Diet 6 sample menu for the week. Red cabbage and beetroot salad

25.11.2020

Therapeutic diet number 6 for gout helps reduce the symptoms of the disease by eliminating foods that increase the concentration of uric acid from the diet. Patients are encouraged to eat a lot of plant foods, dairy products, reducing the intake of animal proteins and salty foods. The combination of therapy, diet and sufficient fluids helps to slow down inflammation.

Basic rules of nutrition for gout

Dietary table 6 helps reduce joint pain in patients with gout. This symptom is manifested as a result of excess uric acid. The excretory system processes this product too slowly, and the salts crystallize on the joints, causing discomfort to the gout patient. Removal of pain occurs due to the elimination of purine-containing foods from the diet.

Purines are compounds containing nitrogen. In the process of their splitting, nitrogen urate is formed, with the accumulation of which it develops.
Diet 6 for gout is based on the following principles:
You can't starve. Lack of nutrients increases the amount of uric acid in the body, causing exacerbations of the disease.
Animal proteins, namely meat, beans and fish, are limited.
Food is boiled, baked or steamed.
With gout, you can not eat food with oxalic acid - spinach, sorrel.
Soups - only on vegetable broth. When meat is cooked, purines are released into the water.
Confectionery fat is replaced by vegetable fat.
You must drink at least 2 liters of water. The fluid flushes out harmful compounds from the body.
Salt - from 1 to 5 g. Salt the finished dish - it's easier to track the amount of salt consumed.
With gout, 4 unloading days per month are recommended. At the same time, during the day, the patient consumes one type of food - fruits, kefir, vegetables. The amount of liquid cannot be limited.
Meat and fish - no more than 2 times a week.
The basis of the diet of diet number 6 is plant foods.

Which foods are prohibited and which are allowed?

Lean and vegetable soups, the best food for this problem.
The very word "diet" in some patients causes discomfort. However, you should not worry: the restrictions are not very strict, you can eat varied and tasty, so most gout patients eat without problems within the framework of table number 6 for a long time. When treating gout, you can eat:
lean soups, vegetable cream soups, with milk, cold and hot;
low-fat varieties of fish and meat up to 3 times a week, limiting the serving size;
any cereals;
boiled or fresh vegetables, fruits, berries, greens;
any low-fat dairy products, unsalted cheese;
unleavened or bran bread;
honey, marshmallow, jelly, jam, sweets without chocolate;
vegetable oil and a little quality butter;
weakly brewed coffee or tea with milk, sweet fresh juices, compotes and fruit drinks, rosehip decoctions, oatmeal jelly.

The classic diet 6 for gout prohibits the use of the following foods:

Diet No. 6, created by the Soviet nutritionist, gastroenterologist Manuil Pevzner, is used for a specific disorder of purine metabolism and an excess of uric acid in the blood. pathological condition called gout, which develops recurrent inflammation of the joints, the deposition of salts in the kidneys. Table No. 6, prescribed for this disease, reduces the content of uric acid in the blood and almost completely excludes the entry of purine bases into the patient's body through food. Consider how to achieve this with the help of diet number 6.

Diet Rules #6

Before compiling the diet itself, a Soviet scientist, Manuil Pevzner, investigated the causes of gout and uric acid stones in the liver and kidneys. The main factor in the development of these diseases are nitrogenous substances - purines. These components are found in every organism and plants. By themselves, they are safe: in a healthy body, they break down, forming uric acid, and are excreted naturally. Disorders of this process may be hereditary. But most often such a failure occurs with improper nutrition.

If the body does not properly metabolize purines, uric acid crystallizes and forms stones and deposits.

Diet No. 6 for gout reduces the intensity of manifestations by eating alkalizing foods. The basis of the diet is vegetable and dairy dishes. Also, the patient will have to comply with the drinking regime, there should be a lot of free fluid - about 2.5 liters per day in the absence of pronounced edema, chronic heart and kidney failure in the patient.

Products that contain and limit the amount (10 g per day) are excluded from the menu. and there should be little, if diseases are accompanied by weight gain - they also decrease.

All varieties of meat and fish are pre-boiled, because during cooking, half of the nitrogenous substances remain in the water. For this reason, broths are not used for food, and at the first attack of gout or its exacerbation, meat is excluded from the diet. For the same reason, soups can only be prepared with vegetable broths. Fish and meat after boiling can be used 2-3 times a week for other dishes: minced meat, casseroles, rolls, roasts, etc. First courses are allowed only dietary: cabbage soup, beetroot soup, okroshka, borscht. You can add cereals to them, or a little vermicelli.

In general, diet number 6 nutrition is the basis of the diet healthy eating. Food on a diet is fractional, you need to eat at least 4 times a day. With exacerbations of the disease, the patient needs up to 1900 kcal per day. After exacerbation and during remission - 2800 kcal. The diet is balanced and complete, as it contains all the necessary components. Decreased intake of purines (even long time) does not involve side effects or complications.

Dishes can be prepared using any heat treatment, you need to reduce the amount of fried food (2-3 times a week). The temperature of the dishes served is not strictly stipulated: it can be hot or cold.

