There are more than 10 million gout patients in China, and the 'curse' has been uncovered: these 4 kinds of food are the big purines

"During the last dinner, I ate a few extra pieces of tofu, and when I got home at night, I had a gout attack. What a shame!"

"There are only a few pieces of tofu, and the consequences are so serious?"

"It's not just tofu. You should eat less soy milk and dried tofu. Once you eat it, wait for gout!"

"Is it really that exaggerated..."

Maybe most people with gout "talk about soy beans", thinking that soy products are high-purine foods, and gout patients will increase uric acid after eating soy products, which will lead to gout attacks... Is this really the case?

1. The high incidence of gout in China is because of eating too much soy products?

According to the "White Paper on Hyperuricemia and Gout Trends in China" in 2021, there are more than 14,660 people with gout in China. In terms of the proportion of patients, men are higher than women, but women with gout are also gradually increasing.

Many people know that a diet high in purines can lead to gout attacks, and soybeans contain high levels of purines, which are considered by many to be a major cause of gout.

In fact, soybean is a representative of high protein and high calcium in plants, and it is also rich in saturated fatty acids, potassium, dietary fiber, vitamin E and many other beneficial ingredients for the human body.

So what is the relationship between gout and soy products?

First of all, we need to know that although some beans contain high purines, after multiple procedures, the purines of soy products will gradually decrease in this process . Moreover, some studies have also found a relationship between gout and soy products:

• In 2016, the Chinese Gout Guidelines pointed out that those who eat a large amount of plant protein have a lower risk of gout than those who eat a small amount of plant protein;
• In 2018, Taiwan’s gout multidisciplinary management guidelines also pointed out that the purine content of soy products is not high, and after eating, it does not affect uric acid or has a very slight effect on uric acid. Gout patients can eat it normally.

In other words, soy products such as soy milk and tofu are actually medium to low purine , and people with gout can eat them in moderation. But pay attention to the method, it is not advisable to eat too much at one time, and it is best to drink plenty of water when eating.

2. People with gout may face 4 consequences

When gout attacks, the soreness is really indescribable. Many men will wonder why gout will come to their door if they don't eat and drink too much.

In fact, gout prefers men, and diet is only one of the influencing factors. What is more important is the difference in hormones between men and women. Males are dominated by male hormones, while females are dominated by estrogens.

In the matter of transporting uric acid garbage, estrogen is the "naturally chosen worker", which can effectively improve the efficiency of garbage trucks; while androgen will prevent garbage trucks from working, resulting in the failure of metabolic garbage to be transported in time , thus prompting the symptoms of gout probability. If you have gout, you may face the following situations:

1. Kidney disease

Patients with gout are often accompanied by other metabolic disorders, which affect the operation of the kidneys and cause varying degrees of damage.

2. Tophi appears

Urate can be deposited in the joints of the human body and gradually accumulate to form tophi, which is commonly found in the helix, first metatarsophalangeal joint, finger, wrist, knee joint, etc.

3. Gouty arthritis

The local joints of the patient will have obvious redness, swelling, heat, and pain. With the increase in the number of tophi, the volume will increase, and symptoms such as ulceration will also occur.

4. Gouty cardiovascular disease

For gout patients who themselves suffer from coronary heart disease and hypertension, due to the long course of the disease and the GAP level of blood uric acid, urate crystals may accumulate in the myocardium and artery walls, leading to gouty cardiovascular diseases.

Three or four kinds of food are "big purine households", avoid them as soon as possible

Although there are many factors that cause gout, compared with other factors, diet is a part that can be controlled by oneself. Therefore, if you want to maintain a stable blood uric acid level, you should eat less of the following foods:

1. Animal viscera

I believe everyone has heard about the purines in animal offal, and if you pick out any offal, it is at a high level in the purine world. For example, duck liver has 398 mg of purine per 100 grams, and pig brain, which is the favorite of Sichuan people, has as much as 1500 mg of purine per 100 grams.

2. Alcohol

Judging from the data, although the purine content of alcohol is not high, it will reduce the excretion of uric acid and increase the production of uric acid, which will increase the blood uric acid in the body and cause gout attacks more easily.

3. Sugary drinks

Including fruit juice, soda, milk tea, etc. Usually these beverages contain a lot of glucose or fructose, which can promote uric acid production, insulin resistance, and indirectly reduce uric acid excretion.

4. Seasoning

Spices in the kitchen are also sources of high-purine diets that are easily overlooked. For example, chicken bouillon and chicken fresh powder used in cooking and soup, have a purine content of more than 500 mg per 100 grams.

In addition, spicy and stimulating conditioning such as chili, mustard, and pepper can also easily excite the nerves and promote gout attacks.

Of course, diet is only one of the incentives. If you want to further control the blood uric acid level and reduce the probability of acute gout attacks, you still need to insist on drug treatment.

Gout is not fatal, but attacks can be very painful. If you want to stay away from the "knife-like life" in life, you must pay more attention to diet, work and rest, maintain optimism, and persist in treatment, instead of regretting it every time you have an attack.

References:

[1] "Uric acid is high, can you eat soy products?" Finally an authoritative explanation! ". Kidney online. 2022-10-22

[2] "Don't think that gout only causes pain in hands and feet, it can also damage important organs! ". Lan Shiting. 2022-09-24

[3] "If you want to control gout well, it is best not to touch 7 types of food! 5 types can be eaten with confidence! ". Popular Science China. 2022-10-06

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