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A by-product of purine metabolism, high levels of uric acid or hyperuricemia in the body, can lead to development
and aggravation of diseases such as gout. They also result in the joint deformation and kidney damage along with
diabetes mellitus, obesity, hypertension and atherosclerosis (hardening of the arteries). In normal circumstances the
uric acid is eliminated from the body by the kidneys. However, the failure to do so, results in the development of
uric acid and the formation of uric acid crystals in the joints. While there are other causes for excess uric acid
formation in the body, diet may also be an important factor for increased level of uric acids. Usually, the purines in
food, break down to form uric acid during digestion. So, when people susceptible to excess uric acid production,
intake foods high in purine, it results in hyperuricemia and conditions of gout arthritis. Here, is a list of all the foods
high in uric acid.
Meat: All meat products especially sweetbreads and organ meats such as livers and hearts have the highest level of
purines and are therefore the most likely culprits of disorders caused by high uric levels. While animal meats or the
"red meats" such as beef, pork and seafood should be completely avoided, "white meats" such as poultry and ham
can be eaten in moderate amounts. Processed meat such as bacon, is very high in purines and therefore a strict no-no
for the people suffering from gout.
Yeast: Foods which contain yeast such as breads, beer and alcohol beverages, contain high amount of uric acid.
Alcohol in particular is known to hamper the renal excretion in the kidneys, thus resulting in high levels of uric acid.
Seafood: Seafood such as sardines, trout, tuna, ocean perch, anchovies, herring, halibut, salmon, shrimp and lobster
have high levels of purine.
Lentils: It is advisable to eat legumes such as dried beans in moderate amounts to control the levels of uric acid.
Vegetables: Vegetables like asparagus, cauliflower, mushrooms and spinach are also moderate purine foods
containing 9-100 mg purine in 100 g food.
Caffeine: Intake of caffeine found in coffee, tea, beans and leaves of many plants is known to increase the uric acid
levels and aggravate conditions of grout. Instead, try the decaffeinated coffee which actually helps reduce uric acid
levels.
In addition to these, people prone to having high uric levels should also avoid some acid-forming foods such as
processed syrups, packaged fruit juices, sauces, commercial pickles and artificial sweeteners.
In order to avoid foods high in uric acid, the diet should be fashioned to eliminate all the high purine foods and
instead include foods with moderate to low amounts of purine. This uric acid reduction diet should include, a liberal
carbohydrate intake, such as pasta and rice and foods low in protein and fats. Eating plenty of raw fruits such as
bananas and apples and vegetables such as celery and tomatoes have also known to be beneficial for reducing uric
acid levels. In addition to this, remember that dehydration reduces kidney function, allowing uric acid to build up
and hence, drinking lots of fluids especially water, will help keep the organs hydrated and dilute the amount of uric
acid in the body. Juices made of black cherry, celery, birch leaf and parsley are very effective gout remedies, for
combating and flushing out uric acid from the tissues. Check out some of these low purine diet gout recipes for
controlling uric acid formation.
With the appropriate dietary changes, the levels of uric acid in the body may be controlled. So once the diagnosed, it
is prudent that one takes care of it, since the condition can recur and if not treated well, may lead to other
complications. These diets, should be worked out in conjunction with other changes in diet and lifestyle, to relieve
the body from the problems occurring due to high uric acid.
The table below lists foods high in uric acid first with purine concentration reducing as you move down the list.
Many advisers tell gout sufferers to avoid anything over 400mg and restrict foods in the 100-400mg range, but you
should treat this advice with caution.
Firstly, you must realize that typical portion sizes vary enormously.
Be sure to calculate the amount that applies to your typical serving size from the value shown for 100 grams.
Secondly, the effect of foods high in uric acid depends on direct absorption through the digestive tract. Most uric
acid derives from the breakdown of your cells as part of normal metabolism. The overall contribution of foods high
in uric acid is debatable – figures of between 5% and 15% are common.
Purines Warning
Please be careful about getting obsessed with the purine content of food. Though purines in food can have a slight
effect on uric acid, there are many other factors to consider. Read more about the main food factors that can affect
gout in the Gout Diet section.
You should use the information in the table below only as a guideline. Many other factors, besides foods high in uric
acid, affect the risk of gout attacks.
If you do feel that it is important to manage foods high in uric acid, then you should measure your total intake.
Multiply the weight of your food (in grams) by the value from the table and divide this by 100 to give your uric acid
intake in milligrams. In this way you can calculate a total intake from the list of foods high in uric acid for every
meal. You need to find the level that you can tolerate best by trial and error.
