Gout is an arthritic condition caused by swelling of the joints that often strikes out of the blue and can be extremely painful. However, the good news is that this is the only form of arthritis where there is clear medical evidence showing that a change in diet can result in significant benefits.
The problem with purines
Gout is caused when crystals of uric acid – a natural waste product in the body – form in the joints. Food that contains high levels of purines produces more uric acid, so start by avoiding those if you suffer from gout. Red meat, offal and sweetbreads, gravy, stock cubes and yeast extracts such as Vegemite are in the list. Some shellfish and certain fish such as herring, sardines, mackerel and anchovies are also high in purines, which are natural chemicals found in both plant and animal cells. Unfortunately, these are also the oily fish containing omega-3 fats, found to reduce inflammation with some forms of arthritis. However, foods rich in omega-3 also include linseeds, linseed and canola oil, and walnuts.
Skip the drinks
Excess consumption of alcohol (and especially beer) and binge drinking are linked to gout, so sufferers should limit their alcohol intake to a standard drink a day, and preferably stick to wine. During an acute attack of gout, it is best to cut out alcohol altogether.
The good food
While purine-rich foods and alcohol are to be avoided, some foods may actually be good for patients with gout. A popular remedy is the cherry cure. Cherries contain anthocyanidins which help lower uric acid. Eat a cup of cherries, either fresh or canned, each day. Strawberries and blueberries are also good.
Lifestyle matters
An overall healthy attitude to eating and exercise lessens your risk of contracting gout. The typical gout sufferer is overweight, regularly eats red meat and drinks large amounts of alcohol, especially beer. Crash dieting also contributes to gout.
Alcohol, overeating, dieting and dehydration can trigger a gout attack. Reduce excess body weight. Cut down on excessive alcohol consumption, drink plenty of water and avoid fructose, found in many soft drinks.
Healthy lifestyle choices combined with a correct treatment programme should mean that gout can be successfully managed.