¿La dieta DASH es realmente buena para la gota?
Ha habido noticias importantes en el mundo de la gota en las últimas semanas con respecto a un estudio publicado En Artritis y Reumatología realizado por el Colegio Americano de Reumatología. Stephen Juraschek, MD, PhD, de la Facultad de Medicina de la Universidad Johns Hopkins, y sus colegas estudiaron a 103 adultos con prehipertensión o presión arterial alta en etapa 1. Los participantes fueron seleccionados al azar para consumir la dieta DASH, lo que significa Enfoques Alimenticios para Detener la Hipertensión, ya sea una dieta de control (su dieta estadounidense promedio) y recibieron niveles bajos, medios y altos de sodio durante un mes, cada uno en orden aleatorio. Los participantes recibieron diferentes cantidades de sodio: 1,2 gramos (bajo), 2,3 gramos (medio) o 3,4 gramos (alto). El número más alto corresponde a la dieta estadounidense estándar.
Ahora bien, para quienes no conocen la dieta DASH, esta enfatiza el consumo de frutas, verduras, productos lácteos bajos en grasa, cereales integrales, poca carne que debe ser magra, pescado, nueces, frijoles, sí frijoles y alimentos bajos en grasa. ¿Esto te recuerda a algo? Si ha leído mi libro y los artículos en este sitio, casi suena como mi consejo. dietética para la gota..
Independientemente, este estudio DASH mostró que en realidad redujo los niveles de ácido úrico de los participantes en un promedio de aproximadamente 0,35 mg/dl. En sujetos con niveles de ácido úrico superiores a 7 mg/dl, la dieta DASH redujo el ácido úrico en más de 1 mg/dl. Ahora, lo que resulta un poco extraño es que el aumento de la ingesta de sal se atribuye todo el mérito de los niveles más bajos de ácido úrico.
Para poner esta cifra en perspectiva, los medicamentos destinados a tratar la gota como allopurinol generalmente reducen los niveles de ácido úrico en 2 miligramos por decilitro. El Dr. Juraschek dijo: "Cuando alcanza una reducción como la que creemos que sucedió con la dieta DASH original en este estudio, el efecto comienza a ser comparable a la medicación para la gota".
Los investigadores plantearon la hipótesis de que reducir la ingesta de sodio/sal reduciría el ácido úrico, pero descubrieron que era todo lo contrario. Además, afirman que el consumo de sal en la dieta estadounidense típica, que es alta y excede las necesidades del cuerpo, es la razón principal por la que se redujeron los niveles de ácido úrico de los participantes. Luego, los investigadores dicen que no entienden el mecanismo por el cual una mayor ingesta de sodio/sal disminuye el ácido úrico. Así que no les queda claro.
Además, los investigadores ahora recomiendan la dieta DASH como un método eficaz y no farmacológico para prevenir los ataques de gota. El Dr. Juraschek dice: "Los médicos ahora pueden recomendar con confianza la dieta DASH a los pacientes con gota para reducir los niveles de ácido úrico". En realidad ? Los médicos ahora recomendarán la dieta DASH para que las personas que padecen gota puedan consumir más sal, lo que puede provocar presión arterial alta y otros problemas de salud.
No hacen la pregunta de que tal vez, solo tal vez, se deba dar crédito a la parte de la dieta y al hecho de que los participantes comieron menos carne y más carbohidratos complejos. Como frutas, verduras, pan integral, pasta, arroz, nueces, frijoles, productos lácteos bajos en grasa y pescado, como se describe en mi libro que viene con un "desafío de análisis de sangre de60 días o le devolvemos su dinero"para probarte que si sigues mi plan de alimentación para la gota, ¡puedes reducir tus niveles de ácido úrico en la sangre!
Esta es la verdad y de alguna manera se oscurece al recomendar comer más sal para reducir los niveles de ácido úrico. Es el aumento de la ingesta de sal el verdadero factor diferenciador. También se cita al Dr. Juraschek diciendo: "Si uno consumiera más sodio para mejorar el ácido úrico, podría empeorar la presión arterial".
Que hacer ?
Lo mejor es seguir una dieta para la gota que incluya el 10% de las calorías diarias en proteínas de carnes magras y pescado. El 10% de tus calorías diarias debe provenir de productos lácteos bajos en grasa, como leche, quesos, yogur, mantequilla, etc. y el 80% de sus calorías diarias deben estar compuestas por carbohidratos complejos, como frutas frescas, verduras, panes y pastas integrales, arroz, nueces y frijoles.
No necesita sal adicional, los alimentos naturales ya contienen suficiente para satisfacer sus necesidades diarias, así que como dicen "tome este estudio con un grano de sal" y es mejor no seguir la dieta DASH aumentando su consumo de sal repentinamente. Tampoco querrás pasar de la gota a la presión arterial alta. ¡Usa el sentido común y piensa en tu salud! No se deje engañar.
16 replies to "Goût et régime DASH"
[…] DASH Diet for Gout — Experiments on Battling Gout […]
Hi Spiro
So my dad has GOUT bad… he takes Allopurinol and Colcrys, he tries not to eat the foods that bring on GOUT attacks but still gets them, The internet shows conflicting advices as to what not to eat. Any suggestions? Thank you
Hi Angeliki!
