[痛风和营养] 痛风和营养
Barbara Ankli1,2,3
1Rheumazentrum Basel Dr. med. B. Ankli, Basel.
Therapeutische Umschau. Revue therapeutique
|November 7, 2024
概括
饮食改变,特别是以植物为基础的饮食,可以帮助管理高尿血和减少痛风发作. 这种方法补充了药物治疗,以达到血清尿酸 (SUA) 目标水平并改善心血管健康.
科学领域:
- 类风湿病学 类风湿病学
- 营养科学 营养科学
- 代谢健康 代谢健康
背景情况:
- 痛风是一种流行性关节炎,与心血管疾病和代谢综合征密切相关.
- 血清尿酸水平升高的超尿血,是痛风的主要危险因素.
- 饮食因素,包括精氨酸代谢和肠道微生物群,影响血清尿酸水平.
研究的目的:
- 评估饮食调整在管理高尿血和痛风中的作用.
- 探索植物性饮食对血清尿酸水平和痛风爆发的影响.
- 评估饮食改变与药物治疗对痛风管理的贡献.
主要方法:
- 关于痛风,高尿血和饮食干预的当前文献的综述.
- 分析 purin代谢,肠道微生物组和血清尿酸之间的关系.
- 评估植物性饮食与传统的纯素限制相比的有效性.
主要成果:
- 转向植物性饮食比简单的纯素限制更有效地治疗痛风.
- 饮食改变可以积极影响血清尿酸水平,并降低痛风发作频率.
- 虽然减少酒精是有益的,但它对血清尿酸水平的影响有限.
结论:
- 饮食修改,特别是以植物为基础的方法,是管理高尿血和痛风的关键组成部分.
- 将饮食变化与药物治疗相结合,可以加速达到目标血清尿酸水平.
- 患者对饮食的教育使个人能够积极管理他们的病情并减少痛风发作.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
319
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
319
Gastritis III: Clinical Manifestations and Management
158
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
158
Overview of Protein Metabolism
763
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
763
Gastritis-II: Pathophysiology
259
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
259
Gastritis-I: Introduction and Types
280
Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
280
Peptic Ulcer Disease IV: Management
74
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
74


