GOUT DISEASE

GOUT

HEALTHY


MEALS

"GUIDE TO HEALTHY LIVING"

STUDENT NAMES: COURSE: LECTURER NAME:

1.NUR AININA BINTI MOHD YUSOFF (2020831288) N U T R I T I O N F O R F O O D S E R V
I C E P R A C T I T I O N E R S MADAM KHAZAINAH KHALID
2.NUR ALIA NAJWA BINTI SALIJU (2020819484) (HTF555)
3.NURALYA FARHANIS BINTI FAUZI (2020896842)
4.NUR ATHIRAH BINTI AB HALIM (2020818998)

INTRODUCTION

Gout is a common type of arthritis that causes severe pain, swelling,
and stiffness in the joints. The pain usually comes on quickly,
reaching maximum intensity in less than 12 hours and It will usually
affect the joint at the base of the big toe, known as the
metatarsophalangeal joint. It can also cause tophi, kidney stones, or
kidney damage to those who suffer from it. The main cause of gout is
due to a continuous increase in the level of uric acid in the blood and
this occurs from a combination of diet, other health problems and
genetic factors. This gout disease usually occurs in patients aged 30
to 50 years and this condition is usually more prevalent in men than
women who mostly experience it after menopause. Gout is usually
treated with prescription medications given by a doctor. These
medications can help treat the symptoms of a gout attack, prevent
future flares, and reduce the risk of complications such as kidney
stones, tophi and can also help uric acid level in the body.

Asymptomatic hyperuricemia which is where a person has high uric acid levels without

any external symptoms.
Acute gout, where this stage occurs when vein crystals in the joints suddenly cause

acute inflammation and severe pain. This sudden onset is a “flare” and may last

between 3 days and 2 weeks.
Interval or intercritical gout, this warning occurs in between acute gout attacks. As a

person’s gout develops, this interval becomes shorter. Between these periods, vein

crystals may continue to accumulate in the tissue.
Chronic tophaceous gout, is the most debilitating type of gout and can result in

permanent damage to the kidneys and joints. At this stage, people can develop chronic

arthritis and develop tophi in colder areas of the body, such as finger joints. This stage

occurs as a result of an acute gout attack after many years.
Pseudogout, which is the deposition of calcium pyrophosphate. The symptoms are similar

to gout, and the attacks are usually less severe. The main difference between gout and

pseudogout is that the joints are irritated by calcium pyrophosphate crystals rather

than vein crystals. Therefore, Pseudogout require a different treatment than gout.

FOOD TO CHOOSE FOOD TO LIMIT OR AVOID

Low fat or nonfat dairy products
Limit meat, fish, and poultry to 4-6 oz per day.
(such as skim Avoid high-purine animal foods (such as anchovies,
milk, low-fat yogurt) sardines, haddock, cod, tuna, shellfish, bacon, organ meats,
Fresh fruits and most vegetables wild game and gravy nd sauces made with meat
Eggs or egg subsitute Avoid alcoholic beverages (especially beer)
Whole grains (such as whole
Avoid foods and drinks high in sugar or high fructose corn
wheat bread, whole syrup (such as soda, juice, sports drinks, ice cream, candy,
grain pasta, brown rice, popcorn,
sweetened breakfast cereal)
barley, quinoa) Limit dried beans, peas, nd lentils to 1 cup cooked per day
Nuts, nut butter, and soy. Limit oatmeal to 2/3 cup uncooked per day
Limit higher-purine vegetables (cauliflower, mushrooms,
asparagus, spinach, green peas) to 1/2 cup per day

BREAKFAST:CINNAMON

OATMEAL

Cinnamon Oatmeal is originated
in Europe. This meal is the
oatmeal and cinnamon simmered
together in low fat milk, serve
with fresh ground cinnamon as
garnish.

INGREDIENTS:

• 1 cup of oatmeal
• 1/2 teaspoon cinnamon
• 1 teaspoon brown sugar
• 1 3/4 cup of low fat milk

COOKING METHOD:

1. Heat the milk in a medium saucepan. Let it

heat until it begins to boil but not to full boil.

2. Add the oats, and pull the pan off the heat. If

the oatmeal looks a little
thick, pour some additional milk to thick it out.

3. Add the cinnamon and brown sugar. Stir to

combine. Separate the
oatmeal into two separate bowl, and set aside.

