Products prohibited for gout on the legs, arms and permitted. Table, list for women, men

Foods while following a therapeutic diet against the background of gout and gouty arthritis should contain a minimum of purine compounds. The list of prohibited foods includes fatty meats, sweets, alcohol and caffeinated drinks. Dietary restrictions are aimed at lowering the level of urate in the blood.

Pros and cons of dieting for gout

A therapeutic diet for gout and gouty arthritis has the following benefits:

• helps to reduce uric acid in the blood by restricting foods rich in purine compounds in the diet;
• can be used regardless of age, gender and the presence of secondary diseases in the patient;
• does not give complications and side effects in comparison with drug therapy:
• increases the duration of the remission period, prevents the exacerbation of inflammation and pain.

Despite the positive aspects, the diet has several disadvantages:

• dietary restrictions operate on a lifelong basis, and not only in the acute period;
• a ban is imposed on the use of alcohol, fatty foods;
• the amount of meat in the diet is sharply limited, due to which there is often a lack of protein.

In order to replenish the supply of proteins and avoid loss of muscle mass, the amount of dairy and fermented milk products is increased in the daily menu.

Diet rules for gouty arthritis of the extremities

In case of joint disease, it is necessary to adhere to the following rules of a therapeutic diet:

• reduce the daily intake of purines from 1000 mg to 200 mg;
• eat up to 5-6 times a day in small portions of 200-300 g;
• drink up to 2.5 liters of liquid, most of which should be alkaline water;
• you need to take food every 2-3 hours, you need to avoid hunger;
• the amount of salt is reduced to 5-6 g per day;
• arrange a weekly fasting day

The diet should be varied. Otherwise, due to strict dietary restrictions, gastrointestinal upset, gastritis and frequent heartburn may appear.

Classic diet number 6

The main goal of the diet is to normalize overall metabolism, stabilize blood purine levels, and reduce the amount of uric acid in the blood. With proper adherence to the therapeutic diet, the urine reaction shifts towards an alkaline environment, all intestinal functions are restored.

The chemical composition of the diet should be as follows:

• about 85 g of proteins;
• up to 80 g of fat;
• 400 g of carbohydrates;
• the calorie content of the diet should not exceed 2600-2900 kcal.

During the period of the diet, foods containing purine substances, oxalic acid and sodium chloride are sharply limited. The diet is supplemented with foods that alkalize the body's pH. Meat can be consumed at 150 g, fish at 170 g per day no more than 2-3 times a week. Fractional food is displayed. Water should be taken on an empty stomach between meals.

Diet during an exacerbation

During the period of inflammation and acute pain syndrome, it is important to eat lean, low-fat food. Meat and fillets are strictly limited to 150 g per day 2-3 times a week. To stabilize the metabolism, you must adhere to the rules of table number 6 and drink more alkaline mineral water.

Diet for gout of the legs

If you have uric acid crystals in your knees, hips, and ankles, it is important to stick to diet # 6. The use of fatty and sweet foods is strictly prohibited.

It is important for the patient to monitor his own weight and prevent obesity. Otherwise, the legs will have an additional load, due to which the process of inflammation and the intensity of the pain syndrome will intensify.

Lean meat is allowed to be used no more than 2-3 times a week. During an exacerbation, 70% of the diet should consist of liquid and semi-liquid food.

Diet for obese gout

If gout is complicated by obesity, the patient's diet is based on a low-calorie diet No. 6e. In this case, the number of bakery products is strictly limited to 100 g per day, the use of plant foods and cereals is increased. It is necessary to refuse to take flour products, sweet and fatty foods, including starchy vegetables, bananas, grapes. It is forbidden to eat rice and semolina.

The energy value of the daily diet should not exceed 1700 kcal for women and 1950 kcal for men. You need to eat 70 g of protein, 80 g of fat and no more than 200 g of carbohydrates per day. When following a low-calorie diet, it is important to spend fasting days 1-2 times a week. Medical fasting is strictly prohibited.

Diet in remission

If, during an exacerbation of gout, it is important to strictly follow the rules of a therapeutic diet and completely exclude from the diet prohibited foods, then after the onset of a stable remission, with the permission of the attending physician, you can expand the daily menu. Fruits, a small amount of sugar are introduced into the patient's diet, the amount of meat increases to 200-300 g per day.

