4. DIETARY GUIDELINES
Diet plays a role in the management of gout. Dietary guidelines related to gout should put into consideration its effect on other diseases. The aim is not only to reduce risk and frequency of acute gout attacks and lower serum uric acid levels but also to maintain ideal health.
There are many misconceptions about diet and gout. It is commonly thought that foods such as citrus foods cause gout. However, there is no evidence that this could be true. What is known is that some foods appear to trigger attacks of gout. Such foods contain high levels of purines, a compound that can be converted into uric acid in the body. One-third of the purine the body handles comes from your diet, implying that the chance of getting gout may be reduced if less purine is eaten. Not all purine rich foods are thought to cause gout. Vegetables such as asparagus, mushrooms, cauliflower and spinach are rich in purines but appear less likely to cause gout than diets containing red meat and seafood (shellfish).
Low purine foods to include in a balanced diet include;
• Low-fat dairy products
High consumption of low fat dairy products is associated with decreased gout risk, possibly because casein and other milk proteins have uricosuric properties. Low dairy foods such as skim milk and eating foods made with them such as low calorie yogurt helps to reduce risk of gout attacks. Moderate amounts of dairy products should be ingested with at most three portions of dairy products daily
• Fresh fruits (less sugary fruits) and vegetables (except peas, beans, lentils)
All patients must aim for seven to ten servings from the vegetables and fruit group. Foods rich in vitamin C such as oranges, tangerines, strawberries and red bell peppers ca...
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...ic effect, coffee (regular of decaffeinated) can also be considered as long term preventative measure as it lowers urate levels as well as the risk of gout and some associated comorbidities. This protection increases with an increase in number of cups of coffee consumed per day.
Avoid high fat foods such as cream sauces, fried foods and foods containing trans-fat (hydrogenated vegetable oils).
(Saag & Choi 2006)
5. CONCLUSION
Since food can directly set off gout attacks, it is important that gout patients be properly counselled as to which foods to eat and those to avoid. Dietary control could be sufficient in a patient with mildly raised uric acid levels. For those with chronic gout, diet alone might not prevent recurrent attacks. With all the above mentioned it is important to pay attention to diet in gout patients especially when starting on gout medication.
Rheumatoid arthritis is a chronic inflammatory and an autoimmune disease that occurs when the immune system mistakenly attacks the body’s tissue (Rheumatoid arthritis, 2017). This disease affects the entire body, which is called a systemic (means entire body) disease. Arthritis is derived from the word part arthr-, which means “joint,” and -itis, which means “inflammation,” so altogether it means “inflammation of the joints.” It creates inflammation that causes the tissue that lines the inside of joints (synovium) to thicken. About 1.5 million people in the U.S. are affected. It affects all races, but it affects three times as many women than men (What is Rheumatoid Arthritis, n.d.). Overtime, rheumatoid arthritis causes painful swelling that can potentially result in bone erosion or joint deformity, which leads up to physical disabilities. RA can affect more than just your joints, but can spread to body systems, skin, eyes, lungs, heart, blood vessels, e.t.c (Rheumatoid arthritis, 2017).
... C in the diet. Scurvy is recognized by moderate to severe weakness and spongy bleeding gums. (Greenwood 1937) Ascorbic acid, also known as vitamin C, is found in a number of foods; many of which a typical hunter—gatherer would have eaten on a daily basis. Potatoes and other tubers, green vegetables and citrus fruits are among a few of the foods that supplement enough vitamin C to prevent scurvy.
Citrus fruits such as oranges and grapefruit and their juices are rich in vitamin C. Broccoli, strawberries, cantaloupe, baked potatoes, and tomatoes are rich with Vitamin C. Vitamin C deficiency is rare. For those people who do not get enough vitamin C, they result with Vitamin C deficiency, which means lacking of sufficient amount of vitamin C in diet. Overtime, lacking of vitamin C cause the inability to form new collagen. This causes breaking down various tissues in our bodies, which affects tissues' repair and health. Scurvy is one of the serious disease that comes out with vitamin C deficiency. This disease causes various tissues sign and symptoms such as: fatigue, inflammation of the gums, small red or purple spots on the skin, joint pain, poor wound healing, corkscrew hairs, swelling , bleeding gums and loosening or loss of teeth is an example. Also, Rickets, Beriberi and Pellagra are names of diseases that caused by lack of vitamin
· Eat moderate amounts of nuts that are rich in monounsaturated fat, like hazelnuts, almonds, pecans, cashews, walnuts and macadamia nuts. These nuts have been shown to improve cholesterol levels. Avoid eating nuts by the handful. Instead, garnish food with one tablespoon of chopped nuts per person.
