Shellfish Crustacea And Mollusks
There are two groups of shellfish, crustacea and mollusks. Crustacea includes crabs, shrimp, crayfish and lobsters. Mollusks are oysters, clams, oysters, mussels, squid, scallops and snails.
Which shellfish group is higher gout risk? There is no big difference. A purine table from a 2014 Japanese study included a comprehensive list of different shellfish and seafood. It listed oysters, shrimp and certain squid with similar purine content.
The research also determined different species can have different purine concentrations. For example, a snow crab had more purines than a king crab.
Most of the medical experts recommend to limit the portions to an unfulfilling 4-6 ounces. An amount which most of us can easily eat more of if not aware.
Insight: Even after realizing different shellfish have different purine amounts, shellfish is still the most unpredictable food group to gauge gout for me. On some occasions, I would eat a small amount of crabs, and end up with a terrible flare up in my ankle. Then another time, I would eat about twice as calamari and not feel any symptoms. My uric acid level at the time may have been a factor, but he unpredictability made me reduce my shellfish intake. However, I learned to prepare myself when I want to satisfy a craving.
A Good Diet For Gout Should Not Include Soft Drinks Or Fruit Juice
Added sugar is a big problem in the modern diet.
Generally speaking, the sugar that is added to our food and drink products are 50% glucose and 50% fructose.
While glucose molecules are metabolised in the cell, fructose is metabolised in the liver. Further explanation is out of the scope of this article, but they behave very differently in the body.
Fructose intake, and not glucose intake, is strongly linked with gout.
Soft drinks and fruit juices tend to have the greatest amount of added sugar, and therefore the greatest amount of added fructose.
In fact, gout occurrence in the US has risen in line with fructose consumption since 1970 .
In a large study of over 46,000 men, researches found that two or more sugar-sweetened soft drinks a day was associated with an 85% increased risk of gout .
The largest consumers of sugar-sweetened soft drinks actually had a risk of gout comparable to the risk seen with three to five servings of alcohol.
Unfortunately the researchers did not account for family history of gout, which may or may not have changed their findings somewhat.
The strange thing out of all this, however, is that soft drinks dont typically contain purines.
Fructose is thought to be the culprit linking added sugars with gout. It appears to share the same mechanism as alcohol: fructose accelerates the breakdown of purine-containing nucleotides like ATP. This in turn drives up uric acid levels 90120-5/abstract” rel=”nofollow”> 13, 14, 15).
Exercise And General Health
In addition to following the gout diet, your healthcare provider may recommend that you make other changes to help you live comfortably with gout. The recommendations may include physical activity.
Studies have shown that regular exercise can help to improve joint function and help you to maintain a healthy weight. However, strenuous exercise can do more harm than good and dehydration may raise the level of uric acid in serum and trigger gout.
Also Check: What Is Used To Treat Gout
Chicken Beef And Other Meats Appear To Be Foods To Avoid With Gout
The conversion of purines to uric acid, in theory, causes gout.
Therefore high-purine foods are often suspected to trigger symptoms.
Meat, and to a lesser extent seafood, are prime suspects. This includes all the most common meats like beef, chicken, pork and lamb.
The data available somewhat confirms suspicions.
Each additional daily serving of meat or seafood is associated with a 21% or 7% increased risk of gout, respectively . This implies meat could be three times worse than seafood.
There was another similar study that found even greater risks associated with meat intake, but none for seafood. Overall this suggests seafood is far less of a concern than meat .
For those who already have gout, the impact of meat intake on symptoms is even worse. This is likely due to sharper increases in blood uric acid, as well as poorer clearance by the body .
Therefore if you have a history of gout, it is best to dramatically reduce your meat intake, and seafood as well to a lesser extent. Anecdotal evidence suggests avoiding dark part of salmon, and de-veining prawns/shrimp before eating.
