Year-end and year-end
Both are peak periods for medical examinations
After the 34-year-old Xiaojin got the medical examination report
It was found that the value of uric acid had increased again
And many colleagues have been recruited
Is this gout?
Can taking medicine bring down the indicator?
He carried these questions with him
Came to the department of endocrinology of the Second Hospital of Zhejiang University
Hyperuricemia
Whether male or female 2 times the blood uric acid level exceeds 420 μmol / L is called hyperuricemia. Hyperuricemia is a very common biochemical abnormality. The "2021 China Hyperuric Acid and Gout Trend White Paper" shows that in recent years, hyperuricemia in mainland China has shown a significant increase and rejuvenation trend.
The overall prevalence of hyperuricemia in mainland China is 13.3%, the number of people affected is about 177 million, the overall incidence of gout is 1.1%, and the number of people affected is about 14.66 million. Another data shows that nearly 60% of patients with hyperuricemia and gout in mainland China are young people aged 18-35.
This means that gout is no longer the "middle-aged and elderly disease" that people thought in the past, and the young group represented by the post-90s should also incorporate the prevention and treatment of gout into their own health care, especially the five major groups that love to eat high purine foods such as seafood, excessive drinking and irregularity, irregular work and rest, excessive weight and frequent smoking, and should be paid more attention to.
Answer questions
Q1
Does high uric acid inevitably lead to gout?
Although the blood uric acid level of a considerable part of the population is elevated, but there is no gout attack, is this hyperuricemia without gout attack harmful to the body and does it need to be paid attention to? Of course, hyperuricemia can not only cause gout attacks, but is also associated with a variety of diseases, including type 2 diabetes, hypertension, coronary heart disease, kidney stones, uric acid nephropathy, stroke, and is an independent risk factor for the development of these diseases. For example, for every 1 mg/dl increase in blood uric acid levels, the risk of developing type 2 diabetes increases by 17%. Therefore, this indicator has been raised and needs to be paid enough attention.
Q2
Do you have to take medicine when uric acid is high?
Not all patients with hyperuricemia require medication, and doctors will assess whether medication is required after a thorough assessment of blood glucose, blood pressure, lipids, liver and kidney function, etc.
Most patients receiving medications require lifelong uric acid-lowering medications, so initiation of pharmacotherapy requires a thorough evaluation and careful decision.
Q3
If you find high uric acid, is it necessary to live the life of an ascetic?
Some friends who care about their health, after finding that uric acid is high, they have a lot of treasures about which foods contain high purines; from seafood to tofu, from beer to hot pot, there are many foods that need to be paid attention to, is it not enough to eat the food on the high purine list?
How does uric acid come about?
On the one hand, it comes from endogenous production in the body, accounting for about 80%, and on the other hand, from dietary intake, which only accounts for about 20% of the contribution. Even with tight control over dietary intake, it may be difficult to completely improve uric acid production in the body.
In addition, there are many food purine rankings on the Internet, and there is a problem: there is no way to find the purine content of all foods. At the same time, different cooking methods for the same type of food will also affect the intake of purines. In most of the purine rankings, chicken, fish, shrimp and other protein-rich foods, belong to the category of high purines, if strictly taboo, then only a variety of staple foods and vegetables are left, and most patients with hyperuricemia may also have blood sugar and dyslipidemia, they also need to control carbohydrate intake, which may fall into a dilemma: there is nothing to eat.
The "ascetic" diet is not only difficult to adhere to, but also may have an unbalanced diet. Therefore, we do not recommend paying too much attention to the food purine rankings.
A healthy lifestyle is more effective and recommended for controlling hyperuricemia:
1. Control weight and exercise regularly;
2. Limit the use of alcohol and high-purine and high fructose diets;
3. Encourage the intake of dairy products and fresh vegetables and drink water in moderation;
4. It is not recommended or restricted to consume soy products (such as tofu).
Reasonable meals
Exercise in moderation
May you stay away from hyperuricemia in this life
Text 丨 Endocrinology Liang Weiwei
Typography 丨Donald Jenny
Audit 丨 Chen Guozhong, Endocrinology Department Ren Yuezhong
Responsible editor 丨 Tang Jenny