How Much Purine to Consume With Gout?

Managing dietary purines constitutes fundamental pillar of gout nutritional treatment. These compounds, naturally present in many foods, transform into uric acid during digestion, potentially triggering attacks in predisposed individuals.

According to EULAR (European League Against Rheumatism) recommendations, precise quantitative approach better controls hyperuricemia while maintaining balanced diet. Understanding recommended thresholds and calculating daily intake becomes essential to prevent gout attacks.

Recommended Purine Thresholds by Science

International Official Recommendations

Health authorities established precise thresholds based on decades of clinical research. According to 2023 New England Journal of Medicine meta-analysis, gout patients should limit daily purine consumption per these criteria:

Acute Attack Period:

• Maximum 100-150 mg purines daily
• Favor foods less than 50 mg/100g
• Completely avoid very rich foods (>300 mg/100g)

Remission Phase:

• Limit to 300-400 mg purines daily
• Moderate consumption of moderately rich foods (50-150 mg/100g)
• Strict limitation of very rich foods to 1-2 portions weekly maximum

Detailed Food Classification by Content

USDA FoodData Central data allows precise food classification:

Low-Purine Foods (0-50 mg/100g):

• Dairy: milk (0 mg), plain yogurt (1 mg)
• Vegetables: carrot (2 mg), potato (16 mg)
• Fruits: apple (14 mg), banana (11 mg)
• Refined cereals: white rice (18 mg), white bread (23 mg)

Moderately Rich Foods (50-150 mg/100g):

• Lean meats: skinless chicken (85 mg), lean beef (110 mg)
• Fish: sole (90 mg), cod (109 mg)
• Legumes: lentils (127 mg), white beans (149 mg)

Very Rich Foods (>150 mg/100g):

• Organ meats: beef liver (554 mg), kidneys (334 mg)
• Seafood: anchovies (411 mg), sardines (480 mg)
• Yeast extracts: (2847 mg)

How to Calculate Daily Purine Intake

Practical Calculation Method

To precisely determine your intake, follow this simple formula:

Purines Consumed = (mg/100g × Food Weight in g) ÷ 100

Concrete Example:

• 150g skinless chicken (85 mg/100g): (85 × 150) ÷ 100 = 127.5 mg
• 200g white rice (18 mg/100g): (18 × 200) ÷ 100 = 36 mg
• 100g broccoli (21 mg/100g): (21 × 100) ÷ 100 = 21 mg

Total Meal: 184.5 mg purines