Fasting days

The therapeutic diet provides for the presence of fasting days, in which the gastrointestinal tract is cleared of slag masses, the general metabolism improves. They help obese patients with gout to lose excess weight faster.

Unloading is not a hungry or watery day in which a person refuses to eat at all. This is due to the fact that in the absence of food, an abundant release of uric acid into the blood begins. A fasting day is spent on some product or on a combination of 2-3 types of plant foods.

For this purpose, use:

• melon;
• apples;
• fermented milk products: cottage cheese and kefir;
• potato;
• cucumbers;
• zucchini.

If you cite fermented milk products as an example, then during unloading it is allowed to use 1 liter of kefir and 300 g of fat-free curd mass per day. The amount of water is not limited. When holding fruit or vegetable days, it is allowed to consume 1-1.5 kg of fruits. Unloading can be carried out once a week.

Features of the male diet

Gout in men is the same as in women, so there is no special therapeutic diet for them. At the same time, representatives of the stronger sex, especially those over 45, are more likely to suffer from joint diseases. This is due to the fact that men are more susceptible to the influence of bad habits, such as overeating and drinking alcohol.

Foods prohibited for men with gout:

• alcohol;
• fatty food;
• carbonated drinks;
• an abundance of confectionery;
• coffee Tea.

You will need to remove fatty meat and fish from the diet, but you should not abruptly switch to a vegan diet. To maintain muscle mass, men need to eat lean beef fillets, poultry, and lean fish.

Prohibited foods

Foods prohibited for gout:

• Canned food, broth on meat, fish and mushrooms. Contains animal fats, which include purines.

  

• Sorrel, spinach. They contain a large amount of uric acid, crystals of which are deposited in the joint cavity.
• Mushrooms. Purine compounds account for 12.8% of the total mass of products, which increase the plasma concentration of uric acid in the blood.
• Semi-finished products (sausage, sausages), red meat and offal (kidneys, heart, liver). The composition of animal food contains purine compounds, which in the process of metabolism in the blood and liver break down to uric acid and urates. They are deposited in the form of sharp crystals on the surface of the cartilaginous tissue of the bones at the joints.
• Drinks: tea, coffee, cocoa. They differ in the content of caffeine, the excess of which increases the intensity of pain in gout. This is due to the fact that this substance stimulates the production of cortisol (stress hormone). As a result, the sensitivity of the nervous system increases and the pain of joint inflammation increases.
• Dried fruits, some berries and confectionery: chocolate, dates, raisins, grapes, raspberries. They contain a large amount of simple carbohydrates, glucose and fructose. Sugar slows down the metabolism, leads to obesity and diabetes, increasing the risk of complications from gout. As a result of the metabolism of fructose, uric acid is produced.
• Alcoholic products. Weaken the structure of the joint capsule. The ethanol contained in it flushes calcium from the musculoskeletal system, which increases the risk of inflammation and exacerbation of gout symptoms.
• Legumes. They are high in purines, which break down to uric acid.

The foods that are prohibited for gout are the same for women and men. They are high in purines and cause uric acid retention in the body. As a result, it is deposited in the form of crystals in the cavity of the joint capsule. In addition to the listed products, in order to avoid exacerbation of the symptoms of the disease, it is important to exclude salty, smoked, spicy foods from the diet.

Restricted products

When following a therapeutic diet, it is necessary to limit the consumption of the following foods:

• asparagus, white cabbage and cauliflower;
• boiled lean fish fillet;
• mail beef, lean poultry;
• feathers of green onions;
• bakery products;
• sugar, honey, salt up to 10 g per day;
• 1 chicken egg is allowed per day;
• concentrated tea, diluted with milk, up to 250 ml every 3-4 days.

Vegetables and meat products are allowed to be included in the diet no more than 2-3 times a week for 100-150 g.

List of permitted foods for gout in women, men

The following types of products are allowed to be included in the diet for gout and gouty arthritis:

• flour products: bran, rye, wheat bread;
• lean fish fillet;
• any cereals with the exception of oatmeal;
• salt-free milk, cottage cheese, butter;
• vegetable, milk soups;
• homemade pasta;
• nuts;
• vegetable oils;
• ground cinnamon, vanilla;
• freshly squeezed juices, compotes, fruit drinks;
• vegetables, fruits and berries;
• during the period of remission, the use of a small amount of wine is allowed.

