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Author: Li Qing, Tianjin University Teda Hospital, there is a direct relationship between drinking and gout, but it is not the only relationship
.
Hyperuricemia and gout Long-term high uric acid, if you encounter a sudden increase in blood uric acid, such as overeating, drinking, certain drugs, or a sudden decrease in blood uric acid, such as taking a large amount of uric acid-lowering drugs at one time, or local colds, joint trauma and other incentives , can cause a sudden attack of gout
.
Thus, hyperuricemia is the root cause of gout
.
How is hyperuricemia formed? Uric acid is the metabolic waste of nucleic acid in the nucleus, which is excreted through the kidneys.
Problems in any of these links will lead to hyperuricemia.
The common causes are excessive uric acid production or reduced uric acid excretion
.
1.
Excessive production of uric acid: 80% of uric acid in the body comes from the metabolism of its own cells, and only 20% comes from ingested food
.
Obese people's own metabolism is strong, or because of the massive destruction of diseased cells, they will cause excessive uric acid production; overeating and heavy drinking will cause excessive uric acid production from food sources
.
2.
Decreased uric acid excretion: chronic renal failure, uric acid excretion disorder; certain drugs such as diuretics, aspirin, chemotherapy drugs that interfere with uric acid excretion will lead to decreased uric acid excretion
.
From the above factors, it is not difficult to find that diet has an impact on high uric acid, but it is not the core factor
.
Diet and uric acid levels Recently, American scholars published a review to evaluate the association of diet, genetics, body weight and serum uric acid with gout
.
The results found that diet was associated with increased blood uric acid levels, but the effect was small.
Genetic factors and obesity were important determinants of hyperuricemia and gout, of which genetics had the greatest impact, which was 24 times that of dietary factors
.
In terms of specific foods, alcohol, purine-rich foods, and fructose-rich syrups increase the risk of hyperuricemia and gout
.
1.
All wines are similar, and some guides say that many red wines have less of an impact
.
2.
Foods rich in purines include animal liver, chicken breast, shellfish,
etc.
This is the first time I've seen reports that chicken breast has a big impact on gout
.
3.
High fructose syrup is a sweetener that is mainly added to various beverages, including cola, fruit juice, milk tea and other beverages
.
That is to say, for gout sufferers, the harm of alcohol is great, and the harm of various beverages is equally great
.
To avoid gout attacks, you must first stay away from these three types of foods
.
However, for obese people and people with genetic or metabolic disorders, just controlling the mouth is not enough
.
Alcohol consumption and gout Alcohol consumption is not the only cause of hyperuricemia, but alcohol consumption is the most common cause of gout attacks
.
The main mechanisms by which alcohol increases uric acid: 1.
Uric acid is mainly excreted through the renal tubules
.
Alcohol metabolism increases the blood lactate concentration, and lactic acid inhibits the excretion of uric acid by the kidneys, resulting in an increase in blood uric acid concentration; 2.
Ethanol accelerates purine metabolism and causes excessive uric acid production, which rapidly increases blood uric acid concentration; 3.
Alcohol (mainly beer) can provide purine raw materials, which can increase the blood uric acid concentration; 4.
Drinking a lot of high-purine foods at the same time also causes the blood uric acid concentration to rise suddenly, and the sudden increase of the blood uric acid concentration is a common cause of gout
.
Therefore, gout patients try to avoid drinking alcohol
.
Summary From the above introduction, you cannot find that drinking is a common cause of gout, but it is not the only cause, so drinking gout, not drinking will also cause gout
.
Long-term control of uric acid is the root cause of gout control
.
Some factors can be controlled, such as diet, alcohol consumption, obesity, etc.
, and some factors cannot be controlled, such as genetics
.
Control what can be controlled, and what cannot be controlled may require medication
.
Source: Li Qing popular science
.
Hyperuricemia and gout Long-term high uric acid, if you encounter a sudden increase in blood uric acid, such as overeating, drinking, certain drugs, or a sudden decrease in blood uric acid, such as taking a large amount of uric acid-lowering drugs at one time, or local colds, joint trauma and other incentives , can cause a sudden attack of gout
.
Thus, hyperuricemia is the root cause of gout
.
How is hyperuricemia formed? Uric acid is the metabolic waste of nucleic acid in the nucleus, which is excreted through the kidneys.
Problems in any of these links will lead to hyperuricemia.
The common causes are excessive uric acid production or reduced uric acid excretion
.
1.
Excessive production of uric acid: 80% of uric acid in the body comes from the metabolism of its own cells, and only 20% comes from ingested food
.
Obese people's own metabolism is strong, or because of the massive destruction of diseased cells, they will cause excessive uric acid production; overeating and heavy drinking will cause excessive uric acid production from food sources
.
2.
Decreased uric acid excretion: chronic renal failure, uric acid excretion disorder; certain drugs such as diuretics, aspirin, chemotherapy drugs that interfere with uric acid excretion will lead to decreased uric acid excretion
.
From the above factors, it is not difficult to find that diet has an impact on high uric acid, but it is not the core factor
.
Diet and uric acid levels Recently, American scholars published a review to evaluate the association of diet, genetics, body weight and serum uric acid with gout
.
The results found that diet was associated with increased blood uric acid levels, but the effect was small.
Genetic factors and obesity were important determinants of hyperuricemia and gout, of which genetics had the greatest impact, which was 24 times that of dietary factors
.
In terms of specific foods, alcohol, purine-rich foods, and fructose-rich syrups increase the risk of hyperuricemia and gout
.
1.
All wines are similar, and some guides say that many red wines have less of an impact
.
2.
Foods rich in purines include animal liver, chicken breast, shellfish,
etc.
This is the first time I've seen reports that chicken breast has a big impact on gout
.
3.
High fructose syrup is a sweetener that is mainly added to various beverages, including cola, fruit juice, milk tea and other beverages
.
That is to say, for gout sufferers, the harm of alcohol is great, and the harm of various beverages is equally great
.
To avoid gout attacks, you must first stay away from these three types of foods
.
However, for obese people and people with genetic or metabolic disorders, just controlling the mouth is not enough
.
Alcohol consumption and gout Alcohol consumption is not the only cause of hyperuricemia, but alcohol consumption is the most common cause of gout attacks
.
The main mechanisms by which alcohol increases uric acid: 1.
Uric acid is mainly excreted through the renal tubules
.
Alcohol metabolism increases the blood lactate concentration, and lactic acid inhibits the excretion of uric acid by the kidneys, resulting in an increase in blood uric acid concentration; 2.
Ethanol accelerates purine metabolism and causes excessive uric acid production, which rapidly increases blood uric acid concentration; 3.
Alcohol (mainly beer) can provide purine raw materials, which can increase the blood uric acid concentration; 4.
Drinking a lot of high-purine foods at the same time also causes the blood uric acid concentration to rise suddenly, and the sudden increase of the blood uric acid concentration is a common cause of gout
.
Therefore, gout patients try to avoid drinking alcohol
.
Summary From the above introduction, you cannot find that drinking is a common cause of gout, but it is not the only cause, so drinking gout, not drinking will also cause gout
.
Long-term control of uric acid is the root cause of gout control
.
Some factors can be controlled, such as diet, alcohol consumption, obesity, etc.
, and some factors cannot be controlled, such as genetics
.
Control what can be controlled, and what cannot be controlled may require medication
.
Source: Li Qing popular science
