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Uric acid diet: how to lower uric acid levels

The diet for uric acid should be low in simple carbohydrates, which are present in foods such as breads, cakes, sugar, sweets, savory foods, desserts, sodas and processed juices. In addition, excessive consumption of red meat, offal such as liver, kidney and gizzard, and seafood such as shrimp and crab should be avoided.

In this diet it is also important to ingest 2 to 3 liters of water a day and increase the intake of vitamin C rich foods such as orange, pineapple, kiwi and acerola, as they may help in the elimination of uric acid through the kidneys and can help to prevent the formation of kidney stones. See some home remedies that can help lower uric acid levels.

Uric acid diet: how to lower uric acid levels

Allowed and forbidden foods

The foods that should be avoided are mainly those with high glycemic index, such as bread, sugar and flour, because they increase blood glucose and insulin release, a hormone that increases the accumulation of uric acid in the body.

On the other hand, you should increase your intake of fruits, vegetables, good fats like olive oil and nuts, and whole grains, as shown in the following table:

AllowedModerate ConsumptionForbidden

Fruits, dried fruits and vegetables

Peas, beans, soybeans, corn, lentils, chickpeasSauces, meat broth and meat extract

White bread, rice, pasta and wheat flour

Asparagus, cauliflower, spinachRed meats, white meats, sausage, sausage, bacon, ham
Milk, yogurt, butter and cheesesMushroomsViscus such as liver, kidneys and gizzards
Eggs

Whole grain cereals: whole wheat flour, whole wheat bread, wheat bran, oats

Fatty fish: anchovies, sardines, salmon, mackerel, trout, herring
Chocolate e cocoa---Seafood: crab, shrimp, mussels, fish roe and caviar
Coffee and teas---Alcoholic beverages, especially beer

Although it is popularly said that tomatoes are a forbidden food if you have high levels of uric acid, there are no studies to support this relationship. In addition, because tomatoes are a healthy food rich in water and antioxidants, their consumption has health benefits.

Another myth is that acidic fruits acidify the blood, making uric acid worse. Fruit acidity is quickly neutralized in the stomach, where gastric acid is stronger than food acid. When absorbed, food enters the blood neutral, which maintains a tightly adjusted control of your body's pH.

Uric acid diet: how to lower uric acid levels

Tips to reduce uric acid

To help reduce uric acid, there are some tips that can be followed every day like:

  • Consuming at least 1.5 to 2 liters of water a day;
  • Increasing the consumption of fruits and vegetables at least 5 times a day;
  • Moderate ingestion of meat and fish;
  • Give preference to diuretic foods like watermelon, cucumber, celery or garlic;
  • Avoid consumption of foods rich in purines, such as liver, kidneys and gizzards;
  • Decrease the consumption of industrialized and high sugar products, such as soft drinks, crackers or prepared food;
  • Increase consumption of foods with vitamin C like oranges, pineapple and cherries. See other foods that are rich in vitamin C.

It is best to always see a nutritionist to make a food plan according to your individual needs. In addition, the nutritionist can also indicate vitamin C supplementation at a dose of 500 to 1500 mg / day, as this vitamin can help eliminate through your urine the excess uric acid.

Diet menu to lower Uric Acid Levels

The following table shows an example of a 3-day menu to help control blood uric acid levels:

MealDay 1Day 2Day 3
Breakfast1 cup of coffee unsweetened+ Vegetable omelet with olive oil1 natural yogurt beaten with strawberries + 1 slice of whole grain bread with cheese1 cup of coffee with milk + 2 scrambled eggs with ricotta cream and diced tomatoes
Morning snack1 banana + 5 cashews1 slice of papaya + 1 tablespoon of peanut butter1 glass of green juice
Lunch/DinnerWhole grain rice with broccoli + baked chicken drumsticks with olive oilSweet potato puree + 1 pork cop + raw salad sprinkled with olive oil

whole grain pasta + tuna + pesto sauce + braised coleslaw and carrot salad in butter

Afternoon snack1 natural yogurt + 1 fruit + 1 slice of cheese1 cup of coffee with milk + 1 slice of whole grain bread + 1 scrambled egg1 natural yogurt + 10 cashews

In addition, it is also important to maintain proper weight to control uric acid levels, and to assess whether the presence of other diseases such as diabetes, which favor an increase in uric acid levels in the blood.


Bibliografia

  • MAHAN, L. Kathleen et al. Krause: Alimentos, Nutrição e Dietoterapia. 13.ed. São Paulo: Elsevier Editora, 2013. 916-918.
  • LUTZ, Carrol; PRZYTULSKI, Karen. Nutrición y dietoterapia. 5.ed. México: McGraw Hill, 2011. 406.
  • Stephen P Juraschek, MD, PhD, Mara McAdams-Demarco, PhD, Allan C Gelber, MD, PhD, Frank M. Sacks, MD, Lawrence J Appel, MD, MPH, Karen White, MS, RD, and Edgar R Miller, III, MD, PhD. Effects of Lowering Glycemic Index of Dietary Carbohydrate on Plasma Uric Acid: The OmniCarb Randomized Clinical Trial. Arthritis Rheumatol. 68. 5; 1281–1289, 2016
  • P H Desseina, E A Shiptonb, A E Stanwixc, B I Joffed, J Ramokgadie. Beneficial effects of weight loss associated with moderate calorie/carbohydrate restriction, and increased proportional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study. Annals of the Rheumatic Diseases. 59. 7; :539–543, 2000
  • Anothaisintawee T, Lertrattananon D, Thamakaison S, Reutrakul S, Ongphiphadhanakul B, Thakkinstian A. Direct and Indirect Effects of Serum Uric Acid on Blood Sugar Levels in Patients with Prediabetes: A Mediation Analysis.. Journal of Diabetes Research. 2017. 2017
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