During my review and reorganization of the Gout Diet section, I noticed how my old Diet For Gout page was about the benefits of losing weight for gout sufferers. Control of excess calories is important for some gout patients, though probably not as many as is generally believed. There was a lot of useful information on that page, so I reproduce it below.
The latest gout foods to avoid pages, now cover specific aspects of excess calories and gout, including tips for losing weight that do not trigger more acute gout flares.
I will expand the relevant pages in the Gout Diet section to make it clear that a diet for gout must consider different types of foods to avoid (or at least to limit). As excess calories lead directly to extra uric acid from the purines in our own flesh, it pays to consider calorie control. As with all forms of gout treatment and diet changes, your plan must start with gathering information about yourself. This article introduces some tools to help you assess if weight loss needs to be part of your personal gout management plan.
Diet For Gout And Weight Loss
What is the most important part of a diet for gout?
Did you say purines?
Purines are often important – but weight loss can be crucial.
Find out if weight loss will help you.
Gout has been associated with weight gain for centuries, and many studies support this. One significant report looks at Obesity And Gout. It contains many statistics about gout patients compared with people without gout. Most of the report analyzes weight.
The report uses Body Mass Index as the basis for most of its statistics. Before we look at the results, I’ll tell you about Body Mass Index (BMI).
Body Mass Index
BMI is a simple, calculated value that should be used to classify people. It classifies groups of people as underweight, normal, overweight, obese, or morbidly obese. BMI calculation is easy – weight over height squared. But don’t worry about calculations – I’ve provided tables below.
But first a warning, especially if you see BMI referred to elsewhere. It is often overused and misinterpreted, perhaps due to it’s simplicity.
Body Mass Index is not a yardstick for ideal weight. Bone structure and muscularity play a large part in determining a healthy weight, yet BMI takes no account of these or any other factors.
However, it is good for statistical comparisons, hence it’s use in several studies. I also believe it gives you a good starting point when you begin to think how a diet for gout can help you.
More of your diet for gout later. Let’s look at the study results first.
Gout And Weight Statistics
The studies results tell us that the risk of gout increases in line with increased BMI.
With a BMI of 25-29.9 (overweight) you are almost twice as likely to get gout than at normal weight (BMI 21-22.9).
With a BMI of 30 to 34.9 (lower half of obese scale) the risk rises to two and a half times more likely to get gout.
Risks rise to an average of 3 times at the upper end of the obese scale (BMI over 35).
Similar results were found in an earlier, much smaller, study that showed how a specific diet for gout could reduce uric acid and weight. 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 shows how weight loss over a 12 week period leads to improved uric acid levels and reduced gout flares.
I believe these studies present a good argument for including weight loss targets in your diet for gout. Weight loss is not the only answer, but it is important for most gout sufferers.
If you need metric tables, please let me know. I haven’t included them as the calculation is very simple – weight(kg) divided by height squared (m
To use the table below, you need to know your weight in pounds. If you use stones and pounds, first use the second table to lookup your weight in pounds.
Find the line that represents your height in the first table. Read across the line for your BMI category. Anything above normal weight suggests that losing weight may help your gout. The more overweight you are, the more likely you are to benefit from losing weight.
|Height||Normal||Over- weight||Obese||Morbidly Obese|
Stones / Pounds Table
Using BMI In A Diet For Gout
The BMI Calculator is being repaired – please see the Gout Foods To Avoid guidelines for a temporary calculator that will help identify if excess calories are an issue.
Please note that the BMI calculation only gives indications. If you are particularly athletic, your “normal weight” will be higher. If you lead a very sedentary lifestyle, your “normal weight” will be lower. The table gives a ball park category that gives you an idea of how losing weight might help you. It does not mean you need to lose X pounds.
Never frighten yourself into thinking you have to lose a set number of pounds. On the GoutPal Diet Plan we just try to lose a pound or two a week. It’s easy when you just make a few small changes and lose weight slowly. It’s better for you as well – your diet for gout must always avoid rapid weight change.
Gout Foods To Avoid: Next Steps
First study the Diet For Gout pages to ensure you are taking the right approach to your gout diet. If you identify excess calorie intake as a potential problem for you, read the Gout Foods To Avoid pages.
If you’ve got any questions about your gout diet, or comments about what I have written, please add your point of view to the gout diet discussion on GoutPal Interactive.