Tag Archives: alcohol

Diet For Gout Patients

What is gout?

Gout is a type of arthritis. It is caused by having too much of the chemical, uric acid, in your bloodstream.

Uric acid is the waste product created when the body breaks down purines (a type of
protein found in many foods and all of your cells).

Increased levels of uric acid in your blood may occur if, for example, your kidneys cannot efficiently remove it, you have a rare genetic abnormality, or because your diet and lifestyle increase the amount of uric acid that you produce.

If levels of uric acid are high for prolonged periods, needle-like crystals can start to form in your tissues, resulting in swollen, painful joints.
Your diet plays an important role in both causing gout and reducing the likelihood of suffering further painful attacks of gout.

If you already suffer from gout, eating a diet that is rich in purines can
result in a five-fold increase in gout attacks.

Are other illnesses associated with the development of gout?

Elevated uric acid is seen in many other conditions, and people who have gout may also have raised cholesterol, raised triglycerides (a type of fat in your blood), high blood pressure and poor glucose tolerance.
This may make it more likely that you have (or will develop) type 2 diabetes, metabolic syndrome and kidney disease.
In addition, approximately half of all gout sufferers are overweight.
Central obesity (carrying weight around your middle) also increases certain inflammatory substances in your blood. This can further exacerbate gout attacks, as well as putting you at risk of developing heart disease, diabetes and metabolic syndrome.

 Can losing weight help my gout?

Losing weight alone can reduce blood uric acid levels, and the number of acute attacks suffered.
Weight-loss will also help to reduce the stress on weight–bearing joints e.g. hips, knees, ankles and feet.
However, it is important to avoid any type of crash dieting, as going without food for
long periods and rapid loss of weight can increase uric acid levels and trigger painful gout attacks.
A combination of balanced healthy eating and regular physical activity is the best way to lose weight safely and maintain a healthy weight

Which foods should be avoided?

As uric acid is made in the body from the breakdown of purines that
come from your diet, it is advisable to reduce the amounts of foods
that you eat that are high purines.

High purine foods include: (avoid)

•Offal – liver and kidneys, heart and sweetbreads

•Oily fish -anchovies, herring, mackerel, sardines, sprats, whitebait

Seafood – especially mussels, crab, shrimps and other shellfish, fish roe, caviar

Moderate purine foods (eat in moderation)

•Meat- beef, lamb chicken, pork
•Poultry- chicken and duck
•Dried peas, beans and legumes- baked beans, kidney beans, soya beans and peas etc.
•Mushrooms
•Some vegetables- asparagus, cauliflower, spinach
•Wholegrains- bran, oatbran,wholemeal bread

Low purine foods

•Dairy- milk, cheese, yoghurt, butter
•Eggs
•Bread and cereals- (except wholegrain)
•Pasta and noodles
•Fruit and vegetables

 

How much protein do you need?

Generally you need about 1g of protein per kg of body weight (70kg man only requires 70g of protein daily), unless you on a protein restricted diet e.g., some people with kidney disease may need to restrict their intake.

Are there any foods that are good for gout?

Studies have shown that men whose diet is higher in vitamin C are less likely to develop gout.
Also, taking additional vitamin C as a dietary supplement (500 to 1500mg/day) can reduce blood uric acid levels.This is achieved by helping to remove uric acid from the
body via the kidneys.
If you’re considering supplementing your diet, always discuss this with your doctor as vitamin C can (rarely) interact with prescribed medications.
High doses of vitamin C can also cause loose stools in some people.

Eating healthily is key

Eating a balanced diet is important for everyone. A healthy diethelps to control weight and provides all the necessary nutrients needed for maintaining good health.
A variety of foods from the four main food groups should be eaten every day, this means:
•Plenty of fruit and vegetables
– it’s very important to achieve at least 5-a-day, as fruit and vegetables provide fibre, vitamins, minerals and phyto nutrients essential for good health
Plenty of bread, other cereals and potatoes
– try to eat some whole grains, and use the skin on potatoes to ensure you get the vitamins, mineral and fibre you need
Moderate amounts of meat, fish and alternatives
– avoid eating large portions – beware restaurants often serve 8oz of meat
for a main
Moderate amounts of dairy products
– the recommended amount is three portions of dairy products daily e.g. 200 ml glass of milk, a pot of yoghurt and a 30 mg (matchbox-sized) piece of hard cheese
Reduce or eliminate highly processed foods and drinks

Should I drink lots of water?

Yes, drinking fluids reduces the likelihood of crystals forming in the kidneys. As a general rule, drinking 8 large glasses of fluids a day (1.5 litres) is recommended. All drinks, except alcohol, count towards your fluid intake, including caffeine-containing drinks such as tea and coffee. Caffeine can act as a mild diuretic, which means it causes you
to pass urine more often.

Can I drink alcohol?

Drinking alcohol can increase your risk of developing gout and can bring on a sudden attack if you are already a gout sufferer. Alcohol can raise the level of uric acid in the blood in a number of ways and so trigger a gout attack. Many beers contain large quantities of purines from the fermenting process and alcohol stimulates the production of uric acid by the liver. More importantly, however, alcohol is converted in the body to lactic acid which interferes with the removal of uric acid from the body by the kidneys.

