Eating to Prevent Gout

Gout is a painful form of arthritis caused by an excess of uric acid. This is a waste product made by the body. It builds up in the body and forms crystals that collect in the joints, causing a gout attack. Alcohol and certain foods can trigger a gout attack. Below are some guidelines for changing your diet to help you manage gout. Your healthcare provider can work with you to determine the best eating plan for you. You can learn which foods affect your gout more than others. Reactions to different foods can vary from person to person. Know that diet is only one part of managing gout. Take your medicines as prescribed and follow the other guidelines your healthcare provider has given you.

Foods to limit

Eating too many foods containing purines may increase the levels of uric acid in your body and increase your risk for a gout attack. It may be best to limit these high-purine foods:

  • Alcohol (beer, hard liquor and red wine). You may be told to give up alcohol completely.

  • Certain fish (anchovies, sardines, fish roes, herring, tuna, mussels, codfish, scallops, trout, and haddock)

  • Certain meats (red meat, processed meat, bacon, turkey, wild game, and goose)

  • Sauces and gravies made with meat

  • Organ meats (such as liver, kidneys, sweetbreads, and tripe)

  • Legumes (such as dried beans and peas)

  • Mushrooms, spinach, asparagus, and cauliflower

  • Yeast and yeast extract supplements

Foods to try

Some foods may be helpful for people with gout. You may want to try adding some of the following foods to your diet:

  • Dark berries. These include blueberries, blackberries, and cherries. These berries contain chemicals that may lower uric acid.

  • Tofu. Tofu, which is made from soy, is a good source of protein. Studies have shown that it may be a better choice than meat for people with gout.

  • Omega fatty acids. These acids are found in fatty fish (such as salmon), certain oils (such as flax, olive, or nut oils), or nuts. They may help prevent inflammation due to gout.

Gout guidelines

The following guidelines are recommended by the Academy of Nutrition and Dietetics for people with gout. Your diet should be:

  • High in fiber, whole grains, fruits, and vegetables

  • Low in protein. About 15% of calories should come from protein. Choose lean sources, such as soy, lean meats, and poultry without the skin.

  • Low in fat. No more than 30% of calories should come from fat, with only 10% coming from animal (saturated) fat.

Online Medical Reviewer: Brittany Poulson MDA RDN CD CDE
Online Medical Reviewer: Diane Horowitz MD
Online Medical Reviewer: Louise Cunningham RN BSN
Date Last Reviewed: 8/1/2020
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