{"id":305,"date":"2018-03-01T12:00:24","date_gmt":"2018-03-01T11:00:24","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/nutricion\/ca\/la-gota-y-la-alimentacion\/"},"modified":"2018-04-05T08:52:58","modified_gmt":"2018-04-05T07:52:58","slug":"gota-i-alimentacio","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/nutricion\/ca\/gota-i-alimentacio\/","title":{"rendered":"Relaci\u00f3 entre la gota i l&#8217;alimentaci\u00f3"},"content":{"rendered":"<p>Quan pensem en <strong>la gota<\/strong>, ens ve al cap un home de mitjana edat amb panxa prominent, cara enrojolada, assegut afligit de dolor al dit gros del peu i en una taula preparat per gaudir d&#8217;un gran dinar. Hi ha molts personatges de la hist\u00f2ria amb aquests trets, des de l&#8217;Imperi rom\u00e0 a nobles de l&#8217;edat mitjana com el rei <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Enric_VIII_d%27Anglaterra\" target=\"_blank\" rel=\"noopener noreferrer\">Enric VIII<\/a>. Aquest era un mal de classe alta perqu\u00e8 eren els que es podien permetre el consum diari i elevat de carns, alcohol, etc. Aquests clix\u00e9s poden donar-nos alguna pista de com l&#8217;estil de vida pot influir en aquesta malaltia i de la import\u00e0ncia de la <strong>relaci\u00f3 entre la gota i l&#8217;alimentaci\u00f3<\/strong>.<br \/>\n<!--more--><\/p>\n<h2><strong>Qu\u00e8 \u00e9s la gota?<\/strong><\/h2>\n<p>Primer hem de definir-la. <strong>La gota<\/strong> \u00e9s un tipus d&#8217;<strong>artritis<\/strong> que es caracteritza per patir dolor i inflamaci\u00f3 d&#8217;una o m\u00e9s articulacions del cos i es deu al c\u00famul de<strong> cristalls d&#8217;\u00e0cid \u00faric<\/strong> en elles. Aquesta patologia la pateixen persones amb una c\u00e0rrega gen\u00e8tica que els predisposa quan hi ha <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Hiperuric%C3%A8mia\" target=\"_blank\" rel=\"noopener noreferrer\">hiperuric\u00e8mia<\/a> &#8211; <strong>\u00e0cid \u00faric elevat en sang<\/strong>. Aix\u00f2 vol dir que no tots podem patir els seus s\u00edmptomes.<\/p>\n<h2>Per qu\u00e8 succeeix la gota?<\/h2>\n<p>L&#8217;<strong>\u00e0cid \u00faric<\/strong> \u00e9s el producte resultant de la metabolitzaci\u00f3 de les purines, unes mol\u00e8cules que formen part de les prote\u00efnes. Sempre hi ha <strong>\u00e0cid \u00faric<\/strong> en la nostra sang, per\u00f2 quan arriba a nivells elevats pot ser degut a una producci\u00f3 excessiva o una eliminaci\u00f3 insuficient.<\/p>\n<p>Les purines s\u00f3n presents principalment en carns vermelles, peix blau i els derivats d&#8217;aquests aliments. Per aquesta ra\u00f3, s&#8217;aconsella <a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/sano-comer-carne-roja\/\" target=\"_blank\" rel=\"noopener noreferrer\">limitar el consum de carnis<\/a> a un m\u00e0xim de 150-200g \/ dia. Es prioritza la carn blanca, ous i peix blanc sobre el peix blau, la carn vermella, de ca\u00e7a i les v\u00edsceres. Tamb\u00e9 s&#8217;ha vist que \u00e9s important restringir el consum de begudes riques en fructosa com refrescs i sucs perqu\u00e8 aquest tipus de sucre indueix la <strong>producci\u00f3 d&#8217;\u00e0cid \u00faric<\/strong>. Heus aqu\u00ed la <strong>relaci\u00f3 entre la gota i l&#8217;alimentaci\u00f3<\/strong>&#8230;<\/p>\n<h2>Nom\u00e9s influeix l&#8217;alimentaci\u00f3?<\/h2>\n<p>No nom\u00e9s\u00a0existeix una <strong>relaci\u00f3 entre la gota i l&#8217;alimentaci\u00f3<\/strong> pr\u00f2piament dita, hi ha altres aspectes a tenir en compte. <strong>La deshidrataci\u00f3 afavoreix la concentraci\u00f3 d&#8217;\u00e0cid \u00faric en sang<\/strong>, de manera que beure prou aigua al dia \u00e9s un aspecte molt important. Tamb\u00e9 s&#8217;han d&#8217;evitar subst\u00e0ncies que indueixin a la deshidrataci\u00f3 com poden ser les begudes alcoh\u00f2liques. Passar moltes hores en dej\u00fa tamb\u00e9 pot influir de forma negativa. M\u00e9s encara si es realitzen esfor\u00e7os f\u00edsics, com exercicis extenuants, perqu\u00e8 l&#8217;organisme entra en <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Catabolisme\" target=\"_blank\" rel=\"noopener noreferrer\">catabolisme<\/a>: degrada les prote\u00efnes de la massa muscular per usar-les com a font d&#8217;energia.