Original scientific paper
NUTRITIONAL TREATMENT OF GOUT
Midhat Jašić
orcid.org/0000-0003-2507-8253
; Faculty of Technology, University of Tuzla, Univerzitetska 8,75000 Tuzla, B&H
Sanela Mureškić
; Faculty of Pharmacy,, University of Tuzla, Univerzitetska 7, 75 000 Tuzla, B&H
Senada Selmanović
; The Public Institution Health Centre of Tuzla, Albina Herljevića 1,75 000 Tuzla, B&H
Duška Bećirović
; The Public Institution Health Centre of Zivinice, 1. Ulica 57, 75 270 Zivinice, B&H
Ramzija Cvrk
; Faculty of Technology, University of Tuzla, Univerzitetska 8,75000 Tuzla, B&H
Abstract
Uric arthritis (gout) is a systemic disease, and usually manifests in the joints. Occurs as a result of increased concentrations of uric acid in the blood, which crystallizes in the form of mono sodium urate,
accumulates in the joints, tendons, and in the surrounding tissues. The resulting crystals promote local immune-mediated inflammatory processes in tissues. Uric acid is formed by complex endogenous enzyme mediated degradation of purines and other simple metabolites.
Purines are components of the nucleoprotein, and are found in varying amounts in most foods. Restriction of dietary purine intake of food decreases the ability to create uric acid, reducing metabolic stress and the occurrence of inflammatory processes. According to the level of purine content foods can be divided into foods with a high content 100 to 1000 mg purine/100 g), food with medium (10 to 100 mg purine/100 g) and foods that are low in purine. Only part of the diet may affect the treatment of disease. Traditionally, diets with very low intake of exogenous purine is recommended in acute situations with medical treatment.
Nutritional treatment of disease should be based on weight reduction, adequate intake of carbohydrates, reduced intake of saturated fat and cholesterol, the appropriate protein, increased intake of fluids and elimination of alcohol consumption. Nutritional treatment can provide significant support to the medical treatment of disease.
Keywords
uric arthritis; gout; purines; the elimination and recommended diet
Hrčak ID:
87471
URI
Publication date:
30.9.2012.
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