Therapeutic diet number 6 is prescribed to the patient until significant improvement. As a rule, this is a long-term nutrition program and, depending on the course of the disease, it can last a couple of months, or it can drag on for years. Below we consider in detail the diet of diet number 6.

List of products for the table number 6

To stop the formation of crystals from uric acid, it is necessary to include alkaline food in table number 6:

vegetables and fruits (fresh, cooked and fermented in large quantities);
roots;
from any flour (only 2nd grade);
boiled and baked meat (150 g per day);
lean fish(170 g per day);
or (1-2 pieces per day);
any cereals (with the exception of dried unrefined cereals);
dairy products, milk, ;
citruses;
nuts;
marmalade, marshmallow, jam, jam;
alkaline waters, ;
decoctions of herbs.

Foods containing purines should be excluded from the menu:

mushroom broths, meat soups, fish soup;
fish caviar;
fatty meat and poultry, offal;
mushrooms in any form;
, (except legumes), legumes;
rich and sweet pastries;
salted cheese;
(in pure form or in dishes);
any smoked meats;
, cranberry, ;
spicy and heavily salted: sauces, spices, spices;
alcoholic drinks.

It is better to print the list of products or write on a piece of paper, so that at first it would be easier to follow all the rules of the diet. It is not as difficult to make a daily diet from the proposed allowed products as it might seem: you can do the first one, and meat with a side dish, meatballs, casseroles, homemade and dumplings, and much more. For good example consider the menu for the week and some dietary recipes.

Menu for table number 6

Sample menu for a week for patients with gout and kidney stones.

First day

Breakfast: cottage cheese pancakes, honey, broth.

Lunch: a handful of prunes, homemade.

Second day

Breakfast: oatmeal with pieces of ripe and chicory with milk.

Lunch: bran bread toast, jam, alkaline mineral water.

Lunch: milk soup with noodles, fresh vegetable salad.

Before sleep: natural drinking.

The third day

Breakfast: soft-boiled egg, boiled dairy sausage, fresh, chicory drink.

Lunch: cottage cheese pasta with fresh fruit.

Curd paste: Rub 200 g of fat-free cottage cheese through gauze or a fine sieve. In a separate bowl, grind 50 g, 10 g of vanillin and 15 g of unsalted. Combine the two masses and add two spoons, stir everything well. Ready-made pasta can be used as a separate dessert or mixed with fruits, prunes.

Lunch: vegetarian beetroot, a little sour cream, pasta with chicken dumplings.

Dinner: potato casserole with hard cheese.

Day five

Breakfast: omelette from one egg, milk and vegetable salad, tea.

Lunch: fresh fruit (salad or smoothie), a little.

Lunch: borscht without meat, sour cream, buckwheat porridge.

Dinner: pilaf with prunes, freshly squeezed juice.

Before sleep: milk.

Day six

Breakfast: apple and carrot salad, toast with jam, chicory.

Dinner: tomato soup, oatmeal, cutlet from or beef, bread.

Dinner: stuffed pepper with sour cream.

Before bedtime: carrot juice.

Day seven

Breakfast: cheese sandwiches, plain yogurt, tea.

Lunch: cottage cheese, berry juice.

Patients with gout are prescribed fasting days, 1-2 times a week. For unloading, you can choose one product and eat only it throughout the day. Fat-free or calcined cottage cheese is well suited for such purposes. On a fasting day, it should be consumed 150 g with each manifestation of hunger. It is forbidden to completely starve, this leads to an even greater accumulation of uric acid in the blood.

So, with uric acid diathesis and gout, table number 6 is used. The diet excludes foods that contain a lot of purines. The treatment menu consists of alkaline foods that help to remove the breakdown products of nitrogenous substances from the body. As a result of such a diet, the patient gradually normalizes the correct process of excretion of uric acid, breaks down urine stones and does not form new ones.

Often, in addition to table number 6, it is advisable to use herbal medicine. The patient is prescribed infusions and decoctions of herbs that speed up the healing process. But it is important to remember that herbal medicine should be prescribed by a doctor and self-medication in this case is very dangerous.

With gout, leaf tea has a very beneficial effect on the body. For it, you need to bring 1 tablespoon of the leaves of the plant to a boil in one glass of water. Take this decoction 3-4 times a day, 1 spoon. Drink it should be no longer than a week, then take a break for the same time. Once every 4-5 days, you can make a bay decoction. For him, you need 5 g and one and a half glasses of water. Boil the leaves and insist for 3 hours. It is important not to cover the dishes, as the laurel contains essential oils, which should not accumulate in the infusion. Ready broth should be drunk in parts, during the day.

For the treatment of uric acid diathesis (formation of stones), it is very important to drink plenty of clean liquids, mineral alkaline water is especially suitable. Also, patients are advised to drink water with, grapefruit and orange fresh juices, decoctions of herbs, Cherry juice. Suitable for decoctions and tinctures: milk thistle, senna,. You need to drink such decoctions only with the permission of the therapist and for 6-7 days, after that - take a break for a week.

