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Issues on

Beans
and
Gout
Reynald M. de la Cruz, MPH, Ph.D.
Health Director, SPUC
• Oral Medication
• Physical Therapy
• Diet Therapy
The proper diet
for people with
Gouty Arthritis is a
INTERNAL
ORGANS

AMINO ACIDS

Purine RNA
DNA

URIC ACID

Low FAT DIET


Urine
INTERNAL
ORGANS

AMINO ACIDS

Purine RNA
RDA

URIC ACID

HIGH FAT DIET


URIC ACID
CRYSTALS Urine
INTERNAL
ORGANS

AMINO ACIDS

Purine RNA
RDA

URIC ACID

HIGH FAT DIET


URIC ACID
CRYSTALS Urine
INTERNAL
ORGANS

AMINO ACIDS

Purine RNA
RDA

URIC ACID

HIGH FAT DIET


URIC ACID
CRYSTALS Urine
INTERNAL ORGAN MUSCLE

MORE NO. OF CELLS LESS NO. OF CELLS

MORE PURINE LESS PURINE


INTERNAL ORGAN

PURINE
is
WATER SOLUBLE
MORE NO. OF CELLS

MORE PURINE
INTERNAL
ORGANS

AMINO ACID

PURINE RNA/DNA

MORE NO. OF PURINE


INTERNAL
ORGANS

PROTEIN DISH NOT


VEGETABLE DISH

1/2 cup is one serving


12- Year Prospective Cohort
Study
Health Professionals Follow-
up Study
47,150 men
no gout history

Choi, New England Journal of Medicine, 2004


During the 12-year
study
730 men
developed gout

Choi, New England Journal of Medicine, 2004


Eating
High Meat Intake
increases
GOUT
High Meat intake
Multivariate
Relative Risk
1.41

Choi, New England Journal of Medicine, 2004


Worst Offenders in
Meat Group
Beef
Pork
Lamb
Choi, New England Journal of Medicine, 2004
Eating
High Seafood
increases
GOUT
High Meat intake
Multivariate
Relative Risk
1.51

Choi, New England Journal of Medicine, 2004


Per DAY
Each
additional serving of
MEAT
21% increase
GOUT
Choi, New England Journal of Medicine, 2004
Per Week
Each
additional serving of
FISH
7% increase
GOUT

Choi, New England Journal of Medicine, 2004


“The association of purine-rich foods with
gout had long been suspected but never
proven.
Any contribution of protein intake
to risk was uncertain, and this is the
first evidence that plant protein

BEANS & PEAS


can be strongly
PROTECTIVE.”
Dr. Hyon Choi, MD, DrPH
Harvard University
Massachusetts General Hospital
March 10, 2004
Eating
High fat dairy
increases
GOUT
High Meat intake
Multivariate
Relative Risk
1.00

Choi, New England Journal of Medicine, 2004


Drinking
ALCOHOL
increases
GOUT

Choi, New England Journal of Medicine, 2004


Eating
Low fat milk & Yogurt
decreases
GOUT
High Meat intake
Multivariate
Relative Risk
0.52

Choi, New England Journal of Medicine, 2004


Eating
Plant Protein
decreases
GOUT
High Meat intake
Multivariate
Relative Risk
0.73

Choi, New England Journal of Medicine, 2004


Pearls of Practice:
G
High intake of O
U

meat & seafoods T

G
Peas & Beans O
U
T

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