DOI: https://doi.org/10.30841/2307-5112.5-6.2019.194833

Нефармакологический и пищевой менеджмент подагры: текущие и будущие направления

І. Ю. Головач, Є. Д. Єгудіна

Аннотация


Подагра – это воспалительный артрит, вызванный отложением кристаллов моноурата натрия в синовиальных суставах и мягких тканях. Текущие гайдлайны акцентируются в большей степени на агрессивную медикаментозную терапию для лечения подагры, в то время как рекомендациям по изменению образа жизни и соответствующему питанию уделено меньше внимания. В данном литературном обзоре приведен тщательный анализ влияния образа жизни, отдельных продуктов питания и компонентов пищи на риск развития гиперурикемии, подагры и ее клинических проявлений, исходя из недавних исследований. Рассмотрены механизмы, лежащие в основе влияния особенностей определенных продуктов на уровень сывороточной мочевой кислоты. Подчеркнута важность диетического консультирования пациентов при подагре, необходимость контроля массы тела и регулярных умеренных физических нагрузок для улучшения прогноза течения этого заболевания.

Ключевые слова


подагра; гиперурикемии; мочевая кислота; продукты питания; пурины; фруктоза; диета; масса тела; образ жизни

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Литература


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