful symptoms.
Basic principles of nutrition for gout and high uric acid
The goal of the diet is to limit the intake of purines and intermediate products that increase their concentration. When compiling a diet, follow the following rules:
- The food eaten daily is divided into 5 regular meals. Thus, they reduce the load on the digestive system and kidneys, while keeping the metabolism in good condition.
- The chemical content of food is carefully controlled. This helps stop the deposition of salt in the tissues, helping to get rid of gouty stones and tophi.
- The total caloric content of the diet is reduced to 2700 kcal per day, while the total weight of food should not exceed 3 kg. This allows you to maintain a normal weight, as obesity contributes to the exacerbation of gout.
- The amount of protein is limited to 80 g per day. Animal -derived protein is trying to be replaced with vegetable protein, but it cannot be completely ruled out.
- The daily rate of fat is 80-90 g. About 25% enters the body with vegetable oils, the rest - in the composition of dishes.
- Patients use the standard amount of carbohydrates - 400-450 g per day. They enter the body with grains, dried fruits, nuts.
- To neutralize excess acid, the menu includes many alkaline products: vegetables, milk and fermented dairy products, fresh fruits and berries. They will help the body maintain a balance of substances.
- All the meat in the diet dish is boiled first for 15 minutes, after which the soup is first dried. It helps get rid of excess purines in muscle tissue.
- Fluid intake increased to 2-2. 5 liters a day. The diet includes healthy drinks that have a diuretic effect, as well as alkaline drinks: fruit and berry juices, herbal teas and decoctions, milk, mineral water.
- The amount of salt is limited to 8-10 g per day. Excess of it promotes the formation of deposits and reduces the rate of excretion of urine, which worsens the symptoms of gout.
- Alcoholic beverages are excluded from the diet. Even infrequent use interferes with kidney function, which increases the risk of deterioration.
- If necessary, the diet is supplemented with vitamin and mineral complexes. It is important to maintain at the required level the content of vitamins B2, C, PP and potassium, which have a diuretic effect.
- Once a week, a fasting day is held, in which patients eat only purine-deficient fruits, vegetables, and grains.
The diet must be combined with a dose of supportive medication, if prescribed by a physician. Since gout is incurable, a person must follow the rules of nutrition throughout his or her life.
What can you eat
The following foods are allowed in the diet:
- Uncomfortable bakery products, including black and white bread.
- Vegetables: dill, corn, beets, onions, garlic, potatoes, carrots, cabbage, broccoli, cucumbers, zucchini, eggplant, pumpkin. Limited quantities: tomatoes, carrots, cauliflower, radish, asparagus, rhubarb, celery, peppers, onion feathers, parsley.
- All fruits and berries except grapes, cranberries, figs and raspberries. Plums are eaten in limited quantities.
- Lean meats: rabbit, chicken, turkey. Eaten no more than 3-5 times a week, serving size up to 170 g.
- Low -fat fish (salmon, salmon, trout), seafood: shellfish, shrimp, crab and shrimp meat, squid, squid.
- Eggs - no more than 1 pc. One day.
- Dairy products: kefir, cottage cheese, sour cream, yogurt, cream, unsalted cheese, low -fat whole milk (best diluted). Butter can be added to cereals, stews, but is not used for frying and is not eaten in pure form.
- All grains and cereals, except legumes: rice, buckwheat, cereals, oats, etc. It is best cooked in water or liquid milk.
- Soup based on weak vegetable broth, potatoes.
- Pumpkin, sunflower, flax, sesame seeds.
- Walnuts, pine nuts and hazelnuts, almonds, cashews, hazelnuts, pistachios.
- Dried fruits, except raisins.
- Vegetable oils: sunflower, olive, corn, flaxseed. They are used not only for frying, but also for cooking salads, stews and others.
- Desserts: marshmallows, marmalade, jam, marshmallows, ice cream. Sweets without chocolate are allowed.
- Drinks: fruit and vegetable juices (tomatoes are used with caution), herbal teas with lemon and honey, decoctions, fruit drinks, compote, chicory, kvass. Alkaline mineral water is useful.
- Light spices and herbs: cinnamon, vanillin, bay leaf, citric acid. Light sauce based on sour cream, vegetable soup, vegetable oil.
The diet includes a large amount of liquid and semi -liquid foods, light salads, vegetarian products. They not only help reduce the concentration of purine substances, but also reduce the burden on the gastrointestinal tract and kidneys.
What you can't eat
The following foods are not acceptable in the diet:
- sweet pastry.
- Fatty meats, dishes from young animals (beef, chicken), canned and smoked meats, sausages, sausages, small sausages and other semi -finished products.
- By -products.
- Salted fatty fish, canned, smoked or fried, caviar.
- Beans, legumes, lentils, soybeans, and other legumes.
