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【王聪医生讲痛风】痛风能不能吃豆制品

发布时间:2021-08-19
来源:宜宾市中医医院 0831-5858120
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痛风群里的一个小伙伴问我,痛风到底能不能吃豆制品?怎么有的人说可以,有的人说不可以?为什么有的人会说,吃了豆腐之后痛风发作了?



痛风的患者确实在吃这方面挺为难的,大多数都是男的,而且很多都是大块头,这也不让吃,那也不让吃,确实严重影响了他们的生活质量。很多群友甚至天天哀嚎,不怕疼、就想吃肉喝酒……


当然,吹牛吹的再响,一旦痛风犯起来,还是立马忏悔自己为什么没有严格忌口,既然都没法大口吃肉、大碗喝酒了,作为素食中味道比较鲜的豆制品,难道也得放弃吗?


好,我们来分析分析,很多人说不能吃豆制品,是因为认为豆制品是高嘌呤含量的食物,其实大豆才是高嘌呤档次的食物,豆腐、豆干、黄豆,都是中嘌呤含量的食物,而豆浆因为被稀释了很多,完全是低嘌呤含量的食物了。


如果根据这个中高嘌呤含量就认定豆制品不能吃,那确实是以偏概全了。

在这里提示,我们吃的不是“纯大豆”,我们吃的基本是豆制品。豆制品一般都要经过水的侵泡,由于嘌呤易溶于水(这也是为什么劝大家少喝肉汤的原因之一),这个浸泡过程就会让很多嘌呤丢失掉。


还以大豆为例,干大豆每100g含嘌呤近200mg,但是煮熟的大豆的嘌呤仅50mg左右,温馨提示,低于50mg就属于低嘌呤食物的范畴了。


除此之外,植物性食物当中的嘌呤,由于其分子结构粗糙的原因,很难被人体转化为尿酸,已经有很多证据等级较高的研究证实了植物性食物当中的嘌呤对人体尿酸浓度几乎没有影响。来自美国、新加坡等地的多项研究均得出了较为一致的结论,认为豆制品的摄入,无论是嘌呤因素还是蛋白质因素,均没有显示出会升高人体的尿酸水平,相反,适量的摄入豆制品还可能有利于尿酸的控制!这真是应让所有痛风患者值得为之欢呼的结论,毕竟,为我们的食谱解锁了一大类食物。


那么,相信有很多人要问,为什么我吃完豆腐之后痛风发作了,怎么解释呢?我想说这有很多原因。

首先,这个病人在吃豆腐的同时,肯定也吃了其他的东西,就算这顿饭没吃,前顿饭可能也吃了。其次,你今天晚上发痛风,并不定是你晚饭吃了什么,也有可能是午饭吃了什么,甚至是这两天吃了什么决定的。更何况,痛风发作还有其他原因,比如疲劳、气温、情绪、运动,诸多因素都有可能诱发痛风发作,这么多混杂因素的前提下,怎么就定要怪在人家豆子头上呢?就因为曾经在某某地方看到过一眼说豆制品吃了会升高尿酸?

在这里提示大家:

 

写在后面

重点小结

不管什么食物

正常食量范围内的摄入就行

别太疯狂



宜宾市中医医院肾病科•痛风专病门诊

职称:主治医师  硕士

职位:科主任

中国中药协会肾病中药发展研究专业委员会青年委员

四川省中医药学会肾病专委会常务委员

宜宾市医学会肾病专委会委员

宜宾市医学会风湿免疫专委会委员

地址:南岸西区大湾路2号,宜宾市中医医院痛风门诊205诊室 

电话:14726783757 


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org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:52) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.web.filter.ApplicationContextHeaderFilter.doFilterInternal(ApplicationContextHeaderFilter.java:55) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AbstractShiroFilter.executeChain(AbstractShiroFilter.java:449) at org.apache.shiro.web.servlet.AbstractShiroFilter$1.call(AbstractShiroFilter.java:365) at 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at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at com.alibaba.druid.support.http.WebStatFilter.doFilter(WebStatFilter.java:123) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.actuate.trace.WebRequestTraceFilter.doFilterInternal(WebRequestTraceFilter.java:110) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.tuckey.web.filters.urlrewrite.RuleChain.handleRewrite(RuleChain.java:176) at org.tuckey.web.filters.urlrewrite.RuleChain.doRules(RuleChain.java:145) at org.tuckey.web.filters.urlrewrite.UrlRewriter.processRequest(UrlRewriter.java:92) at org.tuckey.web.filters.urlrewrite.UrlRewriteFilter.doFilter(UrlRewriteFilter.java:389) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.RequestContextFilter.doFilterInternal(RequestContextFilter.java:99) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HttpPutFormContentFilter.doFilterInternal(HttpPutFormContentFilter.java:105) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HiddenHttpMethodFilter.doFilterInternal(HiddenHttpMethodFilter.java:81) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.CharacterEncodingFilter.doFilterInternal(CharacterEncodingFilter.java:197) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at 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