Alcohol slows down the process of breaking down purines and removing excess uric acid, so alcohol is dangerous for gout or diseases of the genitourinary system. With the appearance of pain in the lumbar region, painful urination, severe swelling of the limbs, pain in the joints, it is necessary to seek advice from a urologist, gynecologist or rheumatologist as soon as possible.

Gout- a disease associated with an increased content of uric acid in the blood, its deposition in the joints and kidneys, caused as a result of a violation of purine metabolism. For most people, it becomes chronic.

There are two forms of this disease:

Primary gout- associated with the deformation of enzymes at the genetic level, which disrupts the synthesis of uric acid.

There are manifestations in childhood.
Heredity plays a big role- about 25% chance of getting sick if there is gout in the family.

Secondary gout- occurs as a complication after an illness.

Call secondary gout:

Blood diseases
Intoxication (lead intoxication)
Medications
stress
kidney disease
Alcohol addiction
Diabetes

To keep the disease under control you need to monitor the level of uric acid in the blood. The normal rate in men is 0.42 mmol / l, in women 0.36 mmol / l.

And if there is a hereditary predisposition, then it is necessary to be observed by a doctor and regularly take tests.
According to statistics, gout is most likely to occur in men from 40 to 50 years old, less often in women over 60, least of all in children and adolescents.

gout clinic

Uric acid can begin to accumulate even in youth, the development of hyperuricemia is completely painless and asymptomatic.

The onset of symptoms begins with an attack of acute arthritis:

Most people have an attack at night or in the early morning.
There is severe pain in the area thumb legs (monoarthritis), ankle or heel (polyarthritis).

Signs of acute arthritis:

Chills, fever.
Swelling of the joint, pronounced redness and shine, speaks of purulent inflammation.
Joint movement is limited.
period from one to several days.

Seizure stimulating factors:

Injuries.
Taking alcohol
myocardial infarction
Diuretics
Overeating and hunger
Acute infections

It is necessary to begin immediate treatment, since the second attack may occur in a year, only the new joints will be deformed, accompanied by the formation of tophi (seals due to the accumulation of uric acid). Most often, tophi are formed in the ears, elbows, in the area of the calcaneal tendon.

It is very important to monitor the health of the kidneys, 20% of patients with gout have kidney stones.

So, analyzing the above, we can identify the successive stages of this disease:

Hyperuricemia- asymptomatic and painless.
Acute arthritis- sharp and very severe pain.
temporary relief between seizures.
re-attack, the formation of tophi, the transition of the disease to a chronic form.

Diet number 6 for gout

The main goal in the fight against gout- to minimize the content of lactic acid in the blood, so doctors prescribe a special diet. Especially for this ailment, an antipurine diet was developed - diet number 6.

The fact is that the purine contained in the products actively interacts with uric acid and thereby harms the body, leads to an exacerbation of the disease.

The main feature of this diet is to limit the consumption of fish and meat, but at the same time it is very balanced, with a predominance of vegetable fats over animal fats. Also, the presence of salt in dishes is minimal.

Benefits of this diet table:

A balanced diet based on the principles of proper nutrition.
Full alkalization.
Dissolution of kidney stones.
Does not allow the disease to progress.

Eating mode

It is not difficult to follow it, but it is necessary. And most importantly, this mode will not let you be hungry.

Basic principles:

power fraction, 5 times a day, should be balanced, include hot dishes, vegetables, fruits, drinks, but under no circumstances should you overeat.
Drinking large amounts of liquid between meals, at least three liters. It cleanses the body of lactic acid well.
Calorie counting in the daily diet (no more than 3000 kcal).
Proper handling of products nothing fried, steamed.
Once a week fasting day.

Table of permitted, restricted and prohibited products

Allowed	Restricted allowed	Forbidden
Vegetables (raw, stewed, boiled, salads, soups) 1 portion per day	Fruit jam (very small portion) Not more than once a day.	Vegetables to exclude: Spinach, asparagus, cabbage All legumes
Fruits (raw, boiled, compotes without sugar) 1 portion per day	Chicken, rabbit, turkey, boiled only (150 gr.) 3 times a week	Fruits to exclude: Dried apricots, dates, avocado banana
Cereals (soups, cereals) 2-3 servings per day	Fish, seafood Only boiled 3 times a week	Fish to exclude: Sardine, herring, cod, river fish, salmon caviar, canned food
Bread (black and white)	Milk Only diluted with water No more than a liter per day	Chocolate, cakes, pastries
Fat-free cheeses and cottage cheese 2-3 servings per day	Candies without chocolate, dry liver, seeds, nuts. Weight restrictions, if the weight is normal 1 small portion per day.	Fatty meat (veal, pork, lamb) and offal (liver, lungs, kidneys)
Eggs (boiled, scrambled) 1 serving per day or 1 pc.	Mineral water Only with reduced alkali content	Sausages and canned food
Drinks (tea, fruit drink, compote, jelly, juice, kvass) 2-3 liters per day.	Honey Controversial product, significantly limit	Avoid drinks: strong tea, coffee, alcohol, energy drinks

It is worth noting that if beer (even non-alcoholic) and strong alcohol are especially dangerous among alcoholic beverages, however, a little dry wine will not do harm, since it causes the least rise in lactic acid levels.

Weekly menu for gout

Here is an example of a weekly menu to better understand the diet. Please note that six meals a day, the food is not only correct, but also varied.

Monday

Breakfast: Pumpkin porridge and a slice of unleavened bread
Snack: Natural yoghurt with fresh berries
Dinner: Vegetable soup, steamed chicken cutlet, bran bread
Afternoon snack: apple compote, bun (not rich)
Dinner: Boiled buckwheat with grilled vegetables
For the night: A glass of kefir

Tuesday

Breakfast: Oat milk porridge with dried apricots and raisins, sugar-free tea with a slice of lemon
Snack: one egg
Dinner: Vegetarian borsch with a spoonful of sour cream and croutons, vegetable salad
Afternoon snack: Tea with a spoonful of condensed milk and a piece of cheese
Dinner: Oven baked pot of potatoes, pumpkin, cheese and sour cream, vegetable salad
For the night: A glass of curdled milk

Wednesday

Breakfast: fruit salad dressed with low-fat yogurt, a cup of green tea
Snack: couple of slices of watermelon
Dinner: Barley soup with boiled chicken and stewed zucchini
Snack glass of milk oatmeal cookies
Dinner: Vegetable stew with turkey steam cutlet and a glass of jelly
For the night: Yogurt with bran

Thursday

Breakfast: a portion of syrniki with sour cream, a cup of tea
Snack: Pastila and a glass of compote
Dinner: Vareniki with potatoes and sour cream, a piece of bread
Afternoon snack: apple, citrus juice
Dinner: Cottage cheese with fruits and berries, a glass of jelly
For the night: Milk with cookies

Friday

Breakfast: Cheese toast, chicory drink, 1 banana
Snack: Fresh cucumber salad with sour cream
Dinner: Vermicelli soup with vegetable broth, turkey meatballs with a slice of rye bread
Afternoon snack: Rosehip fruit drink, curd mixture
Dinner: Potato patties with sour cream sauce, vinaigrette, a glass of herbal tea

For the night: A glass of fermented baked milk

Saturday

Breakfast: Omelet from two eggs, some fresh vegetables
Snack: baked apple, a glass of jelly
Dinner: Soup with buckwheat pumpkin fritters, carrot and radish salad, a glass of fruit drink
Afternoon snack: fruit juice
Dinner: stewed rice with vegetables and steamed fish
For the night: A glass of "snowball"

Sunday

Fasting day
Eat rice (75 gr.) And apples (fresh, compote)

Why diet therapy for gout?

As already mentioned, dieting is a direct way to drown out the disease, to prevent it from developing. Therefore, along with taking medications, you need to eat right, only then there will be a result.

Diet therapy generally improves metabolism (including purine metabolism), unloads the body, treats diseases (not only gout), and helps to normalize weight.

Since purines cause irreparable harm to health, it is imperative to follow a diet and actively monitor your diet.

What to eat when gout flares up?

During a flare-up, the first step is to reduce calories to less than 2,000 calories per day. There are very useful days to unload and cleanse the body (it is advisable to eat or drink only one product), with sufficient fluid intake. We completely exclude fish and meat, but we make sure that the patient remains full.

With an exacerbation of gout, a more strict diet is prescribed, lasting about two weeks. Food should be mostly liquid, milk should be given special preference and alkaline mineral water should be drunk regularly.

List of products for gout during an exacerbation:

To summarize, here are some general recommendations:

Full compliance with the prescribed diet, and in case of exacerbation, generally abandon fish and meat products.
Eat at least five small meals a day.
Drink a large number of liquids.
Give up alcohol.
Don't be hungry and don't pass.
The menu should be balanced, filled with all vital nutrients in the right amount for the body.
Refuse fast food and soda.

Diet number 6 is a healing nutrition system. It is recommended during the treatment of diseases of the genitourinary system. Diet menu 6 is aimed at normalizing the metabolism of purines, a comprehensive cleansing of the body from harmful compounds. The basis of the diet is dairy products, vegetables and fruits. The consumption of foods rich in oxalic acid, extractive nitrogenous substances and purines is limited.

The purpose and indications for the appointment of a treatment table No. 6

The purpose of this nutrition system: normalization of purine metabolism, stabilization of the amount of production of uric acid and its salts, alkalization of urine.

The main indications for the appointment of diet No. 6 according to Pevzner:

Acute nephritis (3 and 4 weeks of treatment), as well as chronic nephritis in remission.
Gout (without severe pain).
Renal failure.
Uraturia (urolithiasis, accompanied by the formation of stones from uric acid salts).
Cystinuria.
Oxaluria.
Uric acid diathesis.

General characteristics of the diet

The chemical composition of the dietary table is as follows:

70-80 g of proteins (at least 50% of animal origin).
80-90 g of fats (up to 30% vegetable).
400 g of carbohydrates, up to 80 g of sugar per day is allowed.
Up to 10 g of salt.
At least 1.5-2 liters of pure water (the volume of fluid consumed can be increased if there are no contraindications).