To reduce uric acid levels, it is recommended to supplement the diet with alkaline water.

Most useful products

Foods prohibited for gout increase the level of uric acid in the blood and may worsen the symptoms of gout. In contrast to them, there is food that prevents the formation of urates in the articular cavity.

Cherries

Cherries contain anthocyanin, which breaks down uric acid crystals in the joint capsule and normalizes the plasma concentration of urate in the blood. With regular use of berries, the risk of exacerbation of symptoms decreases, the overall metabolism improves, and inflammation is relieved.

Vegetables

Vegetable proteins in vegetables do not cause hyperuricemia, therefore they are allowed for use with gout. They are easily absorbed in the body, normalize metabolism and improve the digestion process.

There are types of vegetables that are useful for joint disease:

• raw carrots;
• celery;
• cucumbers;
• onion;
• broccoli.

They are high in antioxidants that reduce the level of uric acid in the body, preventing the development of inflammation in the joints and damage to cartilage tissue.

Water

With the use of liquid, the blood composition improves, the plasma level rises and the development of a mild diuretic effect is observed. Thanks to this action of water, the process of removing uric acid from the body will be faster.

To reduce the plasma concentration of urates in the blood and to neutralize crystals in the joint capsule, it is recommended to take an alkaline liquid. To prepare it, salt and soda, taken 0.5 tsp each, must be dissolved in 1 liter of water. l.

Purine content table in food

A person should not consume more than 650-1000 mg of purines per day. To properly formulate your daily diet, it is recommended that you read the following table.

The product's name	Purines per 100 g of product, mg	Uric acid per 100 g of product, mg
Crackers, rye bread	25	60
Cucumbers	2	6
White bread	6	15
Beef liver	231	554
Pork liver	125	300
Pork	63	150
Beef	58	140
Mutton	61	146
Carrot	6	15
Tomatoes	4	10
Tea, cocoa, coffee	1200-2800	about 2000
Peaches	8	20
Apples	6	15
Oranges	8	20

Foods prohibited for gout have the highest amount of purine compounds. With the rapid accumulation of the latter, the functioning of the kidneys and liver is disrupted. They break down to the level of uric acid, which forms crystals in the joint cavity.

What if there is a feast ahead?

When the holidays come, you want to diversify your diet by using prohibited foods.

In order not to harm health and not provoke an exacerbation of the pathological process, it is important to observe the following rules:

• On the day of the holiday, you need to drink 3.5 liters of water to cause a diuretic effect and quickly remove uric acid from the body. In the morning, it is advisable to apply multivitamin complexes or enzyme preparations that accelerate the elimination of toxins and improve metabolism.
• It is necessary to limit the amount of alcoholic drinks taken to 150 ml, strong (vodka, cognac, whiskey) - up to 60 ml. Drinking alcohol on an empty stomach is prohibited. Requires a hearty meal, take 0.5 tbsp. l. butter or 5-6 tablets of activated carbon to prevent the absorption of ethanol into the blood.
• It is advisable to avoid the use of vodka, brandy, whiskey. It is necessary to replace them with grape wine. The strength of drinks should not exceed 30-40 °.
• It is strictly forbidden to mix several types of alcoholic beverages. To minimize the upcoming complications, it is recommended to drink mineral water after drinking alcohol. The latter can be purchased at a pharmacy.
• You can not drink alcohol along with fatty meat, offal or semi-finished products.

To prevent or reduce the intensity of gout symptoms, you must follow the entire list of rules. It cannot be hoped that the general condition will not worsen if these principles are ignored. Before the feast, it is recommended to consult with your doctor and get his permission to adjust the diet during the holiday.

Sample menu for 3 days during an attack

With an exacerbation of symptoms, careful implementation of the principles of the prescribed therapeutic diet and timely administration of drugs are required.