4. Place the powder sugar into a small bowl and

add milk. Whisk to
combine. Drizzle over the oatmeal.

5. Serve the cinnamon oatmeal immediately. Add

additional milk or fresh ground cinnamon as

garnish

HTTPS://WWW.BERYLSKITCHEN.COM/CINNAMON-ROLL OATMEAL

LUNCH: HAINANESE CHICKEN RICE

Hainanese Chicken Rice are originated

from Hainan which a place at southern

China. This dish is a combination of

seasoned rice that serve with poached

chicken and soup. Accompanied by chili

sauce plus a few slices of cucumber as

garnishes. Hainanese Chicken Rice can be

found throughout Southeast Asia

especially in Malaysia, Indonesia and

Singapore.

INGREDIENTS:

CHICKEN RICE CHILI SAUCE

• 1 whole chicken 1.8kg • 2 tablespoons cooking canola
• 1 tablespoon lime juice
• 1/4 cup kosher salt for
oil • 2 tablespoons reserved chicken

exfoliating (salt is for cleaning
• 2 cloves garlic finely minced poaching broth
the chicken, not for consuming) • 1 shallot minced • 2 teaspoons sugar
• 4-inch fresh ginger peeled and
• 1 inch of ginger finely minced • 4 tablespoons chili sauce
cut into 1/4 slices • 2 cups long-grain uncooked rice • 4 cloves garlic
• 4 cloves garlic • 2 cups reserved chicken
• 1 inch section of ginger peeled
• 2 stalks green onion cut into 2
poaching broth
parts (both green and white
• 1/2 teaspoon sesame oil
parts)
• 1 tablespoon sesame oil

COOKING METHOD:

Chicken: Rice:

• Boil a large pot of water. In the meantime, clean the chicken by
• Place rice into a large bowl and fill with water. Clean the

exfoliating with kosher or coarse salt. Rinse chicken well, inside and
rice and tilt bowl to discard water, keeping the rice in the

outside. bowl. Repeat 3 more times, until water is less cloudy.
• Pre-Boil Chicken: When water is at a hard boil, add the chicken. Return
• In a wok, heat 2 tablespoons of cooking oil over medium-

to hard boil, let scum come to the surface. Boil for 5 minutes. Discard
high heat. Then, add the ginger, shallots and the garlic and

all the water, including the scum. fry until fragrance. Add in drained rice and stir to coat, cook

• Refill pot with clean water to cover the chicken by 1-inch, and add in
for 5 minutes. Add the sesame oil and mix it well.
garlic, green onion and ginger. Bring the pot to a boil over high heat,
• Add 2 cups of reserved poaching broth and bring to a boil.

then immediately turn the heat to low to keep a simmer. Cook for about
Immediately turn the heat down to low, cover the pot and

30 minutes. cook for 15 minutes. Remove from heat and let sit (with lid

• Check for doneness by sticking a chopstick into the flesh under the leg
still on) for 5-10 minutes more.
and see if the juices run clear or insert a thermometer into the thickest
• While the rice is cooking, make the sauces and carve the

part of the thigh not touching bone. It should read 160F. The chicken
chicken for serving.
will continue to cook to 165F during rest.
• Turn off the heat when chicken is cooked and remove the pot from the
Chili Sauce:
burner. Immediately lift and transfer the chicken into a bath of ice water

to cool. It will stop the cooking process, keeping the meat soft, tender
• Blend chili sauce ingredients in a

and giving the skin a lovely firm texture. blender until smooth and bright red.
• After cooling, pat the chicken dry with paper towels and rub sesame

oil all over the chicken. This will help prevent the chicken from drying

out.

Seasoned Soup:

• Discard the garlic, ginger and green

onion. Season the soup with salt to taste.

https://steamykitchen.com/5068-hainanese-chicken-rice.html

DINNER:

BAKED LEMON AND HERBS SALMON WITH CHERRY TOMATOES

For this Mediterranean-inspired recipe,bake
lemony salmon on top of potato, juicy
cherry tomatoes and rich, herby stock. Once
the salmon is tender, garnish with parsley
and dill to serve. Salmon is such a versatile
fish. It’s tender, quick to cook bake, saute
or grill. Salmon also rich in heart-healthy
omega-3s, salmon is an amazing protein
source that’s also low in saturated fat.

