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Are Walnuts Increasing Uric Acid? The Surprising Truth for Gout Sufferers

4 min read

Contrary to common misconceptions, an ounce of walnuts contains only about 7 milligrams of purines, making them a very low-purine food. This fact is particularly important for those managing gout, as walnuts do not increase uric acid levels and can be a healthy part of a balanced diet.

Quick Summary

Walnuts are a low-purine food with anti-inflammatory omega-3 fatty acids, making them a safe and healthy choice that does not increase uric acid levels.

Key Points

  • Walnuts Are Low-Purine: With only 7-25mg of purines per 100g, walnuts are considered a very low-purine food, making them safe for a gout diet.

  • Walnuts Have Anti-inflammatory Omega-3s: The high omega-3 fatty acid content in walnuts can help reduce the inflammation and swelling associated with gout and high uric acid levels.

  • Support Kidney Function: The healthy fats in walnuts may support kidney function, which is crucial for the efficient elimination of uric acid from the body.

  • Walnuts Do Not Increase Uric Acid: Evidence confirms that walnuts, unlike high-purine meats and some seafood, do not contribute to higher uric acid levels and may even be negatively associated with hyperuricemia risk.

  • Moderation is Key: Despite being healthy, walnuts are calorie-dense. A moderate intake of about 25-30g daily is recommended to prevent unwanted weight gain.

  • Part of a Broader Strategy: Walnuts complement other uric acid management strategies, including staying hydrated, limiting alcohol, and eating a balanced diet rich in fruits, vegetables, and low-fat dairy.

In This Article

What Are Purines and Uric Acid?

Before exploring the role of walnuts, it's essential to understand the connection between purines and uric acid. Uric acid is a natural waste product created when the body breaks down purines. These compounds are found in many foods and are also produced by the body. Normally, the kidneys filter uric acid out of the blood and it is excreted in urine. However, if the body produces too much uric acid or the kidneys cannot eliminate it efficiently, levels can build up in the bloodstream, a condition known as hyperuricemia. High uric acid levels can lead to the formation of urate crystals in the joints, causing a painful form of arthritis called gout. For this reason, people with high uric acid or gout are often advised to limit their intake of high-purine foods.

Walnuts and Their Low Purine Content

The primary reason walnuts do not increase uric acid is their very low purine content. Research confirms that tree nuts and peanuts are low in purines. According to a report by Everyday Health, an ounce of walnuts contains only 7 milligrams of purines, placing them firmly in the 'very low purine' category (less than 50mg/serving). This contrasts sharply with high-purine foods like organ meats and some seafood, which should be limited on a gout diet. Because of this, walnuts are considered a 'gout-friendly' protein source and a safe snack for those looking to manage their uric acid levels.

The Anti-Inflammatory Power of Walnuts

Beyond their low purine profile, walnuts offer additional benefits that can help people with gout. Walnuts are a rich source of omega-3 fatty acids, particularly alpha-linolenic acid (ALA). These fatty acids possess powerful anti-inflammatory properties, which can help combat the inflammation and swelling associated with high uric acid levels and gout flare-ups. Omega-3s can also support kidney function, aiding in the body's natural process of eliminating excess uric acid. The synergistic effect of low purines and high anti-inflammatory compounds makes walnuts a valuable food for managing conditions linked to uric acid. A 2018 study in Cancer Prevention Research even showed that walnut consumption improved systemic inflammation and reduced colon cancer risk, with elevated urolithin levels (metabolites from walnuts' polyphenols) correlating with lower levels of inflammatory markers.

Comparison: Walnuts vs. High-Purine Foods

To illustrate why walnuts are a safe choice, here is a comparison with common high-purine foods.

Food Item Purine Content (mg per 100g) Uric Acid Risk Suitability for a Gout Diet
Walnuts 7-25 Very Low Excellent (Low-Purine, Anti-inflammatory)
Beef (liver) ~285 High Avoid
Sardines ~210 High Limit or Avoid
Anchovies ~273 High Limit or Avoid
Mackerel High (exact varies) High Limit or Avoid
Salmon ~177 Moderate Moderate Consumption

How to Safely Incorporate Walnuts into a Gout Diet

For individuals with high uric acid, adding walnuts to a balanced diet is simple and beneficial. As with all calorie-dense foods, moderation is key to avoid unwanted weight gain, which can exacerbate uric acid issues. A handful per day (about 25-30g) is a recommended serving size.

  • Snack on them: A small handful of walnuts is a nutritious and satisfying snack. For enhanced nutrient absorption, some suggest soaking them overnight.
  • Add to salads: Sprinkle chopped walnuts over salads for extra texture and healthy fats.
  • Mix into meals: Incorporate them into oatmeal, yogurt, or use them as a crunchy topping for stir-fries and other dishes.
  • Blend into smoothies: Add a few walnuts to your morning smoothie for a boost of omega-3s.

Other Lifestyle Factors for Uric Acid Management

While a low-purine diet is important, it is only one part of managing uric acid levels. A holistic approach includes several other lifestyle modifications:

  • Stay hydrated: Drinking plenty of water helps the kidneys flush out excess uric acid.
  • Manage weight: Maintaining a healthy weight reduces the overall burden on the body's systems, including those that regulate uric acid.
  • Limit alcohol and sugary drinks: Beer and spirits increase purine production, while fructose in sugary beverages can also raise uric acid.
  • Incorporate vitamin C: Foods rich in Vitamin C, like citrus fruits, may help lower uric acid levels.
  • Consider dairy: Low-fat dairy products have been associated with a lower risk of gout.

Conclusion

Based on scientific research, walnuts do not increase uric acid levels and are a safe, beneficial food for individuals with high uric acid or gout. Their very low purine content and high concentration of anti-inflammatory omega-3 fatty acids help combat inflammation associated with the condition. Incorporating a moderate serving of walnuts into a balanced, healthy diet is an excellent way to support overall health without raising concern for uric acid-related issues. For comprehensive dietary advice and gout management, it is always best to consult a healthcare professional.

You can read more about nuts and gout management from the International Nut & Dried Fruit Council.

Frequently Asked Questions

Yes, walnuts are safe for people with gout. They are very low in purines, the compounds that are broken down into uric acid. Their anti-inflammatory properties can also help manage gout-related symptoms.

Walnuts contain very low amounts of purine, the precursor to uric acid. An ounce of walnuts contains only about 7 milligrams of purines, which is well below the threshold for moderate-to-high purine foods.

No, walnuts are not bad for uric acid levels. In fact, their low purine content and anti-inflammatory properties mean they can be a beneficial addition to a diet aimed at managing high uric acid.

Many nuts are low in purines and can be part of a gout-friendly diet. Walnuts are particularly beneficial due to their high omega-3 fatty acid content and anti-inflammatory effects. Almonds and cashews are also excellent low-purine choices.

While soaking walnuts is sometimes recommended to enhance nutrient absorption, there is no evidence that this process specifically lowers uric acid levels. The inherent benefits of walnuts (low purines, high omega-3s) apply whether they are soaked or not.

For individuals managing high uric acid, a moderate daily intake of walnuts, such as a small handful (about 25-30g), is recommended. This provides health benefits without excessive calories, which is important for weight management.

To help manage high uric acid, it is advisable to limit or avoid high-purine foods such as organ meats (liver, kidney), some seafood (anchovies, sardines), and alcohol (especially beer). Sugary drinks should also be limited.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.