2020 Volume 44 Issue 2 Pages 195-202
Lifestyle guidance is important for the treatment of gout and hyperuricemia. In nutritional guidance, it is necessary to understand the actual lifestyle habits of patients that should be improved most, to evaluate the effects of lifestyle habit improvement, and then to provide lifestyle guidance tailored to every patient.
Thus, we intended to produce a check sheet that can be used to easily examine the intake and frequency of both dietary purine and alcohol in hyperuricemic patients. We also intended to provide useful information to patients on their lifestyle habit improvement. In order to present recommended meals, questions in the check sheet were divided into two food groups: Foods to eat less of, and Foods to eat more of. We created two types of check sheets: "Dietary questionnaire on serum uric acid level" for questions, and "Advice lists for better dietary habits" for feedback, to avoid patients’ answers becoming learned. In order to allow the dietitian to roughly estimate the amount of dietary purine during the limited time of nutrition instructions, we created: "Amount of purines in representative dishes using meat or fish" and "Amount of purines (median and average) in meat and fish". Additionally, as a visual pamphlet for patients, we created: "Quantity of recommended daily ingredients weighed by hands with purine amounts".