RESTRICTED DIET: PURINE RESTRICTED DIET

Question 1

INDICATION FOR A PURINE RESTRICTED DIET:

Answer 1

– High serum uric acid levels
– Hyperuricemia
– Gout

Question 2

CONTRA-INDICATION FOR A PURINE RESTRICTED DIET

Answer 2

– High serum uric acid levels
– Hyperuricemia
– Gout

Question 3

DISCUSS THE PURPOSE OF A PURINE RESTRICTED DIET

Answer 3

– It is a diet in which uric acid, its purine precursors, and foods that promote endogenous purine production are limited.

Question 4

DISCUSS NOTES TO REMEMBER WHEN IMPLEMENTING A PURINE RESTRICTED DIET

Answer 4

– Majority of the patients may have nutritionally related diseases, compliance may be increased by using a purine-free diet approach.
– Focus on moderation and integration.
– The importance of an adequate fluid intake should be stressed.

Question 5

DISCUSS MILK AND MILK PRODUCTS ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET:

Answer 5

ALLOWED:
Cheese, milk

TO AVOID: NONE

Question 6

DISCUSS MEAT AND MEAT SUBSTITUTES ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET:

Answer 6

ALLOWED:
Eggs, fish roe

TO AVOID:
Anchovies, shrimp, sardines, organ meats, herrings, mackerel, scallops, beef, lamb, pork, veal, chicken, duck, turkey, crab, lobster, oysters

Question 7

DISCUSS BREAD, CEREAL, PASTA AND RICE ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET:

Answer 7

ALLOWED:
Breads and cereals (NOT WHOLE-GRAIN)

TO AVOID:
Sweetbread, whole-grain breads and cereals, oatmeal, wheat germ and bran

Question 8

DISCUSS VEGETABLES ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET:

Answer 8

ALLOWED:
All vegetables (EXCEPT THESE LISTED TO AVOID), vegetable and cream soups

TO AVOID:
Dried legumes, asparagus, cauliflower, beans, lentils, peas, mushrooms, green peas, spinach

Question 9

DISCUSS FRUITS ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET:

Answer 9

ALL FRUITS AND FRUIT JUICES ALLOWED

Question 10

DISCUSS BEVERAGES ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET:

Answer 10

ALLOWED:
Coffee, tea, sodas

TO AVOID:
Alcohol

Question 11

COOKING METHODS ALLOWED AND TO AVOID IN A PURINE RESTRICTED DIET

Answer 11

ALLOWED:
•	Boiling 
•	Steaming
•	Blending 
•	Grilling
•	Roasting

TO AVOID:
• Frying
• Braising
• Sautéing

Question 12

DISCUSS GARNISHING IN A PURINE RESTRICTED DIET

Answer 12

Plate neatly like the normal meal.

Best to use herb, fruit or vegetables to garnish, but avoid foods containing Purine.