Purines
(Uric
Food Acid
mg/100
g)
Theobromine 2300
Ox liver 554
Ox spleen 444
Ox kidney 269
Ox heart 256
Goose 165
Ox tongue 160
Pike 140
Scallop 136
Lobster 118
Mussel 112
Linseed 105
Sausage “Mortadella” 96
Plaice 93
Brain, Calf’s 92
Oyster 90
Frankfurter sausages 89
Sausage “Bierschincken” 85
Pig’s brain 83
Broccoli 81
Tench 80
Nuts, peanut 79
Artichoke 78
Fish, eel (smoked) 78
Sausage “Fleischwurst” 78
Sausage, Vienna 78
Ox brain 75
Leek 74
Apricot 73
Meat, luncheon 70
Brussel sprouts 69
Tofu 68
Chives 67
Fig (dried) 64
Plum, dried 64
Fish, Crayfish 60
Crispbread 60
Mushroom 58
Banana 57
Parsley, leaf 57
Spinach 57
Peppers, green 55
Pudding, black 55
Corn, sweet 52
Cauliflower 51
Oyster, mushroom 50
Kale 48
Pumpkin 44
Lettuce, Lamb’s 38
Almond, sweet 37
Cabbage, savoy 37
Date, dried 35
Elderberry, black 33
Melon, Cantelope 33
Cabbage, red 32
Celeriac 30
Morel 30
Quince 30
Bamboo Shoots 29
Cress 28
Grape 27
Kohlrabi 25
Nuts, Walnut 25
Plum 24
Squash, summer 24
Asparagus 23
Nuts, Brazil 23
Cabbage, white 22
Aubergine 21
Chinese leaves 21
Peach 21
Rolls, bread 21
Strawberry 21
Avocado 19
Beet root 19
Orange 19
Pineapple 19
Caviar substitute 18
Raspberry 18
Carrot 17
Cherry, Morello 17
Currant, red 17
Endive 17
Mushrooms, Chanterelle 17
Potato 16
Radish 15
Apple 14
Fennel leaves 14
Lettuce 13
Onion 13
Radishes 13
Chicory 12
Pear 12
Rhubarb 12
Tomato 11
Cucumber 7.3
Diets which are high in purines and high in protein have long been suspected of causing an increased risk of gout (a
type of arthritis caused by high levels of uric acid in the body which form crystals in the joints, resulting in pain and
inflammation). Results from a study led by Dr. Hyon K. Choi, reported in the March 11, 2004 issue of The New
England Journal of Medicine, offer an interesting twist.
Choi's research team followed 47,150 men with no prior history of gout over a 12-year period. The conclusion:
during the 12 year period of assessment, 730 men were diagnosed with gout.
• Study participants who consumed the highest amount of meat were 40 percent more
likely to have gout than those who ate the least amount of meat.
• Study participants who ate the most seafood were 50 percent more likely to have
gout.
In this specific study, though, not all purine-rich foods were associated with an increased risk of gout. There was no
increased risk associated with a diet which included:
• peas
• beans
• mushrooms
• cauliflower
• spinach
Even though these foods are considered high in purines. Choi's team also found that low-fat dairy products decrease
the risk of gout and overall protein intake had no effect. Ultimately, diets shown to be connected to gout are the
same kinds of diet linked to cardiovascular disease.
At this point, it may seem like it gets confusing. Isn't seafood typically recommended as part of a diet which is
healthy for the heart? Yet research has revealed that there is a strong, undeniable link between seafood and gout.
How does Choi reconcile what seems like conflicting information? He believes "recommendations for seafood
should be individualized."
More importantly, how does a person begin to sort the myths from the facts and decide what to buy at the grocery
store? According to the University of Washington, Department of Orthopedics:
• Obesity can be linked to high uric acid levels in the blood. People who are overweight
should consult with their doctor to decide on a reasonable weight-loss program.
Fasting or severe dieting can actually raise uric acid levels and cause gout to worsen.
• Usually people can eat what they like within limits. People who have kidney stones
due to uric acid may need to actually eliminate purine-rich foods from their diet
because those foods can raise their uric acid level.
• Consuming coffee and tea is not a problem but alcohol can raise uric acid levels and
provoke an episode of gout. Drinking at least 10-12 eight-ounce glasses of non-
alcoholic fluids every day is recommended, especially for people with kidney stones,
to help flush the uric acid crystals from the body.
• hearts
• herring
• mussels
• yeast
• smelt
• sardines
• sweetbreads
• anchovies
• grouse
• mutton
• veal
• bacon
• liver
• salmon
• turkey
• kidneys
• partridge
• trout
• goose
• haddock
• pheasant
• scallops