You should also buy your meat direct from the butcher where possible, or at least the better quality choices in the supermarket. Sausages and low-quality ground beef may contain traces of organ meat that can cause big problems .
Summary: Frequent consumption of meat is strongly linked with gout risk. The impact of seafood appears far less severe, but there is a link.
Is Soy Bad For Gout
Soy and gout do not always work together. Generally speaking, you could have soy based meals occasionally. The moderate amounts of purines do not make soy a contraindicated food, but it does require special attention make sure you avoid heavy meals and pay attention to potential signs.
If you can avoid soy at all, it might be better to do so. An occasional treat every now and then may not always trigger a gout flareup, but why would you take the risk? Ideally, your diet should consist of foods low in purines loads of fruits and vegetables. Your gout treatment begins with your diet, so careful consideration and medical advice are mandatory.
Read Also: Omega 3 Good For Gout
Top Foods That You Can Eat Freely In Uric Acid How To Decrease Uric Acid Permanently
Top Foods That You Can Eat Freely In Uric Acid AND How To Decrease Uric Acid permanently AzchanneL.– Thank for watching my video! Subscribe my new channel: http://tiny.cc/submychannel. By Me A Coffee: https://www.paypal.me/azchannel. If you enjoyed this video, then please subscribe to my channel which I update every week about more video!–#azchannel, #gout, #uricacid, #GoutFood, #GoutDiet
Video taken from the channel: Az channeL
Video taken from the channel: Lee Health
High intake of purine-containing foods can raise your uric acid levels and makes your gout worse. It is typically suggested that people with gout must keep their intake of foods high in purines at low levels. Soy contains moderate amounts of purines. So, consuming large amounts of soy-based products can increase the risk of gout.For the same amount of protein, soybeans and other soy products contain less purines than meat and vegetables.
If you suffer from gout, you can eat soy products in moderation, in the context of a healthy and low fat diet.Patients with gout should restrict purines in their diets. Soy foods like miso, tempeh, soy milk, soy sprout and soy yogurt have moderate amounts of purines in them.
Step 1. Understanding the link between gout and food Gout is a type of arthritis that usually affects the peripheral joints, most often those in the big toe , but can also affect the knees.
List of related literature:
Is Tofu Bad For Gout
Tofu is beneficial for gout suffers and it should be consumed due to high protein levels. It wont cause any risk nor will it promote a new flare. The best part is the fact you can consume as much as you want.
Tofu also prevents or better said helps you with kidney function. This is important for all gout sufferers because a better function can promote the excretion of uric acid. It is also known that gout sufferers are at a higher risk of decreased kidney function.
This is basically the complete link between tofu and gout. There are no other links or connections, direct or indirect. The bottom line is that tofu can be consumed and there are no additional points you need to know.
Also Check: Black Cherry Juice Good For Gout
Food Recommendations In Diet For Reducing Gout Risk
Whether you already have gout or youre looking to prevent the painful form of arthritis, there are food recommendations for your diet to reduce future attacks or lower your risk. Here is what you need to keep in mind.
Lose weight: Being overweight increases the risk of developing gout, so losing weight can lower your chances. Reducing calories and avoiding purine-rich foods are both good ways to lose weight.
Complex carbohydrates: Avoid complex carbohydrates. Instead, incorporate more fruits, vegetables, and whole grains into your diet.
Water: Staying hydrated will prompt urination, which can help expel extra uric acid. Furthermore, staying hydrated has also been linked with fewer gout attacks.
Fats: Minimize saturated and trans fats found in processed foods and red meat.
Protein: Protein should be consumed in the form of lean meat, fish, and poultry. There are vegetable sources of protein that you should also consider.
High-purine vegetables: Studies showed that vegetables high in protein do not increase gout risk: therefore, you can still consume foods such as spinach, beans, and mushrooms.
Organ and glandular meat: Avoid meats such as liver and kidney, which are high in purines.
Selected seafood: Research showed only some seafood can increase the risk of gout. Avoid seafood such as mussels, trout, scallops and tuna, which are higher in purines.Alcohol: Metabolization of alcohol can contribute to uric acid which causes gout.
Soy And Gout Is Soy Bad For Gout
Known as a member of the pea family, soy is a common food today mostly suitable for vegetarians looking for meat alternatives or those who need high amounts of protein. Apart from protein, it is also rich in amino acids that the body simply cannot produce by itself.
These days, millions of people rely on soy for all kinds of benefits, including a top notch nutrition. The food is also known to help against bone related problems, cancer and heart affections. However, if you suffer from gout or you try to prevent it, you might need to discuss with your doctor first.
Soy and gout could go hand in hand, but to a certain point. Soy, for instance, may have certain molecules that could trigger gout flareups. But on the other hand, it is also considered healthy from many other points of view. So, what do you need to know before making a decision?
Also Check: Best Natural Supplements For Gout
Other Potential Side Effects
Soy is generally considered to be safe, but it can be harmful if eaten in heavy amounts quite common or pretty much every food out there. Thyroid disorders are often associated with soy. For example, isoflavones in soy could block the thyroid hormone during the biosynthesis.
Body functions will slow down little by little. Those with thyroid related problems should definitely avoid such products. Besides, there are a few people out there with more or less aggressive allergies to soy again, keep away from soy related products.
Some of the symptoms associated with a soy allergy could involve breathing issues, nasal congestion, dizziness, low blood pressure, swelling and itching or wheezing. Some allergies are mild, while others are quite severe.
Key Studies Show Risk Of Gout And Gout Recurrence With Purine
One study examined new cases of gout among 47,150 men with no prior history of the condition. The men were followed for 12 years. A questionnaire was used to determine if the men fit the criteria of gout based on an American College of Rheumatology survey. Every four years, diet was assessed with a food-frequency questionnaire.
The end results of the study revealed 730 of the 47,150 men developed gout. The highest risk factors for the development of gout were meat and seafood consumption. Low risk was found in those who consumed dairy products. Although purine-rich foods increase the risk of gout, no increased risk was seen in men who consumed vegetables rich in purines.
In another study, researchers conducted a case-crossover to determine the risk of purine-rich foods as they contribute to gout. This study followed individuals who were already diagnosed with gout for one year online. Participants were asked questions about gout attacks, such as when they occurred, symptoms and signs of the attack, and medications they may be on, to name a few.
The results uncovered that even moderate consumption of purine-rich foods is enough to cause nearly five times as many reoccurring gout attacks. The researchers suggest that to avoid ongoing gout attacks, patients with gout should avoid and minimize their intake of purine-rich foods.
Read Also: Does Salt Cause Gout Flare Up
Soybean Milk & Its Effect On Increasing Uric Acid
Soybeans are a rich source of plant-based protein and can be converted into a variety of different products, including soy milk. Although soy milk and other soy-based substances are safe for many people to eat, you are an exception if you have gout. You need to avoid soy milk due to its potential effects on your uric acid levels.
Frequent Consumption Of Certain Fruits May Trigger Recurrent Gout Attacks
High sugar drinks may not be the only stimulant of gout flare ups.
Certain fruits which are a natural source of fructose have also been linked with gout.
This is a highly contentious area, because several studies have linked higher fruit intake with less incidence of gout. This is probably due to their high fibre content .
And unlike fruit juice and other sugar-sweetened drinks, whole fruits are nutritious and generally good for health. There is no disputing this.
However, if you continually have gout attacks despite cutting out alcohol and sugar-sweetened drinks then Im not convinced a large amount of fruits are safe for you. Especially if you are overweight and eat a Western diet.
So cutting back on certain very high-fructose fruits is like a Plan D, if you will.
The link comes back to fructose, which stimulates uric acid production in a similar manner to alcohol. Fructose is naturally found in fruit and honey.