- Sorrel, spinach, olives.
- Spicy and salty cheese.
- Decoctions and soups based on meat and offal, fish, mushrooms.
- Cakes, pastries, cream bread.
- Animal fats: lard, lard. Margarine.
- Alcoholic beverages, strong tea, coffee, cocoa.
- Spices and hot sauces, including mustard, horseradish, mayonnaise, tomato sauce.
Eating spicy, fatty and fried foods can worsen your gout symptoms.
Table number 6 for gout
In medical institutions, diet No. 6 is used to treat this disease. The medical menu takes into account factors such as the chemical composition of the food, its caloric content, the ratio of protein, fat and carbohydrates. This allows you to choose the optimal diet for the patient, without making unnecessary calculations each time. Therefore, table 6 is often used for the treatment of gout at home: it is universal and has no contraindications.
Diet during exacerbations
If the symptoms of gout are getting worse, it is recommended to change the menu. Rules for dieting during exacerbations:
- complete elimination of meat and fish from the diet;
- frequent fasting days - up to 4 a week;
- the basis of the diet is fresh fruits and vegetables;
- make sure you drink plenty of alkaline mineral water and other alkaline beverages;
- all food is served in liquid or semi -liquid form;
- meals are frequent (7-8 times a day), with equal breaks between meals.
The diet was stopped after the pain and swelling in the legs were eliminated. It is not recommended to keep it for a long time, because the body will start to lack vitamins and nutrients quickly.
7 day menu
Estimated weekly diet for gout treatment:
|Breakfast||Bran bread sandwich with jam, vegetable salad with sour cream sauce, rosehip stew||Milk rice porridge with pumpkin, fresh oranges||Oats with butter and jam, homemade fruit jelly with pieces of pulp, herbal tea||Buckwheat porridge with milk, grated apples and carrot salad||Oats with grated apples, berry marmalade, tea||Millet porridge with milk, soft boiled eggs, baked apples stuffed with nuts||Vegetable salad with cheese and sesame seeds, potato pancakes with sour cream|
|Lunch||Greek yogurt, 2 biscuits||Fresh strawberries with cream||Cornflakes with skim milk, various nuts||Curd mousse with dried fruit||Cornflakes with yogurt and banana slices||Ice cream with fruit and berry mousse||Pancakes with jam and pieces of fruit|
|dinner||Vegetable soup with eggs and croutons, grated beetroot, carrot and apple salad, banana juice||Vegetable casserole with cheese, cut steamed chicken, berry jelly||Salmon vegetable soup, corn porridge, yogurt||Milk noodle soup, vegetable stew, carrots and fresh apples||Broccoli puree soup, zrazy potatoes with sour cream, fresh oranges||Cabbage soup, rice with seafood, milk jelly||Potato soup, vegetable stew with turkey meatballs, banana milkshake|
|dinner||Potato croquet, sliced fresh vegetables, herbal tea with lemon||Dolma with sour cream, cottage cheese with pieces of fresh fruit, compote||Potato casserole with vegetables and eggs, vegetable salad dressed with flaxseed oil, lingonberry juice||Grated beets with garlic, oat jelly, fruit salad||Young potatoes boiled with herbs and oil, vegetable salads, dried fruit compote||Zucchini stuffed with vegetables garnished with cheese, sliced vegetables with corn oil, fresh bananas||Cucumber and tomato salad, broccoli slices with sour cream sauce, cheesecake, bran soup|
|Before bed||Yogurt with fresh berries||Biscuits with berry jam, kefir||Rosehip gravy, apples||The mass of curds, pears||Milk souffle with fruit||Kefir, tangerines||Cottage cheese with sour cream, compote|
Items in the menu are interchangeable, they can be changed or added to taste. The main thing is not to violate the basic principles of diet.
Characteristics of fasting days
Nutrition for gout does not include complete starvation, as it raises the severity of the disease. On the day of fasting, it is recommended to adhere to a mono-diet (watermelon, potatoes, cucumbers, carrots) or prepare salads, slices, stews from various types of vegetables and fruits.
Allowed the use of dairy products, cereals in small quantities. Fasting day on rice is popular: it is boiled in milk and eaten with the addition of a little grated apple in small portions.
A diet of fermented milk will help you quickly get rid of excess uric acid: it implies the consumption of only cottage cheese (400 g) and kefir (0. 5 l) during the day.
Recipes for gout
Therapeutic diet allows you to eat many common dishes: cereals, vegetable soups, stews, salads. They do not require expensive products or special cooking skills. So that patients do not experience discomfort from boring and boring food, you can diversify the menu using original recipes from permitted ingredients.