Diet	Breakfast	Lunch	Dinner	Afternoon snack	Dinner
1 day	250 ml of rosehip broth or mineral water, 200 g of barley porridge in water	250 ml kefir and sweet and sour apple	Rice soup, zucchini pancakes with sour cream, rye bread	Cottage cheese casserole	Cabbage salad, Duchess pear, rye bread
2nd day	Buckwheat meatballs with carrots and sour cream, fruit drink	Apple celery smoothie	Vegetable stew, homemade baked pasta with egg, compote	Baked apple	Beet salad, whole wheat bread with hard cheese
Day 3	Rice porridge with prunes, rosehip broth	Cottage cheese with sour cream without added sugar	Vegetable soup with 100 g of boiled meat, 3-4 cheesecakes, jelly or compote	150 g berry jelly	Slice of rye bread with potato pancakes

Sample menu for 3 days in remission

During the period of remission, it is allowed to eat more meat, the introduction of fruits and berries into the diet.

Diet	Breakfast	Lunch	Dinner	Afternoon snack	Dinner
1 day	Barley broth, soft-boiled egg	Greek yogurt with carrot cutlet	Vegetable soup with pieces of stewed beef, compote	Rosehip decoction with 1 tsp. l. honey	Boiled cauliflower inflorescences with slices of smoked rabbit meat, 250 ml of kefir
2nd day	Buckwheat porridge on the water, fruit drink	Baked apple	Stewed vegetables with chicken breast	Kefir with any fruit	Soy meat and jelly
Day 3	Steamed egg omelet, currant juice	Fruit salad	Lean vegetable-based borscht. Pieces of meat must be cooked separately	Sweet and sour apples, banana	Lean beef goulash, fermented baked milk

Diet recipes for gouty arthritis

It is recommended to diversify the diet during the period of stable remission with the help of vegetable salads, lean soups and desserts.

To prepare snacks you will need:

• 500 g fresh tomatoes;
• 400 ml sour cream;
• 4-5 sprigs of dill and parsley;
• 500 g of cucumbers;
• 300 g sweet bell pepper.

It is necessary to chop cucumbers, peppers and tomatoes at random, then mix them thoroughly and season with sour cream. Chop the greens with a knife and sprinkle the salad on top for decoration. Chill the salad before serving.

New Year's salad with tangerines

To prepare the salad you need:

• 1 tbsp. l. homemade mayonnaise;
• 80 g of hard cheese;
• 200 g of Chinese cabbage;
• greens to taste;
• 200 g of tangerines;
• 2 tbsp. l. sour cream;
• 150 g of lean boiled beef;
• 300 g of boiled corn.

Cabbage should be cut into strips, beef should be chopped into cubes, and cheese should be coarsely grated. Tangerines will need to be peeled. The citrus slices are divided into equal halves.

The greens must be finely chopped with a knife. Then all the chopped ingredients are placed in a glass container with corn added. Sour cream and mayonnaise must first be mixed separately, and only then season the salad with the resulting sauce.

Potato soup

To create the first dish you will need:

• 2 large potatoes;
• carrot;
• 1 tbsp. l. olive oil;
• half onions;
• greens for decoration;
• egg.

Root vegetables are peeled, washed and cut. Then the tubers are placed in a saucepan, poured with cold water and put on fire. After boiling, boil until tender for 30 minutes. Chop the carrots on a grater, chop the onion into cubes.

Both ingredients are fried in vegetable oil in a pan for 5-7 minutes until golden brown. Beat the egg in a separate bowl, add it to the pan along with the carrot and onion frying for 15 minutes. until ready. The soup is decorated with finely chopped herbs.

Milk soup

To make milk soup, you need the following ingredients:

• 500 ml of milk, 1.5% fat;
• 150 g of fine vermicelli;
• 80 g butter;
• a pinch of salt if desired.

Milk is poured into a saucepan, put on fire and brought to a boil under a closed lid. If necessary, add some salt to the liquid. It is not recommended to add sugar for gout.

After boiling milk, put vermicelli in a saucepan, boil for 2 minutes. in a bubbling liquid, stirring gently. Then add butter to the soup. Serve hot.

Carrot pudding

To prepare vegetable pudding you will need:

• 500 g carrots;
• 40 g semolina;
• 2 eggs;
• 13 g sugar;
• 13 g bread crumbs;
• 4 tbsp. l. milk;
• 4 tbsp. l. sour cream;
• 1.5 hours l. butter;
• a pinch of salt.

Carrots need to be peeled, washed and chopped on a coarse grater. Pour milk into a saucepan and stir with butter. In the resulting mass, you will need to boil the carrots until they are completely softened so that they can be easily kneaded with a spoon in mashed potatoes. You can use a blender if necessary.