One study found that the consumption of apples or oranges the most popular fruits in this study was linked with an increased risk of gout compared to those who consume less than one serving of fruit per month. No link was found with other fruits however .
While most fruits are very low in fructose, a few are very high. Frequent consumption of these could theoretically causes problems for gout sufferers.
Foods Highest in Fructose per 200 Calories :
Note this list is ranked on a per calorie basis, not per serving.
Also Check: Can You Have Gout Without Pain
Claudia Thompson Phd Rd
Tofu, or soy bean curd, has long been a popular food in China. And with the growing popularity of plant-based vegetarian and vegan diets, it’s showing up more often on western menus too. However there’s been some confusion over whether tofu is good or bad for people with gout.
Video of the Day
Historically, some health care professionals have advised gout-prone patients to minimize consumption of tofu and soy. A 2011 study published in the Asia Pacific Journal of Clinical Nutrition reflects these older attitudes toward tofu and gout.
The research surveyed opinions of Asian dietitians and doctors, and found that nearly half of these health care professionals thought soy foods were likely to cause gout. More recently, expert opinion suggests tofu consumption isn’t a problem for people with gout at all and may even be helpful.
Alcohol Is The Biggest Risk Factor For Gout
It is well-established that frequent alcohol intake dramatically increases risk of gout .
The Framingham Heart Study of over 4,500 participants provides some perspective.
Researchers found that regular alcohol use was associated with three times greater risk of gout in women compared to those who have less than 2 standard drinks per week. For men, regular drinkers had double the risk of non-drinkers .
Beer seems to be the worst, followed by hard liquors such as spirits. Interestingly, moderate wine consumption is not linked with any risk .
The reason why alcohol increases uric acid levels is still not well-understood. Some forms, particularly beer, can be high in purines but they are certainly not the richest source of purines in our diet.
Additional theories propose that excessive alcohol may also reduce the bodys ability to excrete uric acid. Others state that alcohol especially beer increases the chemical breakdown of purine-containing ATP nucleotides, which is a precursor of uric acid production .
Summary: Regular alcohol intake severely raises uric acid levels in the blood. It doubles, if not triples your risk of gout.
Read Also: What To Eat To Reduce Gout Pain
Health Benefits Of Tofu
Tofu, also known as bean curd, is a food prepared by pressing coagulated soy milk into flat white blocks. It has been a common ingredient in global cuisines, such as Chinese food, for many centuries. This power-packed food substitute is ideal for vegetarians and vegans all around the world because it contains no traces of animal products of any kind it is a pure organic food that supplies a wealth of nutritive value in a variety of delicious ways. The name comes from the Japanese word tofu, but it is widely enjoyed in many countries for its extremely nutritious composition.
Gout Diet: Dos And Donts
Maintaining a balanced diet, low in uric acid, is critical for lowering the risk of a gout attack. Learn which foods and beverages you should eat and which ones to avoid.
1. What You Eat and Drink Matters
2. DO: Drink Water
3. DONT: Drink Beer
4. DO: Drink Milk
5. DONT: Drink Liquor
6. DO: Drink Coffee
7. DONT: Drink Soda
8. Do: Eat Citrus
9. DONT: Eat Organ Meats
10. DO: Eat Vegetable Proteins
11. DONT: Eat Certain Seafood
12. DO: Eat Cherries
Also Check: Can Eating Too Many Tomatoes Cause Gout
The Cause Of Gout Is More Than Just Diet
While diet is critical, dont overlook other important factors that affect gout. These include family history, sleep apnoea, and lack of physical exercise to name a few.
And as much as I prefer focusing on what you should eat to prevent health scares, there are just so many clear trigger foods for gout.
Its important to deal with these factors first and foremost.
About Joe Leech, Dietitian
Joe Leech is a university-qualified dietitian from Australia.
He graduated with a Bachelor’s degree in exercise science, followed by a Master’s degree in Nutrition and Dietetics in 2011.
Learn more about him on the About page.