While it is certainly possible for people with gout to remain well without becoming teetotal, reduction in alcohol consumption is very important particularly if you are drinking more than the recommended healthy limit of 21 units per week for men or 14
units per week for women.(Recommended by UK society for Gout)
1 unit of alcohol is provided by:
•½ pint of standard strength (3-4% alcohol by volume) beer, lager or
cider
•125ml glass of wine (11%, 100ml glass of stronger wine)
•Single measure of spirits (25ml)
•Single measure of sherry or fortified wine (50ml)
For more information contact:

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Stress driving Chandigarh youth towards cannabis-Study quoted by Times of India

, TNN | Oct 9, 2013, 12.54 PM IST

CHANDIGARH: Psychological stress is driving the youth of Chandigarh towards the consumption of
cannabis, and the numbers are more than the national average.
A study conducted by the department of community medicine at the Government Medical College and Hospital-32 (GMCH) found that cannabis usage among city males in the age group of 19-21 on a national scale was 3.9% of the total users, which was a little higher than the 3% reported among the current male users of the same age group in the general Indian population survey (with data from the United Nations Office on Drugs and Crime).
The study – conducted among 256 randomly selected college-going male students in Chandigarh, with an objective of studying substance abuse pattern among them – included DAV-10, GMCH-32, government post-graduate colleges in Sector 46 and 11, and PU campus. Published in the August issue of the Journal of Clinical and Diagnostic Research, the study found that the prevalence among men aged 19-21 in city colleges was 52.7%, with law students on top (76.2%), followed by students from the arts stream (62.5%). Alcohol was the most commonly used substance (53.5%), followed by cigarettes (27.3%), tobacco (8.2%), cannabis (6.8%), opium (3.4%) and solvents (1.3%), with 49% of users doing it on a daily basis, and 23% doing it weekly.
Among the reasons cited for substance abuse, the topmost was relief from psychological stress (66%), followed by the easy availability of intoxicants(46.9%).

One of the authors, Dr Sandeep Singh Sarpal, said: “We were surprised to know the figures of cannabis users which have outnumbered the national average.”

The sample size of the students from different streams included engineering (92), medical (32), arts (24), and law (21), besides others

http://articles.timesofindia.indiatimes.com/2013-10-09/chandigarh/42861583_1_cannabis-users-chandigarh-used-substance

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57% male college students in Chandigarh into substance use-Research quoted in local newspaper

Yesterday ,research work carried out by our team was quoted by Hindustan times highlighting the substance use pattern among the students in the city

57% male college students in city into substance abuse’

Vishav Bharti, Hindustan Times
Chandigarh, October 08, 2013
First Published: 21:06 IST(8/10/2013)
Last Updated: 21:41 IST(8/10/2013)

More than 50% of the male college students in Chandigarh are into substance abuse, including alcohol,
smoking and tobacco chewing. The fact has come to the fore in a study conducted by department of internal
medicine of Government Medical College and Hospital, Sector 32 (GMCH-32).
The study titled ‘prevalence, pattern and familial effects of substance use among the male college students -a
north Indian study’ was published in the Journal of Clinical and Diagnostic Research.
For the study, a total of 256 male college going students were interviewed from different colleges. The study
found that 57% students were into substance abuse.
As far as the nature of the substance is concerned, the study found that alcohol tops the chart with 54% use.
It was followed by smoking with 27%, tobacco chewing 8%, cannabis 7%, opiate use 3% and solvent use
1%.
In this study, none of the students reported use of cocaine, amphetamine, sedatives or heroin. No student
reported injections as a source of drug abuse.
Highlighting the frequency of the use, the study found 49% of the users were using the substance on daily
basis, while 23% used it on weekly basis.
While highlighting the reason of use, the study observed that 66% were using for relief from psychological
stress and easy availability was another common reason of substance abuse.
The study also suggested some lifestyle-related interventions in order to reduce the problem of substance
abuse. “There is an utmost need to educate and counsel young students regarding harmful effects of substance
abuse. Health education may be imparted in the school curriculum. Parents should also be educated on what
was the best way to discourage their wards against drugs,” it observed.
Substance Abuse
Alcohol 54%
Smoking 27%
Tobacco chewing 8%
Cannabis 7%
Opiates 3%
Solvent 1%

About 94% substance abusers spend their pocket money on buying substance of their choice. 9% reported
that they had started using substances before attaining the age of 10. 97% were aware about the ill-effects of
substance abuse. 48% said they had tried to stop using substances at some time or the other. 4% said they
had undergone counselling to get rid of substance.
Substance abuse by streams
Medical 25%
Humanities 9%
Commerce 2%
Engineering 36%
Science 15%
Law 8%
Others 4.3%
What’s substance abuse
Substance abuse can simply be defined as a pattern of harmful use of any substance for mood-altering
purposes. Medline’s medical encyclopedia defines drug abuse as “the use of illicit drugs or the abuse of
prescription or over-the-counter drugs for purposes other than those for which they are indicated or in a
manner or in quantities other than directed.”

The complete article is available from

Prevalence,Pattern and Familial effects of substance use-A North Indian Study

News Link in Hindustan Times

 

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Filed under addiction, chandigarh, college, community, GMCH