The daily calorie content of the diet is 2700-2800 kcal.

Diet Description:

Meals should be fractional, 4 times a day. Drink a glass on an empty stomach warm water, fermented milk products and drinks are suitable as snacks.
Foods rich in oxalic acid and purines are excluded from the diet. The menu for every day should include alkalizing foods (vegetables, fruits, berries, dairy products).
Grinding food is not necessary, cooking is normal. An exception is the boiling of meat, fish and poultry. Most of the purines found in animal products end up in the broth. After that, fish and meat can be used to prepare various dishes. It is recommended to include such products in the menu no more than 2-3 times a week. The maximum amount of meat eaten per day is 150 g, fish - 170 g.
With gout, unloading for the body is recommended for several days. The alternation of dairy, fruit, curd unloading days is useful.
Fasting is strictly contraindicated. Already in the first days, the level of uric acid in the blood can rise sharply, which will lead to an exacerbation of diseases.
You can eat steamed, stewed, boiled, sometimes fried dishes.

Important! Diet number 6 is not strict. It is used by adults and children, the difference is only in the energy value and the volume of servings.

Foods and diets

The table below shows what can be included in the diet of diet number 6:

Product group	Permitted species
Bread and flour products	Rye and wheat bread of the 1st-2nd grade, bran products, lean pastries
First meal	Vegetable soups, cabbage soup, lean borsch, soups with cereals, cold soups (beetroot soup, okroshka), fruit and milk soups and cereals
Meat and fish	It is recommended to choose lean meats (chicken, veal, rabbit, turkey). Fish (pike, hake, carp, pangasius, pollock). For cooking, it is better to pre-boil them.
Milk products	Cottage cheese, hard and soft cheeses, fermented milk products, milk, sour cream, cream, curdled milk
cereals	On water and milk, buckwheat, rice, millet, semolina, wheat, barley
Vegetables	in any heat treatment. Should be the basis of the diet. Pumpkin, carrots, tomatoes, potatoes, zucchini, squash, cucumbers and greens
Fruits and sweets	Almost all kinds of berries and fruits, marshmallows, marmalade, marshmallows, jams, kissels and milk creams
Sauces and condiments	Tomato, sour cream, milk sauce, herbs, cinnamon, vanilla, Bay leaf
The drinks	Weak tea and coffee with milk, natural juices, kvass, fruit drinks, dried fruit compote, rosehip broth (2 tablespoons per liter of boiling water, leave for half an hour)
Fats	Vegetable (corn, linseed, olive, sunflower) and butter

What can not be included in the diet of diet number 6:

Product group	Prohibited Species
Bread and flour products	Sweet pastry
First meal	Rich broths, soups with sorrel, mushrooms, legumes, spinach, fatty meat and fish
Meat and fish	Offal, sausages, smoked products, canned food, caviar, meat of young birds and animals
Milk products	Salted cheese
Vegetables	Mushrooms, sorrel, rhubarb, spinach, cabbage, legumes. Limit pickles and marinades
Fruits and sweets	Figs, raspberries, cranberries, chocolate
Sauces and condiments	Sauces on rich broths, horseradish, mustard, pepper, mayonnaise, purchased sauces
The drinks	Strong tea, cocoa, coffee, packaged juices
Fats	Lamb and lard, cooking oils, beef tallow

Indicative menu for the day

Sample menu for the day:

Nutritionist advice. Important point- excretion of excess non-protein nitrogenous components from the body. This is greatly helped by the use of ginger, which has an anti-inflammatory effect and promotes the excretion of uric acid. May cause heartburn in some patients. At the same time, it is not recommended to use apple, cherry, grape juice and honey. They contain a lot of fructose, which contributes to an increase in uricemia, accelerating metabolic processes, accompanied by the breakdown of adenine. A large amount of this monosaccharide is found in soft drinks. The connection between their use and an increase in the level of uric acid in the blood has been proven. Beer has a particularly pronounced hyperuricemic effect. Even a single intake of fatty meat food in combination with alcohol can provoke an attack of gout.

When gout is combined with obesity, the diet is based on the principles of obesity diet therapy, but with a restriction of meat and an increase in the amount of dairy products (cottage cheese and sour-milk drinks). The rate of weight loss should not be fast - no more than 1 kg per week.

Healthy and tasty recipes

Properly prepared diet meals will appeal even to those who do not follow a diet. The following recipes are worth adding to the piggy bank.

Meat with vegetables in a peasant way.

Ingredients:

100 g beef,
carrot,
3 potatoes
30 g canned green peas
2 tbsp. l. milk,
Art. l. sour cream
tsp butter,
Art. l. flour,
greens to taste (parsley root, celery, dill).

Calorie content: per 100 g - 120 kcal.

Cooking process:

Boil the beef pulp for half an hour and cut into pieces.
Peel the parsley and celery root and cut into slices. Add to the meat, put in a saucepan, pour 50 ml of water and simmer over low heat until the liquid has completely evaporated.
Boil carrots and potatoes, peel and cut into cubes, add green peas.
Prepare the sauce: dry the flour in a pan, add butter, milk and cook over low heat for 10 minutes. Salt, add sour cream and bring to a boil.
Mix meat with vegetables, add sauce, bring to a boil and serve. You can sprinkle with finely chopped herbs.

