In the past, we always talked about the "three highs", which was high blood pressure, high blood sugar and high blood lipids, but with the progress and development of society, there was an inconspicuous "role" that sprung up and quietly squeezed into the queue, turning the "three highs" into "four highs", which is high uric acid.
1. High uric acid has become the second largest metabolic disease, what is the "bane"?
The data shows that there are about 1.77 patients with hyperuricemia in mainland China, which means that there is 1 in 10 patients with hyperuricemia.
What's even more terrifying is that the prevalence of hyperuricemia continues to rise, and it has now become the second largest metabolic disease after diabetes. The Peking Union study may be telling.
In November 2021, researchers from the Institute of Basic Research of Peking Union Medical College published a cross-sectional study conducted from 2012 to 2017, which covered 11 provinces and 10 ethnic groups across the country, and included more than 30,000 Han subjects aged 20~80 years old to participate in the survey.
It was found that 20.6% and 18.1% of male and female hyperuricemia patients were due to overweight (obesity), respectively, and 12.8% of men were due to alcohol consumption.
This shows that adults of the Han nationality in mainland China can reduce hyperuricemia by about 20% through weight loss, and abstinence from alcohol can further reduce the risk of male disease by 12.8%.
Why is it easy to be overweight or obese to cause high uric acid? Yu Jinquan, Department of Rheumatology and Immunology, The University of Hong Kong-Shenzhen Hospital, pointed out that obese people often have excess calorie intake and insufficient physical exercise, which will cause a large amount of uric acid to accumulate in the body and increase the risk of hyperuricemia.
As for drinking, Li Yanfeng, an attending physician in the Department of Orthopedics at Shanghai Sixth People's Hospital, said that alcohol itself does not contain purines and does not produce uric acid. However, lactic acid, its metabolite inhibits the excretion of uric acid by the kidneys, and long-term heavy alcohol consumption promotes uric acid accumulation.
And no matter what alcohol is consumed, it increases the risk of occurring. Among them, beer is the most risky, because beer is rich in carbon dioxide, which will quickly convert to carbonic acid and reduce pH, resulting in abnormal uric acid metabolism.
Second, the "big purines" were found out, and these 4 kinds of food were quickly removed from the table
Patients with hyperuricemia want to avoid gout attacks and should pay attention to reducing the intake of high-purine foods in their diet.
Theoretically, foods with a purine content greater than 150mg/100g are considered high purine foods. In addition to the alcohol mentioned above, the intake of 4 foods should also be reduced.
1. Seasoning
Xu Qiang, Department of Rheumatology, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, said that condiments such as oyster sauce, abalone juice, seafood mushrooms and concentrated chicken juice are very high in purine, because they are all made by seafood and animals after concentration and refinement, and a large amount of intake can easily lead to an increase in uric acid levels.
2. High fructose foods
Huang Jianlin, chief physician of the Department of Rheumatology and Immunology of the Sixth Affiliated Hospital of Sun Yat-sen University, reminded that the increase in food intake with high fructose will also increase the incidence of gout, because fructose inhibits the excretion of uric acid by the kidneys after entering the body.
3. Coffee and strong tea
Liu Peng, chief nutritionist of the Department of Clinical Nutrition at Peking University People's Hospital, pointed out that coffee and strong tea themselves do not increase the purine content in the body, but they will play a role in stimulating the autonomic nervous system, which is easy to aggravate gout and promote gout attacks.
4. Some soy products
Dr. Liu Peng reminded that the purine content of beans and their products, bean seedlings and other foods is relatively high, and patients with hyperuricemia are not suitable for large quantities.
Is it okay to eat seafood? Some seafood with low purine content can be eaten appropriately, such as carp, treasure fish, cod, tuna, etc., and the purine content of these fish is less than 150mg/100g. In non-acute attacks of gout. You can consume 40~75 grams per day.
3. Lowering uric acid and preventing gout, mastering the 4 methods is the key
The causes of high uric acid include diet, age, gender, weight, etc., Sun Xiaoqiang, deputy chief physician of the Department of Internal Medicine of Tianjin First Central Hospital, reminded that if you want to prevent high uric acid, in addition to diet, these 4 points are also very important.
1. Drink plenty of water
Drinking more water can dilute uric acid in the urine and promote excretion, it is recommended to drink 2~3L of water every day, mainly plain water. Avoid drinking a large amount of beverages, coffee, strong tea, etc., and people with kidney disease should follow the doctor's instructions on drinking water, and should not blindly drink a large amount.
2. Exercise regularly
Exercise can improve the body's metabolic function, help reduce weight and blood pressure, and is very good for preventing hyperuricemia.
Exercise should pay attention to long-term persistence, accumulate at least 150 minutes of exercise per week, running, swimming, etc. are good choices.
3. Avoid overmedication
Non-steroidal anti-inflammatory drugs such as diuretics and aspirin may increase uric acid levels in the body, so you must follow the doctor's instructions for daily medication and do not blindly self-medicate.
4. Regular physical examinations
Physical examination can detect the abnormalities of various indicators in the body in time, so as to intervene in time, especially for some people who have a history of disease in their own family, and they need regular physical examination.
For people with high uric acid, it is necessary to develop good living habits and avoid further development, after all, health is the biggest cost of the body.
Resources:
[1] "10 Gout 9 Men? Why does gout favor men? 》. Health Times 2022-02-06
[2] "If you want to control gout, these 8 foods are best not to touch again!" 》. Health Times 2022-04-19
[3] "9 types of foods to lower uric acid and prevent gout!" Eat like this according to the dietary guidelines! 》. Health Times 2024-04-01
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