Nutrition in Gout

The article was written by Dr. BS Phan Nguyen Thanh Binh - Head of the Department of Nutrition - Dietetics - Department of Pediatrics - Neonatology, Vinmec Central Park International General Hospital

For patients with Gout disease, building a scientific diet is very important. If you want to lose weight, you should also lose it slowly, if you lose too much weight too quickly, it will make the condition worse. Avoid overeating, especially in the evening because heavy meals are a stress factor for uric acid formation.

1. Principles of nutrition

Control protein (protein): 1g/kg body weight/day. Protein requirements are lower in cases of renal complications (acute glomerulonephritis, acute renal failure, chronic renal failure). Choose foods that are low in purines. Ensure enough energy: 30-35 kcal/kg body weight/day. Reduced energy requirements in obese patients. Fat: accounts for 20-22% of total energy all day, Cholesterol < 300mg/day. Water: drink plenty of water > 2 liters/day. Adequate supply of vitamins and minerals. >>> Gout prevention diet

2. Nutritional Tips

2.1 Food choices a, Foods to eat
Should eat a variety of foods to provide a full range of necessary nutrients. Rice, corn, pho, rice noodles, ... tubers: sweet potatoes, potatoes, taro, taro, cassava, vermicelli,... Green vegetables: zucchini, spinach, amaranth,. .. Sweet and ripe fruits: pears, apples, grapes, jackfruit, watermelon,... Low-purine foods: cereals, butter, sugar, milk, cheese, vegetables... If you eat meat should only eat 100g for people weighing <50kg and 150g for people weighing >50kg. Drinks containing bicarbonate.

Thực phẩm chế biến — Người chế biến nên đa dạng loại thực phẩm cho người bệnh gout

b, Foods to limit use
Foods with high purine content: meat broth, mushrooms, asparagus, animal viscera, liver, ovals, heart,... Sour fruits: sour oranges , green mango, toad, sour grapes, tamarind,... c, Food should not be used
Do not use alcohol, beer, tea, coffee,... 2.2 How to prepare When eating fish, it should be eaten in the form boiled, or before stir-frying, frying should also be boiled first.

Thực đơn mẫu với mức năng lượng 1600 kcal/ngày

Food substitute equivalent:

100g gạo	=	100g gạo nếp/ mỳ sợi/ miến
		250g bánh phở tươi
		300g bún
		400g củ khoai củ
		6 miếng bánh mì sandwich
100g thịt heo	=	100g thịt bò, cá, gà
		120g tôm, tép tươi
		2 quả trứng
		40g chà bông
		200g đậu hũ

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