Boiled pike perch with sour cream sauce.

It will take

200 g pike perch,
150 g sour cream
150 ml vegetable broth,
50 g butter,
30 g flour
salt, spices.

Calorie content: per 100 -: 180 kcal.

Cooking process:

Cut the cut fish into portions. In each piece, make 2-3 cuts on the surface so that the fish does not deform during cooking. Put in a pot, pour hot water, add bay leaf, parsley root, salt and cook for 10 minutes.
Prepare the sauce: heat the flour in a pan and mix with butter. Gradually add vegetable broth, cook for 20 minutes. Add sour cream and bring to a boil.
Before serving, pour the boiled fish fillet with plenty of sauce.

Apple mousse.

Ingredients:

70 g apples
20 g semolina,
2 tsp Sahara,
on the tip of a knife of citric acid.

Calorie content: 100 g of the dish - 137 kcal.

Cooking process:

Peel apples from seeds and skins. Cut into slices, boil, strain the broth through a colander.
Kill apples in a blender, mix with broth, add sugar, citric acid and bring to a boil.
Add semolina in a small stream, stirring constantly.
Cook the soufflé over low heat for 15 minutes, stirring constantly.
Cool the mixture, beat with a whisk until foam appears. Divide into molds and refrigerate.

Characteristics of the treatment table No. 6, advice on choosing products and compiling a menu. More details in the video below.

Diet number 6 for gout is a system medical nutrition recommended for metabolic diseases caused by a high concentration of uric acid in the blood.

Therapeutic diet - table No. 6 is shown:

with gouty arthritis;
with urolithiasis, which is manifested by the accumulation of oxalates in the kidneys and the formation of stones.

Since gout develops against the background of metabolic disorders, the right diet can alleviate the course of the disease and minimize the consequences of metabolic disorders.

Goals pursued by diet number 6

Every diet has specific goals. Diet number 6 produces the following therapeutic effect:

normalizes metabolic processes;
reduces the concentration of uric acid and its derivatives;
normalizes the imbalance between the synthesis and excretion of uric acid;
changes chemical composition urine (makes it alkaline).

Since any diet promotes certain principles, you should follow a certain diet to achieve the desired effect:

you need to eat regularly, without missing a single meal;
starvation and overeating is completely unacceptable;
don't be fanatical when we are talking about weight loss, the problem must be approached comprehensively, dropping no more than 1.5 kg per month;
during an exacerbation, it is necessary to follow a strict diet with a plentiful fluid intake of up to three liters (this includes all the fluid consumed during the day);
during the rest period, the drinking regime is reduced to two liters per day;
give preference to alkaline mineral water, which breaks down and removes uric acid from the body;

Characteristics of the diet "table No. 6"

With the therapeutic diet "table number 6", the consumption of foods high in purines, as well as oxalic acid and sodium chloride, is prohibited. But the number of alkalizing products that are indicated for gout, on the contrary, increases (in the absence of contraindications from the cardiovascular system).

It is also necessary to reduce the content of proteins, fats and carbohydrates. Especially with obesity, it is recommended to reduce the amount of carbohydrates. Meat and fish of low-fat varieties are consumed only in boiled form, no more than 2-3 times a week. Meat must be boiled, because when cooked, up to 50% of the purines contained in it pass into the broth. Boiled meat and fish can be stewed, baked and used to prepare various dishes. One serving of meat should contain no more than 150 g, and a portioned piece of fish - 170 g. Vegetables can be eaten both boiled and stewed, and baked. Food should not be very hot, but normal temperature. You need a four-time (you can increase the fractional meals up to 6 times a day) diet and drink plenty of water on an empty stomach in between meals.

With gout, fasting days are recommended once a week: dairy, vegetable, kefir, fruit, cottage cheese. In this case, it is recommended to consume one product. For example, zucchini, pumpkin or carrot day. If it is difficult for a person to eat one food, then you can add another vegetable, or several vegetables, and also combine vegetables with fruits. Fasting days must be supplemented with a drinking regimen. "Therapeutic" fasting is strictly prohibited, because, if food is not taken into the body, the level of uric acid in the blood rises sharply. With a combination of gouty arthritis and obesity, diet No. 8 is recommended, also with the use of fasting days.

Energy value and chemical composition of diet number 6

Diet number 6 for gout contains the permissible chemical composition of products:

70 g of proteins (animal and dairy), however, 50% of them are dairy;
80 g of fats, of which 30% of vegetable origin;
350-400 g of carbohydrates, of which 80 grams is sugar;
8-10 g of table salt;
sodium 4 g;
about 2 liters of liquid;
potassium 3.5 g;
carotene 7 mg;
calcium 0.75 g;
retinol 0.5 mg;
iron 0.035 g

Thus, the energy value of such a diet is 2400 - 2600 calories.

