1. Home
  2. Health
  3. Arthritis

Gout Foods: Avoiding Purine-Rich Foods

Diet Can Help Control Gout Attacks

By Carol & Richard Eustice, About.com

Updated: June 3, 2006

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

Gout Foods: Avoiding Purines

Gout is caused by an excess of uric acid in the body. Uric acid results from the breakdown of purines. Purines are part of all human tissue and found in many foods. The excess can be caused by either an over-production of uric acid by the body or the under-elimination of uric acid by the kidneys. Also, the ingestion of foods high in purines can raise uric acid levels in the blood and precipitate gout attacks in some people.

Considered one of the most painful of the rheumatic conditions, gout afflicts an estimated 840 out of 100,000 people, accounting for about 5 percent of all cases of arthritis. Usually, gout affects the joints in the big toe initially. It also can affect the:

  • instep
  • ankles
  • heels
  • knees
  • wrists
  • fingers
  • elbows

The definitive diagnosis for gout depends on finding uric acid crystals in the joint fluid during an acute gout attack.

Gout Treatment

Along with specific prescribed medications, it is typically recommended that people with gout reduce their intake of purine-rich foods. That dietary recommendation begs the question regarding what foods are purine-rich?  Consider though that purines are found in all protein foods and it is not recommended that all purines should be eliminated from a person's diet.

  • How To Treat Gout With Diet And Medication
  • Purine-Rich Foods

    According to the American Medical Association, purine-containing foods include:

    • Beer, other alcoholic beverages.
    • Anchovies, sardines in oil, fish roes, herring.
    • Yeast.
    • Organ meat (liver, kidneys, sweetbreads)
    • Legumes (dried beans, peas)
    • Meat extracts, consomme, gravies.
    • Mushrooms, spinach, asparagus, cauliflower.

    Beneficial Foods

    Foods which may be beneficial to people with gout include:

    • Dark berries may contain chemicals that lower uric acid and reduce inflammation.
    • Tofu which is made from soybeans may be a better choice than meats.
    • Certain fatty acids found in certain fish such as salmon, flax or olive oil, or nuts may possess some anti-inflammatory benefits.

    Avoiding purine-rich foods is only one aspect of treatment however. It is important to take prescribed medications as directed, maintain a healthy/balanced diet, drink plenty of fluids/water, exercise and maintain a healthy body weight. Diets designed for quick or extreme weight loss will work against you though -- they increase uric acid levels in the blood.

    Balanced Diet

    According to the American Medical Association, a balanced diet for people with gout include foods:

    • High in complex carbohydrates (whole grains, fruits, vegetables)
    • Low in protein (15% of calories and sources should be soy, lean meats, poultry)
    • No more than 30% of calories from fat (10% animal fat)

    More Reading:

  • Gout Diet: What Foods Should You Eat?
    People who have gout are typically advised to treat with medications, make lifestyle changes, and restrict their diet. It is well known that a person with gout should avoid purine-rich foods. What should they eat though? What foods will lower the risk of another gout attack? We have the answer about what foods to eat.
  • Related Resources

  • Gout Diet
  • Gout: Test Your Knowledge
  • The Gout Guide: Free E-Course Newsletter
    Gout is one of the most painful types of arthritis. Gout attacks can be controlled or prevented by lifestyle changes and the use of certain medications. Better understanding will enhance your ability to manage the condition. Learn more about gout with our free e-course newsletter.

    Sources: Gout Fact Sheet, American College of Rheumatology; Questions & Answers About Gout, NIAMS; What Lifestyle Measures Can Help Prevent Gout?, UCDavis

  • Explore Arthritis

    More from About.com

    About.com is accredited by the Health On the Net Foundation, which promotes reliable and trusted online health information.
    1. Home
    2. Health
    3. Arthritis
    4. Types of Arthritis
    5. Gout
    6. Gout Foods - Avoiding Purine-Rich Foods

    ©2008 About.com, a part of The New York Times Company.

    All rights reserved.