Example Diet for Gout and Hyperuricemia

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Robert Maurer
@robertmaurer
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Premise

The following indications are for informational purposes EXCLUSIVELY and are not intended to replace the opinion of professionals such as a doctor, nutritionist or dietician, whose intervention is necessary for the prescription and composition of PERSONALIZED food therapies.


Iperuricemia e gotta

Hyperuricemia is a disease characterized by an altered metabolism of uric acid which, by increasing its levels in the blood, can accumulate in the tissues leading to gout (SYMPTOMATIC pathology on a genetic basis which can also become highly disabling); hyperuricemia is defined as the condition for which - even after 5 days of diet for uricaemia and in the absence of specific drugs - the uric acid concentrations in plasma remain ≥6,5mg / dl in women and ≥7,0mg / dl in women. 'man (adults).
Hyperuricemia is due to the excessive synthesis of purine bases (nitrogenous compounds of nucleic acids - DNA and RNA) which are not used and accumulate; to dispose of them, it is therefore necessary to convert them into uric acid and excrete it in the urine. Unfortunately, the ability to excrete is often not fast enough to compensate for its overproduction, so hyperuricaemia occurs. On the other hand, there is also the possibility that the kidneys themselves have a defect in the ability to filter uric acid from the plasma, constituting another cause of hyperuricaemia independent of purine production. Hyperuricaemia can therefore be caused both by an overproduction of purines and by the reduced ability to dispose of uric acid.
Hyperuricemia causes gouty symptoms consisting of: urate deposits in various locations, arthritic-like joint inflammation due to urate deposits, gouty nephropathy.



Diet for hyperuricemia and gout

The diet for hyperuricemia is a diet aimed at reducing the levels of uric acid in the blood; any diet for hyperuricaemia has 4 fundamental characteristics:

  1. Reduces the intake of purines
  2. Significantly increases your water intake
  3. Eliminate any source of ethyl alcohol
  4. Induces or maintains a normal weight and fights obesity.

- foods that contain more purines they are: anchovies or anchovies, sardines, sweetbreads, liver, kidney, brain, meat extract, game.
Followed by those a medium purine content: meats, poultry, fish, crustaceans, cured meats and sausages in general; peas, beans, lentils, asparagus, spinach, cauliflower, mushrooms.
Concluding with those a low purine content: milk, eggs, cheeses, vegetables (except those listed above), fruit, pasta and other cereals (except for wheat germ and wholemeal products).
Taking into account that a diet rich in glucose and its polymers favors the excretion of uric acid, while a diet EXCESSIVELY rich in fructose e grassi facilitates retention. As in many other metabolic diseases, also for hyperuricaemia it has been shown that the biochemical parameters suffer a greater benefit from the reduction of overweight / obesity rather than from the reduction of dietary purines. NB. The diet for hyperuricaemia and gout is often low in dietary fiber.


Useful supplements

There are no supplements useful to counteract hyperuricemia and gout; however, often these are disorders related to a genetic predisposition that requires the use of specific drugs administered by the doctor such as: allopurinol, probenecid and sulfinpyrazone for continuous treatment, while, in case of acute conditions, colchicine and NSAIDs may be useful .


Example

  • Obese retiree, hunter and fisherman; drinks 500ml of wine per day.
Gender M
Age 64
Height cm 178
Wrist circumference cm 17,5
Constitution Normal
Height / wrist 10,2
Morphological type Normolineo
Weight kg 95
Body mass index 30,0
Evaluation Obeso
Physiological body mass index desirable 21,7
Desirable physiological weight kg 68,8
Basal metabolism kcal 1518,7
Physical activity level coefficient Lightweight, NO aux
Energy expenditure kcal 2126,2
Diet NORMOCALORICA * 2110 Kcal*
Lipids 25% 372,5Kcal 61,4 g
Protein 0,8g / kg * physiol. 220,2Kcal 147,6g
Carbohydrates 60,2% 897,3kcal 284,6g
Breakfast 15% 224kcal
Snack 10% 149kcal
Lunch 35% 521kcal
Snack 10% 149kcal
Price 30% 447kcal

