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Example Diet for Gout and Hyperuricemia

Premise

The following indications are for information purposes EXCLUSIVELY and are not intended to replace the opinion of professional figures such as doctor, nutritionist or dietician, whose intervention is necessary for the prescription and composition of CUSTOMIZED food therapies.

Hyperuricemia and gout

Hyperuricemia is a pathology characterized by an altered metabolism of uric acid which, by increasing its own levels in the blood, can accumulate in the tissues resulting in gout (a SYNTHOMATIC pathology on a genetic basis which can also become strongly debilitating);

hyperuricemia is defined as the condition for which - even after 5 days of uric acid diet and in the absence of specific drugs - plasma uric acid concentrations remain ≥6.5 mg / dl in women and ≥7.0 mg / dl in women 'man (adults).

Hyperuricemia is due to the excessive synthesis of purine bases (nitrogen compounds of nucleic acids - DNA and RNA) that are not used and accumulate; to dispose of them, it is therefore necessary to convert them into uric acid and expel it with urine. Unfortunately, often the capacity for excretion is not fast enough to compensate for its overproduction, therefore hyperuricemia occurs. On the other hand, there is also the possibility that the kidneys themselves present a defect in the ability to filter uric acid from the plasma, constituting another cause of hyperuricemia independent of purine production. Hyperuricemia can therefore be caused either by an overproduction of purines or by the reduced ability to dispose of uric acid.

Hyperuricemia causes gouty symptoms consisting of: deposits of urates in various sites, arthritic-like joint inflammations due to deposits of urates, gouty nephropathy.

Diet for hyperuricemia and gout

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

  1. Knock down the purine intake
  2. Significantly increases water intake
  3. Eliminate any source of ethyl alcohol
  4. Induces or maintains normal weight and fights obesity.

The foods that contain the most purines are: anchovies or anchovies, sardines, sweetbreads, liver, kidney, brain, meat extract, game.

Followed by those with a medium purine content : meat, poultry, fish, crustaceans, cured meats and sausages in general; peas, beans, lentils, asparagus, spinach, cauliflower, mushrooms.

Concluding with those with a low purine content : milk, eggs, cheeses, vegetables (except those listed above), fruit, pasta and other cereals (except for wheat germ and whole grain products).

Taking into consideration that a diet rich in glucose and its polymers favors the excretion of uric acid, while an EXCESSIVE diet rich in fructose and fats facilitates its retention. As in many other metabolic diseases, also due to hyperuricemia it has been shown that the biochemical parameters are more likely to benefit from the reduction of overweight / obesity rather than the reduction of dietary purines. NB . The diet for hyperuricemia and gout is often low in dietary fiber.

Useful supplements

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

Example

  • Obese pensioner, hunter and fisherman; drinks 500ml of wine per day.
Sex M
Age 64
Stature cm 178
Wrist circumference cm 17.5
Constitution Normal
Stature / wrist 10.2
Morphological type normolineo
Weight kg 95
Body mass index 30.0
Rating Obese
Desirable physiological body mass index 21.7
Desirable physiological weight kg 68.8
Basal kcal metabolism 1518.7
Coefficient of physical activity level Light, NO aux
Kcal energy expenditure 2126.2
Diet NORMO CALORICA *2110 Kcal *
Lipids 25%372, 5Kcal61.4 g
Protein 0.8g / kg * physiol. Weight220, 2Kcal147, 6g
Carbohydrates 60.2%897, 3kcal284, 6g
Breakfast15% 224kcal
Snack10% 149kcal
Lunch35% 521kcal
Snack10% 149kcal
Dinner30% 447kcal

Example Diet against Gout - Day 1

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
honey20g, 60.8kcal
Snack, about 10% kcal TOT
strawberries200g, 64.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Pasta with tomato sauce
Semolina pasta70g, 249.2kcal
Tomato sauce100g, 24.0kcal
Parmigiano10g, 39.2kcal
Lettuce100g, 18.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
Red sour cherries200g, 100, 0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Bull's-eye eggs
Chicken eggs100g, 143.0kcal
Fennel200g, 62.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal

Example Diet against Gout - Day 2

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
Jam, generic20g, 55.6kcal
Snack, about 10% kcal TOT
½ Apple, with peel150g, 52.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Zucchini risotto
White rice with short grain70g, 250.6kcal
Zucchini100g, 16.0kcal
Parmigiano10g, 39.2kcal
Radicchio100g, 23.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
½ Apple, with peel150g, 52.0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Ricotta cheese
Cow ricotta, from semi-skimmed milk100g, 207.0kcal
Eggplant200g, 48.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal

Example Diet against Gout - Day 3

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
Condensed milk, sweetened20g, 65.4kcal
Snack, about 10% kcal TOT
½ Orange200g, 63.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Barley salad with eggplant
Pearl barley70g, 246.4kcal
Eggplant100g, 24.0kcal
Parmigiano10g, 39.2kcal
Rocket salad100g, 25.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
½ Orange200g, 63.0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Cod in white
Atlantic cod fillets150g, 123.0kcal
Chard300g, 57.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil15g, 135.0kcal

Example Diet against Gout - Day 4

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
Honey20g, 60.8kcal
Snack, about 10% kcal TOT
strawberries200g, 64.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Pasta with peppers
Semolina pasta70g, 249.2kcal
Yellow peppers100g, 22.0kcal
Parmigiano10g, 39.2kcal
Lettuce100g, 18.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
Red sour cherries200g, 100, 0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Egg white omelet
Chicken egg whites150g, 72.0kcal
Potatoes200g, 154, 0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal

Example Diet against Gout - Day 5

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
Jam, generic20g, 55.6kcal
Snack, about 10% kcal TOT
½ Apple, with peel150g, 52.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Carrot risotto
White rice with short grain70g, 250.6kcal
carrots100g, 41.0kcal
Parmigiano10g, 39.2kcal
Radicchio100g, 23.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
½ Apple, with peel150g, 52.0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Milk flakes
Low fat flakes150g, 129.0kcal
Eggplant200g, 48.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal

Example Diet against Gout - Day 6

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
Condensed milk, sweetened20g, 65.4kcal
Snack, about 10% kcal TOT
½ Orange200g, 63.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Barley salad with zucchini
Pearl barley70g, 246.4kcal
Zucchini100g, 16.0kcal
Parmigiano10g, 39.2kcal
Rocket salad100g, 25.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
½ Orange200g, 63.0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Baked sea bass
Seabass fillets150g, 145.0kcal
Chicory300g, 57.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil15g, 135.0kcal

Example Diet against Gout - Day 7

DRINK AT LEAST 1.0-1.5 liters of water per day
Breakfast, about 15% kcal TOT
Milk with reduced fat content, 2% of the total200ml, 100, 0kcal
Rusks15g, 63.9kcal
Honey20g, 60.8kcal
Snack, about 10% kcal TOT
strawberries200g, 64.0kcal
Light yogurt125g, 70.0kcal
Lunch, about 35% kcal TOT
Pasta with tomato sauce
Semolina pasta70g, 249.2kcal
Tomato sauce100g, 24.0kcal
Parmigiano10g, 39.2kcal
Lettuce100g, 18.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal
Snack, about 10% kcal TOT
Red sour cherries200g, 100, 0kcal
Light yogurt125g, 70.0kcal
Dinner, about 30% kcal TOT
Turkey paillard
Turkey breast150g, 166, 5kcal
Fennel200g, 62.0kcal
Italian bread50g, 135.5kcal
Extra virgin olive oil10g, 90.0kcal

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