Who is prescribed diet number 6

Diet No. 6 is prescribed not only for gout. It is indicated for people who suffer from hyperuricemia (increased concentration of uric acid in the blood), but do not yet have gout. Medical statistics state that an increased concentration of uric acid in the blood is observed in 0.1% of Russians and 2% of Europeans. Since gout can be both primary and secondary, the primary one develops as a result of metabolic disorders, and the secondary against the background of other diseases (usually blood diseases).

High levels of oxalic acid in the body are also very dangerous. Its excess leads to the deposition of oxalates (salts of oxalic acid) in the kidneys, which accumulate, form stones and cause urolithiasis. Diet number 6 is also shown in this case. Consumption of foods that cause alkalization of the body and the exclusion of foods containing a large amount of purines helps to improve metabolic reactions, namely, normalize purine metabolism in the body, and also improve the functioning of the gastrointestinal tract, restoring its functions.

Before the advent of effective drug treatment, diet was the main way to treat this disease. And even now it is an effective treatment tool on a par with drugs.

With diet No. 6, the following foods are allowed:

Bakery products

The consumption of wheat, rye and bran bread from flour of the first and second grade is allowed: white bread; wheat and rye bread.

Meat, poultry and fish

It is allowed to consume rabbit meat, lean beef, turkey and chicken no more than 2-3 times a week. Meat is allowed only in boiled form, as well as boiled lean fish.

Eggs

Two eggs per day are allowed, cooked in any way

Pasta and cereals

Allowed to use in unlimited quantities.

Vegetables

Diet No. 6 is a vegetarian diet. Vegetables are allowed in any form: stewed, baked and boiled, as well as raw.

Snacks

Allowed snacks from vegetables, both fresh and pickled, fruit salads, vinaigrettes.

Fruits and sweets

You can eat all fruits and berries, except for raspberries, cranberries and figs. Dried fruit compote, porridge with raisins and dried fruits are also very useful. From sweets you can consume: marshmallow, marmalade, marshmallow, jam, honey, lollipops.

The drinks

Allowed tea with milk with lemon, weak coffee with milk, fruit jelly, vegetable and fruit juices, fruit drinks, alkaline mineral waters, kvass. Decoctions from medicinal herbs, wild rose, bran, rice water, from oats and dried fruits.

Butter

It is allowed to eat the following oils: olive, sunflower, corn oil, and butter.

Rich fatty broths of animal origin with the addition of sorrel, spinach and legumes.
Various sausages, frankfurters, sausages, ham, bacon, smoked meats.
Canned meat and fish, pates, sardines, anchovies, caviar.
Salted, smoked and dried fish, herring.
Meat offal: brains, liver, tongue, kidneys.
Meat of young animals and chickens.
Legumes, mushrooms, sorrel, spinach, lettuce, rhubarb, horseradish, mustard and black pepper.
Salty and spicy cheeses.
Chocolate and cocoa.
Alcoholic drinks, including beer.

Remember! Vegetable purines found in vegetables and fruits do not cause harm to the body, unlike purines of animal origin. Plentiful meat feasts, coupled with alcoholic drinks can provoke an acute attack of gouty arthritis.

Diet No. 6 according to Pevzner: an approximate menu for the week

Monday

On an empty stomach: twenty minutes before a meal: rosehip broth.
Breakfast: oatmeal with milk, cucumber salad.
Second breakfast: cottage cheese with sour cream, fruit jelly.
Lunch: Potato soup, zucchini stuffed with rice-vegetable minced meat with sour cream sauce, milk.
Snack: fresh cabbage and carrot salad topped with honey sauce.
Dinner: pasta with vegetables and soft curd cheese.
At night: fresh apple.

Tuesday

On an empty stomach: a decoction of wild rose
Breakfast: soft-boiled egg, carrot salad with sour cream, tea with lemon.
Second breakfast: young potatoes with cucumber, apple juice.
Lunch: vegetable soup with sour cream, cottage cheese casserole, jelly.
Afternoon snack: one glass of lemon jelly.
Dinner: rice milk porridge, low-fat cheese with bread and tea with milk.
At night: a glass of kefir.

Wednesday

On an empty stomach: rosehip decoction.
Breakfast: cabbage salad, pasta with cottage cheese, tea with lemon.
Second breakfast: potato pancakes with sour cream, tomato juice.
Lunch: vegetarian cabbage soup, potatoes with cream sauce, strawberry jelly.
Dinner: vegetable salad with cabbage and carrots, cheesecakes with fruit jam.
At night: one apple.

Thursday

On an empty stomach: a decoction of wild rose.
Breakfast: baked cheesecakes with honey and sour cream, weak coffee with milk.
Second breakfast: dried fruit compote, cucumber salad.
Lunch: steamed fish with rice and stewed cabbage.
Snack: cottage cheese casserole, tea with lemon.
Dinner: vinaigrette dressed with olive oil, grilled vegetables.
At night: a glass of kefir.

Friday

On an empty stomach: a decoction of wild rose.
Breakfast: beetroot salad fresh apple, tea with milk.
Second breakfast: boiled egg with tomato and cucumber salad, dried fruit compote.
Lunch: borscht with vegetables, potato pancakes with sour cream, stewed carrot salad.
Afternoon snack: prunes with cottage cheese.
Dinner: pumpkin porridge, lemon jelly, one apple.
At night: a glass of kefir.