Gout Diet Example - Day 1




DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
honey 20g, 60,8kcal
Snack, about 10% kcal TOT
Strawberries 200g, 64,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Pasta with tomato sauce
Semolina pasta 70g, 249,2kcal
Tomato Sauce 100g, 24,0kcal
Parmesan 10g, 39,2kcal
Lettuce 100g, 18,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
Sour red cherries 200g, 100,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
Fried eggs
Chicken eggs 100g, 143,0kcal
Fennel 200g, 62,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal

Gout Diet Example - Day 2



DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
Jam, generic 20g, 55,6kcal
Snack, about 10% kcal TOT
½ Apple, with peel 150g, 52,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Risotto with zucchini
Short grain white rice 70g, 250,6kcal
zucchini 100g, 16,0kcal
Parmesan 10g, 39,2kcal
radicchio 100g, 23,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
½ Apple, with peel 150g, 52,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
ricotta cheese
Cow ricotta, from partially skimmed milk 100g, 207,0kcal
Melanzane 200g, 48,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal

Gout Diet Example - Day 3


DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
Condensed milk, sweetened 20g, 65,4kcal
Snack, about 10% kcal TOT
½ Orange 200g, 63,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Barley salad with eggplant
Pearl barley 70g, 246,4kcal
Melanzane 100g, 24,0kcal
Parmesan 10g, 39,2kcal
arugula (rocket salad) 100g, 25,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
½ Orange 200g, 63,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
Cod in white
Atlantic cod fillets 150g, 123,0kcal
Chard 300g, 57,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 15g, 135,0kcal

Gout Diet Example - Day 4


DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
Honey 20g, 60,8kcal
Snack, about 10% kcal TOT
Strawberries 200g, 64,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Pasta with peppers
Semolina pasta 70g, 249,2kcal
Yellow peppers 100g, 22,0kcal
Parmesan 10g, 39,2kcal
Lettuce 100g, 18,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
Sour red cherries 200g, 100,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
Egg white omelet
Chicken egg whites 150g, 72,0kcal
Potatoes 200g, 154,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal

Gout Diet Example - Day 5


DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
Jam, generic 20g, 55,6kcal
Snack, about 10% kcal TOT
½ Apple, with peel 150g, 52,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Carrot risotto
Short grain white rice 70g, 250,6kcal
carrots 100g, 41,0kcal
Parmesan 10g, 39,2kcal
radicchio 100g, 23,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
½ Apple, with peel 150g, 52,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
Milk flakes
Low-fat cottage cheese 150g, 129,0kcal
Melanzane 200g, 48,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal

Gout Diet Example - Day 6


DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
Condensed milk, sweetened 20g, 65,4kcal
Snack, about 10% kcal TOT
½ Orange 200g, 63,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Barley salad with zucchini
Pearl barley 70g, 246,4kcal
Zucchini 100g, 16,0kcal
Parmesan 10g, 39,2kcal
arugula (rocket salad) 100g, 25,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
½ Orange 200g, 63,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
Baked sea bass
Sea bass fillets 150g, 145,0kcal
Chicory 300g, 57,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 15g, 135,0kcal

Gout Diet Example - Day 7


DRINK AT LEAST 1,0-1,5 liters of water per day
Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 200ml, 100,0kcal
Rusks 15g, 63,9kcal
Honey 20g, 60,8kcal
Snack, about 10% kcal TOT
Strawberries 200g, 64,0kcal
Light yogurt 125g, 70,0kcal
Lunch, about 35% kcal TOT
Pasta with tomato sauce
Semolina pasta 70g, 249,2kcal
Tomato Sauce 100g, 24,0kcal
Parmesan 10g, 39,2kcal
Lettuce 100g, 18,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal
Snack, about 10% kcal TOT
Sour red cherries 200g, 100,0kcal
Light yogurt 125g, 70,0kcal
Dinner, about 30% kcal TOT
Turkey paillard
Turkey breast 150g, 166,5kcal
Fennel 200g, 62,0kcal
Bread your country 50g, 135,5kcal
Extra virgin olive oil 10g, 90,0kcal

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