During symptom-free periods, these dietary guidelines may help protect against future gout attacks:
Nov. 25, 2014
- Keep your fluid intake high. Stay well-hydrated, including plenty of water. Limit how many sweetened beverages you drink, especially those sweetened with high fructose corn syrup.
- Limit or avoid alcohol. Talk with your doctor about whether any amount or type of alcohol is safe for you. Recent evidence suggests that beer may be particularly likely to increase the risk of gout symptoms, especially in men.
- Get your protein from low-fat dairy products. Low-fat dairy products may actually have a protective effect against gout, so these are your best-bet protein sources.
- Limit your intake of meat, fish and poultry. A small amount may be tolerable, but pay close attention to what types — and how much — seem to cause problems for you.
- Maintain a desirable body weight. Choose portions that allow you to maintain a healthy weight. Losing weight may decrease uric acid levels in your body. But avoid fasting or rapid weight loss, since doing so may temporarily raise uric acid levels.
- Hochberg MC, et al. Rheumatology. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2015. http://www.clinicalkey.com. Accessed Oct. 20, 2014.
- Pluta RM, et al. Gout. The Journal of the American Medical Association. 2010;304:2314.
- Ferri FF. Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. https://www.clinicalkey.com. Accessed Oct. 20, 2014.
- Gout. American College of Rheumatology. http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Gout/ . Accessed Oct. 20, 2014.
- Questions and answers about gout. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Gout/default.asp. Accessed Oct. 20, 2014.
- Moi JY, et al. Lifestyle interventions for acute gout. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010519.pub2/abstract. Accessed Oct. 20, 2014.
- Van Derme CG, et al. Non-steroidal anti-inflammatory drugs for acute gout. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010120.pub2/abstract. Accessed Oct. 20, 2014.
- Becker MA. Treatment of acute gout. http://www.uptodate.com/home. Accessed Oct. 20, 2014.
- Becker MA. Prevention of recurrent gout. http://www.uptodate.com/home. Accessed Oct. 20, 2014.
- Gout. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Oct. 22, 2014.
- Kolasinski SL. Food, drink and herbs: Alternative therapies and gout. Current Rheumatology Reports. 2014;16:409.
- Khanna D, et al. 2012 American College of Rheumatology guidelines for management of gout. Part 1: Systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care and Research. 2012;64:1431.
- AskMayoExpert. Gout. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Chang-Miller April (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 29, 2014.
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