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Non – Pharmacological
Management of gout
K. Kavindya M. Fernando
Maintain your body weight
• Research has shown that excess weight is a
major risk factor for developing gout.
• If you are...
Control your diet
• The traditional thinking was
• reducing the amount of foods that contain purines
• Decrease the risk o...
Control your diet. Cont…
• Instead, a lower-calorie diet
• Replaces refined carbohydrates (sugar, white
flour, others) wit...
Evidences found on effects of
Vitamin C on serum [] of uric
acid
• In one randomized trial involving persons without
gout,...
Control your diet. Cont…
• Have fat-free or low-fat milk products.
• Get your protein mainly from
• low-fat dairy products...
Control your diet. Cont…
• Limit
• meat,
• fish and
• Poultry
• Drink 8 to 16 cups, or about 2 to 4 liters, of
fluid daily...
Avoid alcohol
• Drinking alcohol, especially beer,
• significant risk factor for gout
• Studies have suggested that drinki...
Control your diet. Cont…
• It has been shown that, following will
increase the risk of gout attacks
• Fruit- flavoured dri...
In summery
Stop diuretics
Dietary changes
Include:
Stop alcohol weight loss
Dietary advices: Summery
Fructose
Red meat/sea food.
Avoid:
Beer Spirits
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Non – pharmacological management of gout

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Non – pharmacological management of gout

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Non – pharmacological management of gout

  1. 1. Non – Pharmacological Management of gout K. Kavindya M. Fernando
  2. 2. Maintain your body weight • Research has shown that excess weight is a major risk factor for developing gout. • If you are overweight, • losing weight can lower uric acid levels in your body and • significantly reduce your risk of gout attacks. Nicholls A, Scott JT. Effect of weight-loss on plasma and urinary levels of uric acid. Lancet 1972;2:1223–4.
  3. 3. Control your diet • The traditional thinking was • reducing the amount of foods that contain purines • Decrease the risk of gout flares. • However, • managing a low-purine diet can be quite cumbersome, • and the success of such a diet in lowering blood uric acid levels is actually quite low. • Therefore, strict low purine diet • Not enough to cure
  4. 4. Control your diet. Cont… • Instead, a lower-calorie diet • Replaces refined carbohydrates (sugar, white flour, others) with more complex carbohydrates, • limits meat, and • increases vegetables and fruit • often can be much more effective at reducing blood uric acid levels than a low- purine diet.
  5. 5. Evidences found on effects of Vitamin C on serum [] of uric acid • In one randomized trial involving persons without gout, • 500 mg of vitamin C per day for 2 months • resulted in serum urate levels that were 0.5 mg per deciliter (30 μmol per liter) lower than in those receiving placebo Huang HY, Appel LJ, Choi MJ, et al. The effects of vitamin C supplementation on serum concentrations of uric acid: results of a randomized controlled trial. Arthritis Rheum 2005;52:1843-1847
  6. 6. Control your diet. Cont… • Have fat-free or low-fat milk products. • Get your protein mainly from • low-fat dairy products • because they may protect against gout. The intake of dairy milk, reduced serum urate levels by approximately 10% during a 3-hour period in a small, randomized, crossover trial involving healthy volunteers Dalbeth N, Wong S, Gamble GD, et al. Acute effect of milk on serum urate concentrations: a randomised controlled crossover trial. Ann Rheum Dis 2010;69:1677-1682 Acute effect of milk on serum urate concentrations
  7. 7. Control your diet. Cont… • Limit • meat, • fish and • Poultry • Drink 8 to 16 cups, or about 2 to 4 liters, of fluid daily, with at least half of that being water. to no more than 4 to 6 ounces a day.
  8. 8. Avoid alcohol • Drinking alcohol, especially beer, • significant risk factor for gout • Studies have suggested that drinking two or more beers a day can double the risk of a gout attack. • So limit the amount of alcohol you drink, or avoid it completely.
  9. 9. Control your diet. Cont… • It has been shown that, following will increase the risk of gout attacks • Fruit- flavoured drinks (rich in fructose) • Non-diet soda • Many processed food
  10. 10. In summery Stop diuretics Dietary changes Include: Stop alcohol weight loss
  11. 11. Dietary advices: Summery Fructose Red meat/sea food. Avoid: Beer Spirits

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