Gout is a type of arthritis that can cause sudden, debilitating pain. Gout is more common in men, especially older men. Gout is caused by an excess amount of uric acid in the bloodstream, which forms sharp crystals that accumulate in the joints. The foods you eat may contribute to uric acid levels.
Significance
Uric acid is a waste product generated by your body from the metabolism of purines, which are found in many commonly consumed foods. Following a diet low in purines may help to lower uric acid levels, thereby reducing or preventing gout attacks. A low purine diet involves limiting or eliminating foods that have high levels of purines.
Foods to Avoid
Different references identify different high purine foods to avoid as part of a daily routine. The most commonly agreed upon foods high in purines are organ meats, including liver, kidney, heart, brains, and sweetbreads; shellfish, including scallops and mussels; high fat foods including gravies and cream sauces; french fries, avocados, and high fat desserts. Breads made with high levels of yeast should be limited. Check the kosher section of the grocery store for low-yeast alternatives.
Foods to Consume in Moderation
Some foods may be enjoyed without affecting gout if they are limited to twice weekly. They are cauliflower, asparagus, mushrooms, spinach, dried peas and beans, poultry, whole grain breads, wheat germ, oatmeal, and bran.
Beverages to avoid
High-fat beverages such as whole milk, cream, and milkshakes should be avoided. Also, alcoholic drinks made with yeast, such as beer, are considered high in purines. Meat stock-based soups such as broth, bouillon, and consomme should be limited.
Considerations
Gout can be hereditary, which means it may be difficult to control with dietary means. Also, purines make up only 15 percent of uric acid in the body, so following a low purine diet does not always prevent gout attacks. The American Dietetic Association, whose reputable, evidence-based knowledge website frequently is referenced by dietitians, puts the low purine diet on its obsolete diet list. In short, the only way to know if a low purine diet will prevent or lessen gout pain is to try it.
