Low Purine Diet 63 yr female 5ft 65kg stays online (sedentary lifestyle?

)
English teacher

Lunch

Food Exchange Carbohydrates Protein Fats kcal

Broiled chicken
with bread
-Chicken breast 1 ex - 8 (4) 1 (9) 41
--Olive oil 1 ex - - 5 (9) 45
-Salt 1 ex - - - 0
-Pepper 1 ex - - - 0
-Whole wheat 1 ex 23 (4) 2 (4) - 100
bread

Green Salad
-Lettuce 1 ex 3 (4) 1 (4) - 16
-Cucumber 1 ex 3 (4) 1 (4) - 16
-Tomatoes 1 ex 3 (4) 1 (4) - 16
-Red onion 1 ex 3 (4) 1 (4) - 16

Total 35 14 6 250 kcal

Reason for the meal plan

Rationale
A low-purine diet was prescribed to the client which has elevated uric acid. The diet involves
recognizing and avoiding foods that contain high levels of purines. It also consists in changing
the diet to help the body get rid of uric acid more efficiently.

Gout is a clinical syndrome caused by tissue (synovial, bursa, cartilage) deposition of

monosodium urate (MSU) crystals in a patient with an elevated body pool of uric acid. It is
caused initially by an excess of uric acid in the blood, or hyperuricemia. Uric acid is produced in
the body during the breakdown of purines, the chemical compounds found in high amounts in
certain foods such as meat, poultry, and seafood. New-onset gouty arthritis is common in the
elderly population, and prevalence of gout is on the rise.
Since the client is an older adult she is at risk for developing an increase in uric acid for
according to Bandolier Organization, (2017), “The study confirms that serum uric acid levels
increase with age irrespective of body mass.” Moreover, in consideration of the clients height in
proportion to her weight, she is classified as overweight and Overweight also increases the risk
for developing gout caused by a kidney problem because according to Arthritis Organization,
(2018), “ Normally, uric acid is eliminated through the kidneys. But the more one weighs, the
less efficiently the kidneys work. This puts one at a higher risk of gout, a tenfold or more risk for
the heaviest people. It is more likely to develop gout a decade sooner than healthy-weight
people. “

In addition, according to Choi, H. (2018), “ people who have visceral fat, even if they are not
overweight, are more likely to develop gout. That may be due to the fact that visceral fat
produces more inflammatory chemicals that can trigger the disease than does subcutaneous fat.”

References:

Burke, B. et al. (2015). Oxford Journals Gout in Older Adults: The Atherosclerosis Risk in
Communities Study. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014186/

Bandolier Organization. (2017). Age and Uric Acid. Retrieved from

http://www.bandolier.org.uk/booth/gout/ageua.html

Arthritis Foundation. (2018). How Fat Affects Gout. Retrieved from https://arthritis.org/health-
wellness/about-arthritis/related-conditions/other-diseases/how-fat-affects-gout