
Gout is a form of inflammatory arthritis caused by high levels of uric acid in the blood. A gout-friendly diet involves limiting foods that contribute to high uric acid levels in the body, especially those with purines. Soy seasonings, such as soy sauce, Japanese miso, and umami broth, are commonly used in Asian cuisines, and their purine content has been a topic of interest in the context of gout diets. While these seasonings contain a specific purine called hypoxanthine, they are typically used in small quantities, and the overall gout risk associated with their consumption is considered low. Chinese dietary patterns that include a balance of meat, fish, vegetables, soybeans, and fruits may offer beneficial options for individuals managing gout symptoms.
What Asian seasonings are ok for a gout diet?
| Characteristics | Values |
|---|---|
| Soy sauce | Small amounts are unlikely to affect gout |
| Miso | Low levels of purines |
| Umami broth | Low levels of purines |
| Tofu | Fine to consume, may even be helpful |
| Soy milk | Fine to consume |
| Textured vegetable protein | Fine to consume |
| Soybeans | Balance with meat, fish, vegetables, and fruit |
| Vegetables | Enjoy a wide variety |
| Fruits | Enjoy a wide variety |
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What You'll Learn
- Soy sauce, miso, and umami broth are low-purine seasonings
- Tofu, soy milk, and textured vegetable protein are safe to consume
- Soybeans are a large part of Chinese cuisine and are good for gout
- Chinese vegetable stir-fry with noodles is a gout-friendly dish
- Chinese food in general does not negatively affect gout

Soy sauce, miso, and umami broth are low-purine seasonings
Gout is caused by having high levels of uric acid in the blood. Excess uric acid forms sharp crystals in your joints, causing swelling, redness, and pain. To prevent this, gout patients are advised to follow a low-purine diet. Purines are natural chemicals commonly found in food and drink and are vital building blocks of DNA cells.
There has been a widely held belief among Asian health professionals and the public that soy foods increase the risk of gout. A 2011 study published in the Asia Pacific Journal of Clinical Nutrition reflects these attitudes, finding that nearly half (48%) of the surveyed healthcare professionals thought soy foods were likely to cause gout. However, more recent studies suggest that soy consumption is not a problem for people with gout and may even be beneficial. For example, a February 2015 review in the European Journal of Nutrition found that soy products did not increase uric acid levels in Chinese adults who were at risk of high blood pressure or diabetes. Furthermore, none of the six epidemiologic studies identified provided evidence that soy intake was associated with circulating uric acid levels, hyperuricemia, or gout.
In conclusion, while soy sauce, miso, and umami broth do contain the purine hypoxanthine, they are generally used in such small quantities that they are unlikely to significantly impact gout symptoms. Additionally, recent studies suggest that soy foods may not increase the risk of gout at all. However, individuals with gout should monitor their symptoms and consult with a healthcare professional to determine the best dietary choices for their specific needs.
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Tofu, soy milk, and textured vegetable protein are safe to consume
Gout is a form of inflammatory arthritis caused by high levels of uric acid in the blood. It has long been believed that tofu and soy products are bad for people with gout. A 2011 study published in the Asia Pacific Journal of Clinical Nutrition found that 48% of Asian dietitians and doctors thought soy foods were likely to cause gout.
However, more recent expert opinion suggests that tofu consumption is not a problem for people with gout and may even be helpful. The consensus from experts is that tofu (soy bean curd), soy milk, and textured vegetable protein are perfectly fine for people with gout to consume. A 2015 review in the European Journal of Nutrition found that soy products did not increase uric acid levels in Chinese adults who were at risk of high blood pressure or diabetes.
In fact, Northwest Kidney Centers specifically recommend consuming tofu and other non-meat protein sources like nuts, beans, lentils, and dairy to help manage gout. They say tofu is a good option as it is high in protein and low in purines. People with gout can also try other soy foods like soy nuts, soy protein shakes, soy milk, or edamame.
That being said, not every soy product is low in purines. A 2014 study in the Biological and Pharmaceutical Bulletin reported on the purine content of soy sauce, Japanese miso, and umami broth. While the researchers didn't find high levels of purines in these soy seasonings, they did find that one specific purine, called hypoxanthine, made up more than half the total amount of purines in these foods. This could be a concern for people trying to manage their gout symptoms as hypoxanthine is the purine most strongly linked with elevated uric acid levels and, therefore, gout risk. However, it's important to note that soy seasonings are typically used in small quantities, so the gout risk is relatively low.
Overall, tofu, soy milk, and textured vegetable protein are generally considered safe to consume for people with gout, and may even be beneficial in managing the condition.
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Soybeans are a large part of Chinese cuisine and are good for gout
Soybeans are a staple in Chinese cuisine, sitting firmly on the third rung of the Chinese food hierarchy after rice and wheat. Soy foods offer a lot of protein and calcium to a population that gets little of either from meat or dairy products. Soy is also a key source of food due to its oil content. Soybean oil is widely used in cooking and in industry.
