Reviewed by: Cheng Yongjing (Beijing Hospital)
Beer + seafood is a well-known "gout package" and is respected by gout patients. What many people never expected was that a kind of internet red drink around them would make this pain "like being bitten by a dog" worse.
The following news shocked most people:
The 16-year-old boy drank juice instead of water every day, and as a result, he got gout at a young age!
Image source: Screenshot of Guangzhou Daily Weibo
Drinking juice increases the incidence of gout, which has been confirmed by a large-scale clinical study abroad:
Scientists looked for 46,393 men who had never had gout, and after 12 years of follow-up, 755 men were diagnosed with gout. It was concluded that the more people who drank sugary drinks, the higher the proportion of people who developed gout and hyperuricemia [1].
Men who drank more than 2 glasses of juice per month had an 81% higher chance of developing gout compared to men who drank less than one glass of juice per month. Orange juice and apple juice, in particular, are most closely related to gout [1].
Image source: Stand Cool Helo
At present, the prevalence of gout in mainland China is 1% to 3%, and it is increasing year by year, with the ratio of male and female incidence to 15:1 [2].
So --
1. Why does juice cause gout?
The real culprit is the fructose in the juice.
In recent years, a growing body of research has found that excessive fructose intake leads to a significant increase in the incidence of gout.
You know, fructose is the "sweet hegemon" of many sugars, if you give a score to the sweetness of sucrose and glucose, they can get 100 points and 74 points, and fructose can get more than 170 points!
We know that the final product of purine metabolism is uric acid, but we do not know that fructose is converted into adenosine monophosphate under the catalytic action of human fructokinase, which will also be metabolized to uric acid. At the same time, fructose can also reduce uric acid excretion, resulting in a further increase in blood uric acid.
It can be said that drinking juice for a while is refreshing, and the dual effect of fructose makes uric acid high to madness.
Foreign studies have found that drinking too much juice will also aggravate gout!
Second, which foods contain more fructose?
In daily life diet, if you don't pay attention to it, it is easy to be biased by fructose: common fruits, honey, sugary drinks, sweets, etc. are all active ranges of fructose.
For example, 330ml cola contains sugar 35g, 600ml iced tea contains sugar 58.2g, and 100g ice cream contains 20g sugar.
Most of the sugars added to these dietary industries are high fructose syrup or sucrose. Among them, the main component of high-fructose syrup is fructose; after the decomposition of sucrose, 50% of the components will be converted into fruit sugar.
Therefore, both sucrose and high fructose syrup can lead to elevated fructose.
Fruits with high fructose content do not have much impact on normal people, and for gout patients, the main reason for the red light is because of eating too much!
For example, the common fruits in our lives have a higher sugar content (a bowl, slices) with bananas of 10.91g, mangoes of 7.72g, and apples of 7.38g. In addition, high-sugar fruits also include figs, oranges, grapefruit, lychees, persimmons, guiyuan, bananas, bayberry, pomegranates and so on.
The 2016 Chinese Dietary Guidelines also recommend that Chinese people control their intake of added sugars, no more than 50g per day, preferably below about 25g.
Therefore, the "gout package" to stay away from is not only beer + seafood, but also juice.
Third, these dietary tips to master
Gout is a disease that is inseparable from "eating", how should I eat it?
These foods, once eaten, are bad
High-purine foods "Limited" eating is key
In order to ensure that the body's nutrition can keep up, some high-purine foods can also be eaten, but be sure to limit the amount, including:
These foods are unlimited and add nutrients daily
Gout patients should also pay attention to drinking more water, drinking at least 2000 ml of water per day, in addition, you can also drink some light tea, coffee can help urinate uric acid, but pay attention to too strong coffee will increase the burden on the kidneys.
Iron-clad dietary principles
In short, for gout patients, it is important to remember:
Restriction of animal foods with high purines is necessary;
Control the functional ratio of energy and nutrients to maintain a healthy weight;
Adhere to regular uric acid-lowering medications and follow up regularly.
What can I eat if I have gout? Know the purine content of common foods before deciding
Finally, Uncle Dian would like to remind everyone that controlling diet is equally important as taking medicine.
Rome was not built in a day, and hyperuricemia in gout patients did not come in one day, and the accumulation of hyperuricemia for many years before led to a large amount of urate crystal precipitation around the joints and joints, and it was necessary to use uric acid-lowering drugs to fundamentally excrete too much uric acid.
On this basis, controlling diet and controlling gout can only be more effective with half the effort.
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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