INGREDIENTS: 110g skin on salmon fillets
1 lemon
10g parsley & dill
1 tsp dried oregano
1 tsp dried basil
3 white potatoes
5.5g vegetable stock mix
50g lamb's lettuce
250g cherry tomatoes
3 garlic clove

COOKING METHOD:

•This recipe takes around 5 min to preparation, get ovenproof dish and all ingredients ready,

then wash fruit and vegetables.
•Preheat the oven to 220°C/ 200°C. Chop the potatoes into small bite-sized pieces and add

them to a large ovenproof dish.
•Crush the garlic cloves by squashing them with the side of a knife. Add the crushed garlic to

the dish with the cherry tomatoes, a generous drizzle of olive oil and a pinch of salt.
•Give all ingredients mix up and put the dish in the oven for an initial 35 min.
•Meanwhile, dissolve the vegetable stock mix in 100ml boiled water and stir in the dried basil

and dried oregano for herby stock. Slice 1/2 lemon into slices and set aside for later.
•After 35 minutes, remove the dish from the oven and pour the herby stock all over the

potatoes and tomatoes.
•Then, squeeze over the remaining lemon and top the salmon fillets with the lemon

slices.Return the dish to the oven for 12-15 minutes or until the salmon is cooked through.
•Wash the lamb's lettuce, then put them dry with kitchen paper. To serve, add a few knobs of

butter to the potatoes and leave to melt then, tear the parsley and dill all over the baked

lemon and herb salmon with cherry tomatoes

HTTPS://WWW.GOUSTO.CO.UK/COOKBOOK/RECIPES/BAKED-LEMON-HERB-SALMON-WITH-CHERRY-TOMATOES

DISCUSSION

BENEFITS

Cinnamon Oatmeal

Oatmeal-is a type of cereal that is not high in protein or purines and can be eaten by any person with high uric
acid levels by limiting its intake to 2 times a week.
Cinnamon- can inhibit the enzymes responsible for producing uric acid and prevent gout attacks.
Low-fat milk - Studies show that drinking low -fat milk and eating low -fat dairy can reduce your uric acid
levels as well as the risk of gout attacks. Protein found in milk can promote the excretion of uric acid in the
urine.
Whole-grain oats is associated with a reduced risk of coronary heart disease.
It is rich in vitamins and minerals like phosphorus,thiamine,magnesium,and zinc.

Hainanese Chicken Rice

Ginger-The powerful anti-inflammatory effect of ginger reduces inflammation, swelling and lowers blood uric acid
levels and gives relief to gout attacks.
Garlic- is an amazing herb for curing gout. It helps in removing excess uric acid from the system and reduces
inflammation.
Chicken- is high in protein and Chicken can also help your heart health as many gout sufferers continue to develop
heart disease later in life. Although the purine content of chicken is moderate, gout patients can still eat it by limiting
the amount eaten as well as the way it is cooked either roasted,or boiled.
White rice- contain a small amounts of purines and may help to reduce uric acid levels and possibly prevent gout
onset or flares.
Lime juice- contains a lot of vitamin C and can also help you manage the problem of high uric acid in the bloodstream.

Herb-baked Salmon with Asparagus and Cherry Tomatoes

Salmon- contains low purine content and suitable for gout friendly diet. Salmon can also help reduce a person's risk
of gout or recurrent outbreaks.
Parsley-the benefit of parsley is that it can act as a natural diuretic that can help your body remove excess uric acid
from your bloodstream through your kidneys and urinary tract, thus supporting healthy kidney function. Apart from
that, parsley can also increase the excretion of fluid in the urinary tract and also cleanse the body of kidney stones.
Parsley is an acid-alkaline food that is good for your body’s pH level,which is good for your gout.
Tomatoes-Tomatoes are associated with higher levels of uric acid in your blood. This means that they can be a trigger
for gout for some people. However, tomatoes are not a trigger for gout for everyone. In fact, tomatoes may help
reduce inflammation and gout symptoms for some people.
Potatoes-are foods that are low in purines and also have a lot of vitamin C,which can help lower uric acid levels.
Lemon- Lemon juice and lemon extract helped lower uric acid levels in the blood and the three main properties
contained in lemon that help minimize gout attacks are citric acid, vitamin C and potassium.

CONCLUSION

In nutshell, gout is one of the most serious diseases that are
being faced by Malaysian. So, in this e-magazine we put some
introduction about gout and also stated a few healthy meals
started from breakfast, lunch and dinner that can be prepared
for gout patients.