Uncle Wang is a truck driver who is already 41 years old this year, but due to irregular work schedules, he often has irregular meals.
For a period of time, there was often joint pain that couldn't be relieved with medication. Finally, I decided to go to the hospital for a check-up, but it was found that the uric acid index was very high. The doctor diagnosed it as gout and suggested that he start with his diet.
But because he often works in two shifts, the uncle can only occasionally pay attention to his diet, so the symptoms keep recurring.
Until the day of the Chinese New Year, the dish of stir fried onion meat came out with a strong aroma. Uncle Wang couldn't help but take a few more bites. After eating it continuously for a few days, he felt like he had been pricked by a needle in his toe joint.
"Shouldn't I have gout again? Oh my, I've heard that high uric acid shouldn't be eaten with onions!"
But it was too late to regret it. Soon, he was convulsing in pain on the sofa, and his family realized something was wrong, so they quickly sent him to the hospital.
The doctor's examination found that his blood creatinine level was as high as 720 umol/L, and his blood potassium concentration had increased to 6.9 mmol/L, indicating that he was at risk for uremia.
However, despite the hospital's full efforts to save his life, his passing also left a thick shadow over the entire family.
Seeing this, many people wonder how it turned into uremia when it wasn't gout at first. Is it really related to onions?
1, High uric acid can harm multiple organs in the body!
In recent years, the incidence of hyperuricemia has been increasing, with a prevalence rate of 13.3%. Approximately 180 million Chinese people suffer from hyperuricemia. It is the second largest metabolic disease in China, ranking second only to diabetes. Moreover, in recent years, there has been a trend towards younger onset rates.
Uric acid is a product of purine oxidation metabolism in the liver of the human body, which is generally excreted through the kidneys and intestines. But due to genetics, obesity, metabolic disorders, or reduced uric acid excretion caused by tumors, kidney disease, medication, or diet, it can lead to the occurrence of high uric acid.
According to international standards, under normal circumstances, if the blood uric acid level in males is greater than 420 μ mol/L and in females is greater than 360 μ mol/L on an empty stomach for two consecutive times, it belongs to hyperuricemia.
When it comes to high uric acid in the past, the first thing that comes to mind is gout. In fact, only about 10-20% of patients with hyperuricemia will further develop into gout. However, this does not mean that high uric acid does not require worry, as many people often suffer from multiple organ damage.
Because urate deposition not only occurs in common joint areas, but also in the kidneys, causing various pathological changes, leading to severe conditions such as acute kidney disease, chronic interstitial nephritis, kidney stones, and renal failure.
The Expert Consensus on Diagnosis and Treatment of Hyperuricemia Combined with Cardiovascular High Risk Patients: 2021 Update states that hyperuricemia has become an independent risk factor for metabolic diseases and cardiovascular and cerebrovascular diseases, and can serve as an independent predictor of premature death.
The research progress on hyperuricemia related cerebrovascular diseases also indicates that hyperuricemia is closely related to cardiovascular and cerebrovascular diseases, and elevated uric acid can also increase the risk of cerebrovascular diseases.
2, Is onion a catalyst for high uric acid? These four foods are the "purine rich"!
In recent years, there have been constant rumors about onions. Some studies suggest that onions contain high levels of purine substances, and eating more can increase the risk of hyperuricemia. Is this true?
In fact, there is currently no direct evidence to suggest a correlation between the two. On the contrary, the flavonoids contained in onions can also help reduce inflammation and improve cardiovascular health.
Experts suggest that in order to reduce uric acid, it is best to avoid these "accomplices", such as high purine foods, alcohol, sugary drinks and fruit juices, as well as processed foods and red meat intake.
The foods mentioned above, such as seafood, strong soup, and some meats, are generally recognized as high purine foods by the public. Therefore, many people believe that vegetarian dishes do not have high purine risks, but in reality, some vegetarian dishes may have high purine values!
1. Shiitake mushrooms
The purine value of fresh shiitake mushrooms can reach about 214mg/100g, while the purine value of dried shiitake mushrooms commonly used in soup is even higher, reaching 405mg/100g, making it a safe and high purine food.
2. Bean sprout vegetable
According to data statistics, some common soybean sprouts and pea seedlings have a purine content of up to 500mg/100g. In addition, mung bean sprouts and other bean sprouts also belong to high purine foods.
3. Seaweed
The purine content of seaweed is even higher than that of many meats. According to statistics, every 100 grams of seaweed contains 274 milligrams of purine, and the Chinese Food Composition List (6th edition) even calls it a "purine powerhouse".
4. Asparagus
Data shows that every 100 grams of asparagus contains 500mg of purine, which is much higher than the purine content in seafood such as shrimp, salmon, and swordfish. In addition, oxalic acid contained in asparagus can also inhibit the rate of uric acid excretion in the human body, and is not suitable for excessive consumption.
3, Control uric acid stability and teach you 3 tricks!
Nowadays, elevated uric acid has become a common health problem in contemporary times, and prevention is also very simple. In addition to paying attention to diet, lifestyle interventions can also be used to improve it.
1. Drink more water and urinate more frequently
Drink plenty of water and urinate frequently, while also being careful not to hold your urine. Use urine to help eliminate uric acid from the body and dilute the concentration of uric acid in the body. It is recommended to drink about 2 liters of water daily, excluding sugary drinks.
2. Persist in moderate exercise
Appropriate exercise can also increase the rate of uric acid metabolism. It is recommended to engage in aerobic exercise 3-4 times a week, lasting 30-60 minutes each time. Exercise methods can include slow walking, yoga, Tai Chi, etc.
3. Pay attention to weight control
Obesity can also cause high uric acid levels, so to reduce uric acid levels, it is best to control the rate of weight gain and maintain a body mass index (BMI) between 18.5 and 23.9.