In 10 minutes. until ready, add semolina to the root vegetable. The remaining cooking time, the mixture is thoroughly mixed with a spoon. The whites of the eggs must be separated from the yolks and beat with sugar and salt until a stable foam is obtained. First, the yolks are added to a previously otsuzhennuyu pan with carrots and mix, then the whites.

Grease the baking dish with butter and sprinkle with breadcrumbs. After that, it is filled with freshly prepared dough. Grease the top of the pudding with sour cream, bake in an oven preheated to + 180 ° C for 25 minutes.

Apple omelet

To prepare breakfast you need:

• egg;
• 1 hour l. Sahara;
• 2 h l. cream;
• Apple;
• 1 hour l. water;
• 1 hour l. rye flour;
• some butter and vanillin.

The fruit is peeled, its core is removed. The pulp is cut into wedges and fried on the 2nd side in a dry frying pan. Put butter between them. When it begins to foam, sprinkle with sugar and wait for caramelization.

Beat the egg with cream, water, flour and vanilla. The resulting mixture is poured over the fruit and fried for 5 minutes until tender.

Boiled beef stroganoff

To create a hearty dish, you need:

• 500 g of boiled beef;
• onion;
• 20 g flour;
• 30 ml sour cream;
• 30 g tomato paste;
• 4 sprigs of parsley;
• 20 ml olive oil.

The meat is cut into strips, then fried in olive oil. The onion is cut into half rings and added to the beef. When it turns golden brown, you should mix the meat with sour cream, flour and tomato paste. Beef stroganoff is served with mashed potatoes, rice or pasta. Decorate the dish with finely chopped herbs.

Strawberry curd cake without baking

If you want something sweet, you can make a cake without baking from the following ingredients:

• 300 g large strawberries;
• 2 h l. cocoa powder;
• 150 ml cream 40% fat;
• 2 tbsp. l. gelatin;
• butter;
• 3 tbsp. l. Sahara;
• 300 g of high fat cottage cheese;
• 200 ml of water;
• mint leaves for decoration.

Gelatin is poured with cold water and left for half an hour. In a blender, beat the curd mass, sugar and cream. The strawberries are washed, the stalks are removed.

Gelatin swollen in water is dissolved over low heat, stirring constantly. The liquid should not boil. The resulting mass is filtered with gauze, cooled and mixed with a creamy curd composition. ¼ part of the mixture should be put into a separate container and cocoa powder added to it.

The cake mold is greased with butter, poured with curd dough and removed for 10 minutes. into the freezer. After this time, the cake is decorated with strawberries, poured ¼ of the dough and put in the refrigerator again. Before serving, decorate the sweetness with berries and mint leaves.

Oat kvass

To create a drink you will need:

• 400 g of oats;
• 3 liters of water;
• 3 tbsp. l. flower honey;
• 6 pieces of raisins.

The oats are thoroughly washed in water so that no cloudy liquid remains in the container. Then the groats are transferred to a 3 liter jar. Pour in cool water, dissolve honey in it and add raisins.

The resulting mixture is covered with a lid and left for 72 hours in a cool dark place until the kvass ferments. After 4 days, you need to strain the drink into another container and refrigerate.

Cherry Kissel

To prepare a healthy drink, you will need:

• 250 g dark cherries;
• 2 g citric acid;
• 150 g sugar;
• 2 tbsp. l. potato starch;
• 500 ml of water.

The berries are washed and separated from the seeds. The latter are not thrown away. Cherries are covered with sugar and left for half an hour. It is recommended to stir the fruits periodically so that they give more juice. Pour berry seeds with 500 g of water, bring to a boil and cook for 5-7 minutes. The liquid is filtered.

The starch is dissolved in 50 g of cold water. Cherries with sugar are poured with the broth obtained during the preparation of the seeds, and put on fire. Cook for 5 minutes. Then add citric acid and pour the starch in a thin stream, stirring constantly. Leave the composition to cook for another 5 minutes.

Foods that are prohibited for gout can reduce the concentration of uric acid and purines in the blood, stimulate the destruction of urate crystals in the joint cavity and normalize metabolism. As a result, the stiffness of movements in the affected areas decreases, the period of remission is prolonged and inflammation decreases.

Gout diet video

Alkaline diet for gout: