Dietary guidelines 2025 update newstoday

Hyperuricemia is the early stage of most gout patients. Traditional Chinese medicine believes that gout is a disease of deficiency in essence and excess in appearance, which may be caused by insufficient congenital endowment or acquired malnutrition. In addition, excessive consumption of fatty and sweet foods will produce phlegm, damp heat, and blood stasis over time, which will block the tendons, bones, and joints and lead to the occurrence of the disease.

Common syndrome differentiation and clinical manifestations are as follows:

Dampness syndrome: common in people in the asymptomatic hyperuricemia period and the intermittent period of gout, mainly manifested by fatigue and heaviness of limbs, obesity, craving for fatty and sweet foods, sticky mouth without thirst, and sticky stool. The tongue is pale and fat, or has tooth marks, white and greasy fur, and a slippery pulse.

Dampness-heat syndrome: common in people in the acute gouty arthritis period, mainly manifested by red, swollen, burning, and painful joints, severe pain, frequent attacks, or accompanied by fever, irritability, bitter mouth, bad breath, sticky or foul stool, or dry stool. The tongue is red, the fur is yellow and greasy or thick, and the pulse is stringy and slippery or slippery and rapid.

 Phlegm and blood stasis syndrome:common in people in the inter-gout period and chronic gouty arthritis period,mainly manifested by joint swelling and pain,repeated attacks,local nodules or dark red skin,or joint tingling,inflexible flexion and extension,and joint deformation.The tongue is dark purple,the tongue coating is white and greasy,and the pulse is stringy or slippery.

Spleen and kidney deficiency syndrome:common in people in the chronic gouty arthritis period,mainly manifested by repeated attacks of joint pain,inflexible movement,stiffness or deformation,soreness of waist and knees,obvious fatigue,drowsiness and heaviness of limbs,abdominal distension,sticky or loose stools.The tongue is pale and fat,or has tooth marks,the tongue coating is white and greasy,and the pulse is slow or deep and fine.

Daily diet recommendations for adults with hyperuricemia and gout

Dietary principles and recommendations Based on the nutrition science theory,Chinese medicine diet theory and relevant chronic disease scientific research literature evidence,and on the basis of the expert group's discussion and consensus,7 principles and recommendations for daily diet for adults with hyperuricemia and gout are proposed.Including:

(I)Diverse foods,limit purine

Purine in nourishment can be metabolized by the human body to create uric corrosive.Intemperate purine admissions increments uric corrosive generation and effectively causes hyperuricemia.

 Limiting the intake of high-purine foods helps control the level of uric acid in the blood and reduce the occurrence of gout.

 The purine content and absorption rate of different ingredients are different.People with hyperuricemia and gout should choose ingredients scientifically,mainly low-purine diet,and strictly control the purine content in the diet.

(II)Sufficient vegetables and milk,limit fructose

Nutritional ingredients such as vitamins and phytochemicals can promote the excretion of uric acid in the kidneys and play a role in reducing uric acid.

Usually contain rich phytochemicals,such as alkaloids,phenolic acids,flavonoids,stilbenes and glycosides3,which play a certain role in lowering blood uric acid levels,helping to improve hyperuricemia and reduce the risk of gout attacks.

 It is recommended to eat more fresh vegetables every day,and it is recommended to consume no less than 500g per day.More than half should come from dark veggies like carrots and purple cabbage.One significant source of high-quality protein that can encourage the excretion of uric acid is milk protein.It is encouraged to consume more than 300mL or equivalent amount of milk and dairy products per day.