Saturday

On an empty stomach: a decoction of wild rose
Breakfast: pasta with grated cream cheese, weak coffee with milk.
Second breakfast: low-fat cottage cheese, yogurt.
Lunch: pearl barley soup, bell pepper stuffed with rice and chicken fillet.
Afternoon snack: blueberry pie, milk.
Dinner: baked pumpkin 200 g with honey, curdled milk.
At night: one fresh apple.

Sunday

On an empty stomach: rosehip decoction.
Breakfast: rice porrige, toast with butter, milk.
Second breakfast: cheesecakes with honey or jam, dried fruit compote.
Lunch: beetroot with sour cream, 150 g chicken breast cooked in a double boiler, buckwheat porridge, orange juice.
Afternoon snack: bran broth, cheesecakes, jelly.
Dinner: Vegetarian cabbage rolls with rice and sour cream, lemon jelly, fruit.
At night: a glass of kefir.

Diet No. 6 suggests a varied and rich vegetable menu, which must be taken as a basis, varying and combining the combination of different products and cooking according to your taste. You can focus on your favorite foods and dishes, but at the same time do not go beyond this diet, since only such a diet can regulate the balance of uric acid and reduce its concentration in the blood. Thanks to this diet, you can improve the body as a whole, lose weight, improve metabolic processes in the body. With a reasonable approach to physical activity, in combination with diet No. 6, you can find health for a long time.

It should be said that bad habits, such as smoking, non-compliance with the daily regimen, fasting or overeating, night parties with alcohol, can also provoke an attack of gouty arthritis.

How to cook food with diet number 6

Preparing foods for diet number 6 is very simple. Usually they are boiled, baked, stewed, rarely fried. Strict requirements apply only to the preparation of animal meat and fish. You can cook various dishes from meat and fish, even fry them and bake them, but only after preliminary boiling. Because animal meats are rich in purines, precooking them can convert 50% of the purines into broth. However, it is worth repeating that meat and fish, even low-fat varieties, are consumed only during remissions. With an acute gouty attack, these products should be excluded from the diet. Also, a portion of mass or fish should be strictly limited to no more than 150 g, and these products can be consumed only 2 times a week. In addition, you can not consume both meat and fish on the same day: either only meat, or only fish.

Very useful for gout any fresh, boiled, stewed, baked vegetables. They can be eaten in unlimited quantities. Cereals can be eaten as an independent dish, or added to vegetable soups. Low-fat dairy products are not only allowed, but welcomed in the gout diet. From low-fat cottage cheese, you can cook various puddings, casseroles, cheesecakes. To reduce the concentration of uric acid in the body, as required by diet number 6, it is necessary to consume alkaline mineral waters with the addition of lemon and grapefruit. Decoctions of berries and medicinal herbs are very useful.

Medicinal plants for gout

The benefits of herbal medicine in the treatment of gout are well known. All kinds of decoctions, juices, tinctures from medicinal plants, berries, vegetables and fruits contribute to the rapid evacuation of uric and oxalic acid salts from the body.

For this reason, it is necessary to include fruits, berries and medicinal plants, which are quite appropriate in diet number 6. Below we will give several recipes for medicinal drinks.

The following berries and medicinal plants are very useful:

Berries and fruits

cherry;
cowberry;
strawberry;
black currant;
Red currant;
apples.

medicinal plants

tansy;
succession;
nettle;
rose hip;
chamomile;
black elderberry;
Linden;
St. John's wort;
wild rosemary.

The main drink for gout is a rosehip decoction. It is prepared as follows: three tablespoons of crushed fruits (40 g of crushed dry fruits), pour boiling water over it. Insist for 8 hours, then take one glass on an empty stomach or at night. You can prepare a decoction of wild rose in a thermos.

Cowberry leaf tea is very useful for gout. It is prepared as follows: 1 tablespoon of lingonberry leaves is brewed with one glass of boiled water. Take 1 glass 3-4 times a day before meals.

You can also prepare a decoction of medicinal herbs. The following herbs are taken in equal amounts (1 tablespoon each): linden flowers, St. John's wort, black elderberry, chamomile flowers. All herbs are thoroughly mixed, placed in a glass dish and poured with one glass of boiling water. Close the lid tightly and put in a water bath for 15 minutes. Then cool and filter. The resulting broth is brought to a boil, adding water in a ratio of 1:10. Take 3 or 4 glasses a day 15 minutes before meals. The broth is stored in the refrigerator for three days. A course of treatment medicinal herbs- one month, but during this time they need to be alternated.

Diet number 8 for obesity

Why is it important to control your weight with gout? Usually, gout develops in people who show immoderation in eating, which leads not only to the development of gout, but also to obesity. You can even say that obesity is a disease that provokes the development of gout. Obesity results from eating foods that contain high levels of purines. In addition, with excess body weight, there is a load on the joints, as a result of which they are deformed and inflamed.