Stephen J. Schueler, M.D.

Arthritis Gout Diet

People with gout should avoid foods that contain natural chemicals, called purines.

Foods to avoid include:

  • Beef
  • Pork
  • Lamb
  • Seafood
  • Alcoholic beverages
  • Bacon
  • Yeast: in beer and bread

Additional foods that contain purines include:
  • Chicken
  • Duck
  • Turkey
  • Whole grain bread
  • Kidney beans
  • Lima beans
  • Asparagus
  • Cauliflower
  • Mushrooms
  • Peas
  • Spinach

General recommendations for a healthy diet include:
  • Eat quality fats: use virgin olive oil and other unsaturated, low-cholesterol fats.
  • Eat the right amount of fats, carbohydrates and protein: limit your fat intake to 20 or 30 percent, but don't substitute simple carbohydrates for fat.
  • Avoid fad diets: eat a well-rounded diet instead.
  • Limit iron intake: too much iron can increase atherosclerosis.
  • Eat enough dietary fiber: whole grains are best.
  • Check with your doctor about supplementing your diet with B vitamins. Some people may benefit from these supplements.

Key Features of a Healthy Diet
Energy (calories)to maintain BMI < 25
Total fats< or = to 30% of total daily calories
Saturated fats< 7% of total daily calories
Polyunsaturated fats< 10% of total daily calories
Monounsaturated fats< 13% of total daily calories
Cholesterol< or = to 300 mg per day
Dietary fiber25-30 grams per day
Fiber type3:1 insoluble to soluble fiber
Sodium< or = to 1,500 mg per day
Calcium 9-24 yrs1,200-1,500 mg per day
Calcium 25-50 yrs1,000 mg per day
Calcium 51-65 yrs1,200 mg per day
Calcium >65 yrs1,500 mg per day
Vitamin D 9-50 yrs200 IU per day
Vitamin D 51-70 yrs400 IU per day
Vitamin D >70 yrs600 IU per day
Folic acid400 micrograms (ug) per day
Fruits & vegetables5-7 servings per day
Alcohol (men)< or = to 2 drinks per day
Alcohol (women)< or = to 1 drink per day

Continue to Arthritis Gout Pain and Inflammation

Last Updated: Dec 14, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Arthritis Gout References
  1. Kim KY, Ralph Schumacher H, Hunsche E, Wertheimer AI, Kong SX. A literature review of the epidemiology and treatment of acute gout. Clin Ther. 2003 Jun;25(6):1593-617. [12860487]
  2. Monu JU, Pope TL Jr. Gout: a clinical and radiologic review. Radiol Clin North Am. 2004 Jan;42(1):169-84. [15049530]
  3. Pal B, Foxall M, Dysart T, Carey F, Whittaker M. How is gout managed in primary care? A review of current practice and proposed guidelines. Clin Rheumatol. 2000;19(1):21-5. [10752494]
  4. Schlesinger N. Diagnosis of gout. Minerva Med. 2007 Dec;98(6):759-67. [18299687]
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