<\/p>\n<p>\u00c9s cert que la <a href=\"https:\/\/ca.wikipedia.org\/wiki\/Hiperuric%C3%A8mia\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>hiperuric\u00e8mia<\/strong><\/a> moltes vegades s&#8217;acompanya d&#8217;altres alteracions de la salut com la pressi\u00f3 arterial, el <a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/colesterol\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>colesterol<\/strong><\/a> i els <a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/trigliceridos-altos\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>triglic\u00e8rids alts<\/strong><\/a>, l&#8217;<a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/dieta-para-perder-peso-saludable\/\" target=\"_blank\" rel=\"noopener noreferrer\">exc\u00e9s de pes<\/a>, etc. Aquest conjunt de comorbiditats es coneix com a <strong>s\u00edndrome metab\u00f2lica<\/strong> i <a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/perder-peso-proposito-ano-nuevo\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>perdre pes \u00e9s una de les primeres estrat\u00e8gies per millorar la situaci\u00f3<\/strong>&#8230; per\u00f2 s&#8217;ha de fer de manera correcta<\/a>, amb una p\u00e8rdua progressiva gr\u00e0cies a una pauta aliment\u00e0ria adequada i una activitat f\u00edsica adaptada al pacient. Fer-ho sense control de professionals podria agreujar el problema. Les <a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/dieta-hiperproteica-porque-no\/\" target=\"_blank\" rel=\"noopener noreferrer\">dietes molt baixes en energia i riques en prote\u00efnes<\/a> afavoreixen les p\u00e8rdues pronunciades de pes, tan desaconsellables en aquests pacients.<\/p>\n<h2>Quin \u00e9s el tractament de la gota?<\/h2>\n<p>A part de la medicaci\u00f3, aspecte essencial en el tractament de la gota, tamb\u00e9 pot ajudar l&#8217;alimentaci\u00f3. Els aliments d&#8217;origen vegetal s\u00f3n els grans aliats en moltes malalties i aquesta no \u00e9s una excepci\u00f3. Una alimentaci\u00f3 rica en hidrats de carboni complexos, com cereals integrals i els seus derivats -pasta o pa-, llegums i tubercles, aix\u00ed com les verdures i hortalisses, afavoreixen l&#8217;<a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/litiasis-renales-oxalato-calcico-acido-urico\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>excreci\u00f3 d&#8217;\u00e0cid \u00faric per l&#8217;orina<\/strong><\/a>.<\/p>\n<p>\u00c9s <strong>aconsellable limitar el consum de certs aliments rics en prote\u00efnes animals<\/strong>, com els citats abans pel seu alt contingut en purines, tant en quantitat com freq\u00fc\u00e8ncia. Almenys fins que s&#8217;hagi resolt l&#8217;episodi agut de gota.<\/p>\n<p>Una hidrataci\u00f3 suficient i un control adequat del pes corporal tamb\u00e9 influeixen positivament en l&#8217;evoluci\u00f3 de la <strong>hiperuric\u00e8mia<\/strong>.<\/p>\n<h2>La gen\u00e8tica, la gota i l&#8217;alimentaci\u00f3<\/h2>\n<p>Per tant, tot i que <strong>la gen\u00e8tica \u00e9s la principal causant d&#8217;aquesta patologia<\/strong>, <strong>la gota i l&#8217;alimentaci\u00f3 estan molt relacionades<\/strong>. Pot resultar \u00fatil tenir en ment a aquests nobles d&#8217;antany que feien tants excessos i recordar que un estil de vida saludable pot ajudar a evitar aquests episodis tan dolorosos.<\/p>\n<hr \/>\n<p><a href=\"http:\/\/www.barnaclinic.com\/es\/solicitar-cita\/?profesional=286\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-59 size-full\" src=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/wp-content\/uploads\/sites\/6\/banner-cita-barbara-romano.jpg\" alt=\"banner-cita-barbara-romano\" width=\"1468\" height=\"218\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/wp-content\/uploads\/sites\/6\/banner-cita-barbara-romano.jpg 1468w, https:\/\/www.barnaclinic.com\/blog\/nutricion\/wp-content\/uploads\/sites\/6\/banner-cita-barbara-romano-300x45.jpg 300w, https:\/\/www.barnaclinic.com\/blog\/nutricion\/wp-content\/uploads\/sites\/6\/banner-cita-barbara-romano-768x114.jpg 768w, https:\/\/www.barnaclinic.com\/blog\/nutricion\/wp-content\/uploads\/sites\/6\/banner-cita-barbara-romano-1024x152.jpg 1024w\" sizes=\"(max-width: 1468px) 100vw, 1468px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quan pensem en la gota, ens ve al cap un home de mitjana edat amb panxa prominent, cara enrojolada, assegut afligit de dolor al dit gros del peu i en una taula preparat per gaudir d&#8217;un gran dinar. Hi ha molts personatges de la hist\u00f2ria amb aquests trets, des de l&#8217;Imperi rom\u00e0 a nobles de [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":301,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[110],"tags":[119,120,115],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Relaci\u00f3 entre la gota i l&#039;alimentaci\u00f3 - Blog de Nutrici\u00f3<\/title>\n<meta name=\"description\" content=\"Si es pensa en la gota, ve a la ment un home madur amb panxa prominent. 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