The term neutropenia describes the situation where the numbers of neutrophils in the blood are decreased to an abnormally low level. Neutrophils are a type of white blood cell also known as polymorphonuclear leukocytes or (PMNs). Neutropenia reduces the body's capability to fight off bacterial infections and fungi (such as yeast) that invade the body. Neutropenia can occur for different reasons. Some degree of neutropenia occurs in about half of all cancer patients who are receiving chemotherapy, and it’s one of the most common side effects in people with leukemia. Patients who have cancer may become neutropenic because of the chemotherapy they have received, sometimes neutropenia occurs after a viral infection. People may also be born with neutropenia, and in some cases the reasons are just not known. People with neutropenia may lower the likelihood of developing an infection by paying close attention to ones hygiene, such as hand washing can help.
... like tuna, mackerel, and salmon. some dairy products, orange juice, soy milk, and some cereals. The only mineral that was the least of the 100% recommended by my DRI was potassium, Which I plan to get from bananas like I stated before, avocados and cantaloupe.
Three to five daily servings of vegetables and two to four servings of fruits are necessary to supply vitamins, particularly A and C. Recommended fruits include citrus (oranges, grapefruits) as well as apples, bananas, guavas, mangos and dried fruit. Vegetables may be dark green -- such as broccoli, spinach or kale -- or a variety of others including carrots, cabbage, ...
safflower, soy, and sunflower oils. In general, stay away from foods that have a long shelf life and are loaded with preservatives. Foods high in simple carbohydrates, such as white bread and bagels, English muffins, and rice and corn cereals, should also be avoided. Artificial flavors and colors in foods can also trigger dangerous inflammation.
Saturated fat and cholesterol and an increased risk of heart disease. Fiber and a reduced risk of cancer. Fruit, vegetables and grain products that contain fiber and a reduced risk of heart disease.
Eat as little meat as possible and opt for going to local farmer or restaurant that specializes in locally grown food when desired. Avoid eating eggs and milk in general (unless purchased from a small-scale farmer), but one shouldn't fret over those traces of milk or eggs found in most prepared foods.
Ascorbic acid is an extremely vital element that is present in many fruits and vegetables, like oranges, lemons, tomatoes, broccoli and etc. But since it can break down easily with the presence of heat, it can be lost during cooking. That is why most foods have added vitamin C. The recommended daily amount of Vitamin C for adults is between 75mg to 90 mg. However, taking too much of Vitamin C can cause harm.
Many people in the world today are too busy to focus on nutrition in the food they eat. This is especially true in the winter, when people stock up on canned and cooked foods, which can lose its Vitamin C value over time, or when it is heated. As previously mentioned, fruit juices are full of sugar and too much can erode enamel. Vitamin supplements are made with synthetic materials, which are not recognised by the body, and are not used the same way as natural vitamins. Vitamin supplements should be regarded as any other medicine, should not be overdosed on, as it ca lead to energy and metabolism problems. That leaves fresh fruit as the best constant source of vitamin
Nowadays, healthy is the number one individual and also governmental concern. As the saying goes, ‘an apple a day keeps the doctor away’ is clearly show that eat nutritious food such as fruits and vegetables can provide a good health and can prevent us from harmful diseases. As we know, vegetables provided various types of vitamins needed by the body for instance pumpkin contains a lot of vitamin A, tomatoes contain vitamin C and spinach contains folate. Pumpkin is one of nature’s riches sources of alpha-carotene, a carotenoid that converts to retinol which is a form of vitamin A. The amount of vitamin A that contain in the pumpkin per serving (116g) is 171%, vitamin C 17%, calcium 2% and iron 5% (Pumpkin raw, 2014). There are a lot of benefits when consuming vitamin A, for example this vitamin promotes healthy vision, bone growth, reproduction and help boosts our immune system. Apart from that, a diet high in vitamin A may lower the risk of many types of cancer. Besides, some vegetables also contain a lot of vitamin C such as tomatoes, bell peppers and broccoli. The function of vitamin C is it helps heal the wounds and keep away the body from bacterial infection. According to researchers at Albert Einstein College of Medicine of Yeshiva University, they discovered that vitamin C can kill drug-resistant tuberculosis (TB) bacteria (Libov, 2013, para. 3). Besides that, vitamin C
An important type of oil that aids in reducing the risk of heart diseases. Further, one should not just take foods from all the five food groups to stay healthy. The important thing is making the right food choices, taking the right proportions, amounts and the right calories consumed in a day. Moreover, it is important to use the right methods of preparation to ensure that there is no loss of nutrients. Further, consume at least each of the foods from the different food groups in each meal. As Weaver (2009) explains, eat at least three meals a day and avoiding added sugars is equally
dietary habits are also linked to health conditions such as obesity, diabetes, heart disease, strokes,