Can patients with high uric acid and gout drink coffee?

Coffee and gout patients with high uric acid

Gout is a disease caused by high uric acid levels in the body, often manifested as joint swelling, redness and severe joint pain. For people with gout, dietary choices in daily life are very important. Among them, coffee, as a widely consumed beverage, is a controversial topic.

Coffee and uric acid metabolism

Coffee is a complex mixture of a large number of bioactive compounds, including caffeine, multiple insoluble compounds, and functional active ingredients that remain after extraction and dissolve in water and have the ability to inhibit xanthine redox (XO) activity.

XO is the source of a large number of free amino groups and free radicals produced during the deamination reaction. It can be released inside and outside cells and can cause tissue damage. The extract in coffee can reduce the production and excretion of uric acid by inhibiting the activity of XO, thereby reducing the level of uric acid in the blood.

Effects of coffee on patients with high uric acid and gout

Although some studies have shown that coffee can lower blood uric acid levels, there is still controversy about the relationship between coffee and gout. Some people believe that drinking coffee may increase the content of ketONE bodies in the body and cause more ketONE bodies to form crystals in the kidneys, triggering gout attacks.

In addition, caffeine is also considered to have a diuretic effect and may increase the concentration of uric acid in urine. Therefore, when considering whether it is appropriate to drink coffee, you need to consider your personal situation and doctor's advice.

Individual differences and precautions

Everyone reacts differently to food and medications. For some people, a cup or two of regular coffee with no additives, no milk, and no sugar may be safe. However, for others, even small amounts of coffee may trigger a gout attack.

In addition, patients with high uric acid and gout need to pay attention to the following points when choosing to drink coffee:

1. Avoid additives: Certain additives, such as milk and sugar, may increase calorie and fat intake and negatively impact weight management.
2. Control your intake: Drink in moderation, and you don’t have to drink coffee every day. Excessive caffeine intake may cause insomnia, palpitations and other adverse reactions.
3. Communicate with your doctor: If you have gout or other related health problems, be sure to have a detailed discussion and advice with your doctor.

in conclusion

Overall, there is still controversy about whether patients with high uric acid and gout can drink coffee. Although some studies have shown that moderate coffee intake can reduce blood uric acid levels, there are large individual differences and there is still the possibility of some negative effects. Therefore, patients with high uric acid and gout should be cautious when choosing whether to drink coffee and make judgments based on personal circumstances and doctor's advice.