The link between diet and gout: What you need to know

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Gout is a type of arthritis that causes sudden and severe pain, redness, and swelling in the joints. It often affects the big toe but can occur in other joints as well. This painful condition is caused by the buildup of uric acid crystals in the joints.

Uric acid is a waste product formed when the body breaks down substances called purines, which are found in many foods. When the body produces too much uric acid or doesn’t eliminate enough of it, the excess uric acid can form crystals and lead to gout.

One of the main ways to manage gout is through diet. Certain foods can increase uric acid levels, while others can help reduce them. Understanding which foods to eat and which to avoid can help prevent gout attacks and manage symptoms.

Research shows that foods high in purines can trigger gout attacks. These include red meat, organ meats (like liver), and certain types of seafood (such as anchovies, sardines, and mackerel).

Alcohol, especially beer and spirits, can also raise uric acid levels and increase the risk of gout. Sugary drinks and foods high in fructose (a type of sugar) can contribute to gout as well. On the other hand, low-purine foods can help reduce uric acid levels.

These include fruits, vegetables, whole grains, and low-fat dairy products. Drinking plenty of water is also important because it helps flush uric acid out of the body.

One study published in the New England Journal of Medicine found that men who consumed a diet high in purines were more likely to develop gout than those who ate a low-purine diet.

The researchers followed over 47,000 men for 12 years and found that those with the highest purine intake had a 50% higher risk of developing gout. Another study in the British Medical Journal showed that people who consumed more dairy products had a lower risk of gout.

The study involved more than 130,000 men and women and found that those who drank milk and ate yogurt regularly were less likely to develop gout.

In addition to purines, alcohol is another important factor. A study published in the journal Arthritis & Rheumatism found that alcohol consumption, especially beer, is strongly associated with an increased risk of gout.

The study followed nearly 50,000 men over 12 years and found that those who drank beer daily had a significantly higher risk of developing gout compared to non-drinkers.

The researchers believe that alcohol can increase uric acid production and reduce its excretion, leading to higher levels in the blood.

Fructose, a type of sugar found in many sweetened beverages and processed foods, has also been linked to gout. A study in the Journal of the American Medical Association found that men who consumed two or more sugary drinks per day were 85% more likely to develop gout than those who rarely drank sugary beverages.

The researchers suggest that fructose increases uric acid production, contributing to the risk of gout.

On the positive side, certain foods and beverages can help manage gout. Cherries, for example, have been shown to reduce uric acid levels and the risk of gout attacks.

A study in the journal Arthritis & Rheumatism found that people who consumed cherries or cherry extract had a 35% lower risk of gout attacks compared to those who did not. The researchers believe that cherries contain compounds that help reduce inflammation and lower uric acid levels.

Dairy products, particularly low-fat options, are another good choice for people with gout. A study published in the New England Journal of Medicine found that individuals who consumed more dairy products had a lower risk of gout.

The researchers suggest that dairy products may help reduce uric acid levels and provide beneficial nutrients that support joint health.

In summary, diet plays a crucial role in managing gout. Avoiding high-purine foods, limiting alcohol and sugary drinks, and including low-purine foods and dairy products in your diet can help prevent gout attacks and manage symptoms.

Making these dietary changes can significantly improve the quality of life for people with gout and reduce the frequency and severity of painful flare-ups.

If you care about arthritis, please read studies about extra virgin olive oil for arthritis, and pomegranate: A natural treatment for rheumatoid arthritis.

For more information about arthritis, please see recent studies about how to live pain-free with arthritis, and results showing medical cannabis may help reduce arthritis pain, back pain.

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