Fact sheetDiet specifications

Published on 1 Nov 2011


Protein diet - purine - low

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To provide a diet with a reduced purine content, to limit the production of uric acid.

Characteristics

Avoids foods rich in the nucleoprotein purine: red meat, liver, kidneys, shellfish, herring, mackerel, sardines, anchovies, and foods containing yeast. Meat in small serves only.

Indications

Gout.

Nutritional adequacy

Nutritionally adequate.

Precautions

Meat, poultry, and fish intake should ideally be limited to one serve per day (maximum 120g).

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishesAll others; small serves of meat Dishes containing offal, shellfish, mackerel, herring, sardines or anchovies
Sauces, graviesAll othersGravies and sauces made with meat
Starchy vegetables / pasta / riceAll -
VegetablesAll -
SoupsAll -
SandwichesAll othersShellfish, sardines
Salads, dressingsAll others; small serves of meatShellfish, sardines
Breads, cerealsAll -
SpreadsAll othersVegemite™
Hot breakfast choicesAll othersKidneys
FruitAll -
YoghurtAll -
DessertsAll -
Milk and cheeseAll -
BeveragesAllBonox®, Bovril™
BiscuitsAll -
Miscellaneous- -

References

  1. Dietitians Association of Australia. Nutrition manual. 8th ed. Canberra: DAA; 2009.
  2. American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009. [accessed 26 April 2010].
  3. Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007.
  4. Becker G. Uric acid stones. Nephrol 2007;12:S21-25.
  5. Adel G. Gout, diet, and the insulin resistance syndrome. J Rheumatol 2002;29:1350-5.
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