If he is following a gout diet as outlined on my website and book and still gets attacks, plus takes his medication and still has gout. Then he has an advanced stage of gout. Has his doctor tried to increase the allopurinol dosage? Does he do frequent blood tests, preferably every 6 months to see where his uric acid lies?
Make sure to also ask his doctor to check his kidney health. Try and find a rheumatologist for him. Sometimes a second opinion doesn’t hurt cause his GP might be a bit inexperienced when it comes to gout. I know some GP’s look a medical book on what amount of colchicine and allopurinol to give at the onset of gout.
[…] Does Dash Diet Lower Gout Risk? […]
Hi Spiro,
I am 31 years old and I got my first gout attack at the age of 16 it was my left knee, it swelled and caused pain with inflammation. It took around two months to recover from that and after that I started experiencing pains in both my knees, whenever I took a good walk or little bit of running and since then I got 4 attacks of gout within an interval of 3 to 4 years on either of my knees one at a time. This time I got an attack in mid of July 2017 and still suffering with inflammation and pain in my right knee. My uric acid level is 6.8 now.
Is there any permanent solution for this? Please reply.
Yes there is Aftab!
Go visit your doctor and most likely he/she will prescribe you colchicine for the inflammation and allopurinol to keep uric acid levels in check and avoid future gout attacks.
Dear Spiro!
My name is Hersh and I have gout; also the level of my uric acid 8.6, but my problem is that my uric acid has not decreased at all. I drink 10 bottles of water 0.33 liter and never eat red meat. I take 40 psc colchicine drug but has not decreased my uric acid levels, I don’t know what to do? My doctor can not decrease my uric acid levels, he just gives me the drug for prevention,can you advise me ?
Hi Hersh!
Not much I can tell you here then seek the advice of another doctor, seek a 2nd opinion if I were you. If the medication is not working then the doctor must increase dosage and/or change you to another drug. What you can control on your end is your diet. Do as I preach here on this website, read all of the posts, take notes if you have to and follow the gout dietary advice that is available to you. Drinking plenty of water is important too.
Good luck!
[…] Does Dash Diet Lower Gout Risk? […]
Hi Spiro I read today in a news paper that the Dash diet is low sodium and the research was on 44,000 this seems to be a different study to the one that you have posted, but info can be found here > http://www.medscape.com/viewarticle/879780
Hi Spiro,
I stumbled across your site recently in search for help and have enjoyed it. I recently was diagnosed with gout but I believe I have suffered from it for some years.
After my recent diagnosis, I made a commitment to strict eating, no alcohol, cherry juice and other remedies. I’ve noticed that after a month and a half of being very careful and steadily losing weight, that I’ve had attacks closer together. People have told me that this may be my body getting rid of old crystals from previous attacks but it is depressing and discouraging. Any thoughts on this? thank you!
Hi Matthew!
Yes losing weight quickly increases your risk of getting gout attacks and your body getting rid of old crystals without any medication involved will also do that.
Good day sir!
I am writing you to ask for some advice regarding my gout. Before, my gout is in my left ankle and the attack usually occurs if I ate something that is forbidden. I will take medicine for pain and allopurinol prescribed by a doctor and it will go away and I will not have an attack for months. But last month I had an attack this time in my right ankle, this is the first time I had an attack on my right ankle, usually it is my left ankle that gives me problem.
I went to see a doctor and was given medicine for pain and swelling together with allopurinol. After taking my meds I had relief but to my surprise after just 12 days I had another attack on the same right ankle and I had not eaten any food that is bad for me. Again I visited a doctor and I did not eat any meat or fish while taking medicine again. After 15 days I had an attack again on the same ankle.
I was just wondering why I am having this repeated attack while I am still taking acupurinol because I was advised to take it for 2 months. I am also not eating fish or meat only vegeatables, low fat milk and some cheese and mayonnaise. Hope you can give me some helpful advise because I am in Saudi Arabia and doctors here are not that reliable they seem to not take their patient seriously.
Thank you very much, sorry for my lenghty mail.
Hi Darryl!
It probably means your uric acid levels are going higher and may have to do with worsening kidneys not being able to expel uric acid. You may need to increase your dose for allopurinol.
Remember eating well and drinking only water if you can is the best thing you can do for your health if you want to live longer and have a better quality of life.
I got my first gout attack 6 weeks today and still hobbling along with the pain shifting to different parts of my left foot. I finally started taking prescription anti-inflammatory a few days ago. I modified my food to low salt and minimal sugar, low-fat dairy, no yeast and chicken, certain recommended fish, veggies. My uric acid test was 3 times the normal level and this was likely due to diuretic prescribed a few months ago for hypertension. I was under the impression that the pain subsides after 24 hours and yet my persists?
Any thoughts, suggestions or recommendations?
Hi Ronit!
Ask your doctor if he can prescribe you Colchicine instead. That usually takes away the pain quicker, usually within a few days.