Light cream soup
The dish is low in calories, but tasty and filling enough for lunch. To prepare it, you need the following products:
- 1 garlic;
- 1 carrot;
- 1 bunch spinach leaves
- 1 slice of white bread
- 2 teaspoons lemon juice;
- 2 teaspoons vegetable oil;
- 1 teaspoon cream;
- 0. 5 tspSahara.
Cut the bread into small cubes, dry in a dry pan. Peel onions and carrots, finely chop. Pour the oil into a deep saucepan, heat, place the vegetables and simmer for 6-7 minutes. Stir in the spinach leaves and puree with a blender. Boil the dough, add lemon juice and sugar. Remove from heat, arrange on a plate. Add a little cream and white bread toast on each portion.
Cottage cheese casserole
This dish is used as a dessert or snack. To prepare it you need to:
- 140 g of cottage cheese;
- 70 g sour cream;
- 1 egg;
- 3 tbsp. l. semolina;
- 1 tbsp. l. Sahara;
- 0. 5 teaspoons slaked with lemon juice;
- dried fruits, nuts to taste;
Mix cottage cheese with sour cream. Pour salt, sugar, semolina into the resulting mass. Add finely chopped dried fruits, nuts. Bring to a homogeneous, mix with slaked soda. The mass presented in a baking dish must be placed in an oven preheated to 180 ° C and cook until golden brown.
Steamed chicken meatballs with gravy
A low -calorie main course that can be eaten alone or with a side dish. To cook you need to:
- 350 g chicken fillet;
- 2 garlic;
- 1 carrot;
- 1 clove garlic;
- 1 egg;
- 1 tbsp. rice;
- 70 g of white bread;
- 200 ml of vegetable broth;
- 50 g sour cream;
- 2 tbsp. l. milk;
- 0. 5 tbsp. l. flour;
- green onions, parsley, dill to taste;
- vegetable oil for frying;
Soak bread in milk. Boil rice without salt, cool. Cut the chicken fillets into medium -sized pieces and put in a blender. Add 1 chopped onion, garlic, breadcrumbs and herbs, beat in raw egg and chop until fine. After mixing with the rice, you need to salt and leave in the fridge for 20 minutes. Then the meatballs are formed, steamed for 6-8 minutes.
Finely chop the remaining onions and carrots. Fry the vegetables in oil for 2-3 minutes, pour in the broth, add flour and sour cream. Heat the sauce over low heat until thick, add the meatballs and cook for 5-6 minutes. Sprinkle with herbs before serving.
Eggplant and minced meat casserole
An appetizing second course, perfect for lunch or dinner. To prepare it, you need to take the following ingredients:
- 300 g of minced meat;
- 2 large eggplants;
- 1 garlic;
- 1 clove garlic;
- 3 tbsp. l. pes tomato;
- 2 tbsp. l. flour;
- 120 g of hard cheese;
- cream 50 ml;
- vegetable oil;
Cut the eggplant into long slices, season with salt, so that they give juice. Dip flour, fry in oil on both sides until half cooked. Chop the garlic and onion, saute until golden. Add the minced meat, simmer over medium heat for 3 minutes, then tomato paste. Pour in 0. 5 tbsp. water, salt to taste. Cover and cook for another 5 minutes.
Place sliced eggplant in a greased baking dish in a thick layer, on top - minced meat, followed by grated cheese or slices. Pour the cream and bake in the oven preheated to 180 ° C for half an hour.
Pure pumpkin soup
The first traditional dish of the day. To cook, you need to take the following products:
- 0. 5 kg of pumpkin, peeled, film and seeds;
- 2 tbsp. l. butter;
- 2 tbsp. l. rice;
- 1 tbsp. l sugar;
- 250 ml of milk;
- cream to taste;
Cut the pumpkin into cubes, put in a saucepan, add rice, salt and sugar. Pour 1 liter of water and cook until tender. Pour in the melted butter and rub through a sieve. Return to the stove, add the milk and bring to a boil, then remove from the heat. Arrange the prepared pumpkin soup on a plate and season with cream.
- "Adherence to a diet for gout is necessary for patients for a full life. Proper diet helps relieve pain and swelling, and reduces the risk of complications. When compiling a menu, it is worth paying attention to protein, because their patients often lack their usual products.
- "The gout diet is effective in lowering uric acid levels in the body. It is recommended that patients observe it throughout their lives to avoid severity and continue the course of the disease without symptoms. "
- "Nutrition lowers uric acid levels in the body by about 15%. It is effective in treating gout when combined with supportive medications.
Disadvantages of dieting for gout
The main disadvantage of the diet is that food restrictions are relatively strict. Even small violations can trigger disease exacerbation. The diet is very unpleasant for lovers of meat and alcoholic beverages.
Another disadvantage of the diet is the lack of animal protein, which has to be compensated by expensive and unusual dairy and plant products. In addition, the diet is not suitable for weight loss and is intended solely for treatment.