Soybeans are used in Chinese cuisine in various forms. Whole dried soybeans are sold in supermarkets and used to cook various dishes, usually after rehydration by soaking in water. They are used in soups or as a savoury dish. Soy milk, from which tofu and tofu skin are made, is another traditional unfermented food made from soybeans. Tofu, or soybean curd, has long been a popular food in China and is now gaining popularity in the West with the rise of plant-based diets. Other unfermented soybean products include edamame. Fermented soy foods include soy sauce, fermented bean paste, and tempeh.
Soybeans are also believed to have been one of five sacred plants in ancient China, according to a Chinese myth. The myth states that in 2853 BC, the legendary Emperor Shennong of China proclaimed soybeans, along with rice, wheat, barley, and millet, as sacred plants.
Gout is a metabolic disease caused by disordered metabolism of purines. High intake of purine-containing foods can raise uric acid levels and worsen gout. Soy contains moderate amounts of purines, so consuming large amounts of soy-based products can increase the risk of gout. However, soy seasonings are typically used in insignificant quantities in cooking, so the gout risk is small. A 2014 study in the Biological and Pharmaceutical Bulletin reported on the purine content of some soy seasonings, including Japanese miso and umami broth, and found that one specific purine, called hypoxanthine, made up more than half the total amount of purines in these foods. This is potentially concerning for gout management as hypoxanthine is the purine most strongly linked with elevated uric acid levels. However, the overall consensus from experts is that soy bean curd (tofu), soy milk, and textured vegetable protein are fine for people with gout to consume. A 2015 review in the European Journal of Nutrition found that soy products did not increase uric acid levels in Chinese adults who were at risk of high blood pressure or diabetes. Another study by Brule et al. found that while whole soybeans, soy milk, and soy powder led to a significant increase in SUA levels at 1 and 2 hours post ingestion, tofu did not cause an increase.
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Chinese vegetable stir-fry with noodles is a gout-friendly dish
When preparing the stir-fry, it is important to use gout-friendly seasonings and ingredients. Vegetables such as mushrooms, asparagus, and spinach contain high levels of purines, which were once believed to be linked to gout. However, recent research from the Arthritis Foundation shows no correlation between the intake of these vegetables and gout risk. Soy sauce, a common seasoning in Chinese cuisine, has been studied for its purine content, and while it contains a specific purine called hypoxanthine, it is only used in small quantities in cooking, so the gout risk is minimal. Other gout-friendly seasonings include oyster sauce, ginger, garlic, and chili vinegar.
For the noodles, it is suggested to use Chinese egg noodles, either fresh or frozen, or dry egg noodles. Other options include Chow Mein noodles, ramen noodles, yakisoba noodles, or even spaghetti noodles. The noodles are cooked according to the package instructions, rinsed in cold water and tossed with sesame oil.
To prepare the stir-fry, heat a pan or wok to medium heat and add peanut oil or another cooking oil of your choice. Add garlic to the oil and cook until fragrant, being careful not to burn it. Then, add carrots, onion, bell peppers, and baby bok choy. Keep stirring the vegetables to ensure even cooking. Once the vegetables are almost done, add the sauce, noodles, and any additional ingredients, such as green onions or chili vinegar. Mix everything together, and serve when the noodles and vegetables are cooked to your desired doneness.
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Chinese food in general does not negatively affect gout
Gout is a form of inflammatory arthritis caused by high levels of uric acid in the blood. While some Chinese dishes may negatively affect gout, Chinese food in general does not negatively affect gout. In fact, some studies suggest that Chinese food may even be beneficial for people with gout.
Two studies have looked at Chinese dietary patterns and uric acid in the blood. The first investigation found that uric acid was lower in participants with a higher vegetable and fruit intake. As soybeans are a large part of Chinese cuisine, this advice is similar to the advice for other cuisines: balance meat and fish with plenty of vegetables, soybeans, and fruit.
The consensus from experts is that soy bean curd (tofu), soy milk, and textured vegetable protein are perfectly fine for people with gout to consume. A 2015 review in the European Journal of Nutrition found that soy products did not increase uric acid levels in Chinese adults who were at risk of high blood pressure or diabetes. Similarly, a study of 63,257 Chinese adults in Singapore found that dietary intake of soy and non-soy legumes was associated with a reduced risk of gout.
While soy sauce contains a specific purine called hypoxanthine, which is linked to elevated uric acid levels, soy seasonings are typically used in such small quantities that the gout risk is minimal.
Overall, while some specific Chinese dishes may be less gout-friendly than others, Chinese food in general does not negatively affect gout and may even be beneficial in some cases.
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Frequently asked questions
Soy sauce, Japanese miso, and umami broth are safe to use in small quantities as they are usually used in insignificant amounts. Soybean products, in general, are considered safe for people with gout.
A gout-friendly diet typically involves limiting foods that contribute to high uric acid levels in the body, especially foods with purines. Soybeans, fruits, vegetables, and low-fat dairy products are safe to consume.
Red meat, organ meats, seafood, beer, liquor, and sugary foods and beverages should be avoided.

















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