Diet 6 table: menu for the week, table, what is possible and what is not, reviews and results

Diet 6 is a therapeutic nutrition system designed to normalize metabolism during the development of gout and various urolithiasis, which are characterized by the formation of insoluble stones in the hollow structures of the urogenital tract. The recommendations imply restriction of purine bases in the diet, which affect the metabolism of uric acid in the human body.

Main characteristics of the diet

Diet 6 according to Pevzner is prescribed to normalize the metabolism of purine bases, in particular uric acid, in the human body. It has several of the following distinctive characteristics:

• Exclusion from the diet of foods that contain purine bases and oxalic acid.
• Limiting the intake of table salt (sodium chloride) into the body.
• Increasing the volume of foods that have an alkalizing effect (dairy products, vegetables, fruits), as well as the amount of fluid entering the body.
• A slight decrease in the amount of proteins and fats supplied with food (refractory lipids of animal origin are mainly limited). In the case of concomitant obesity of varying severity, the diet can be adjusted by reducing the amount of carbohydrates in the diet.
• Culinary processing is normal, food can be boiled, steamed, fried, stewed, baked. The exception is meat; it cannot be boiled. It is also prohibited to cook dishes in broth, which contains a large number of extractive compounds, in particular purine bases.

The diet when using diet 6 includes a certain chemical composition, the ratio of the main classes of organic compounds and energy value:

• Proteins – 70-80 g, of which 50% are proteins of animal origin.
• Carbohydrates – 400 g, of which 80 g is sugar.
• Fats – 80-90 g, of which 30% include lipids of plant origin.
• Table salt (sodium chloride) – 10 g.
• Liquid – 1.5-2 l.
• Energy value – 2500-2700 kcal.
• The total amount of food per day is 3 kg.

The frequency of meals per day is 4-5 times a day. To reduce the functional load on the organs of the digestive system, it is recommended to take meals in small portions.

What you can and cannot eat in the table

Our table will help you make the choice of foods for the “table 6” diet easier:

For the “6” diet according to Pevzner to help, it is recommended to use products only from the proposed table.

Mechanism of therapeutic action

Purine bases (nucleotides) represent a class of organic compounds that are the basis of the genetic material of cells (DNA, RNA). In the human body, they are involved in a complex metabolism, which results in the formation of uric acid, which is excreted in the urine. Gout is a metabolic disease in which the number of enzymes directly involved in nucleotide metabolism decreases. The result is an increase in the concentration of uric acid, the excess of which is deposited in the tissues in the form of crystals of uric acid salts. Some of them often accumulate in the tissues of joint structures, leading to the development of a specific inflammatory process and attacks of pain (attacks of “gouty” joint pain). Diet 6 for gout involves reducing the intake of purine bases into the human body, thereby reducing the concentration of uric acid in the blood and its salts in tissues.

Due to the reduced content of oxalic acid in the diet, it is possible to reduce the intensity of the formation of insoluble stones, therefore diet 6 helps prevent the development of urolithiasis. The table mainly includes food products that affect the reaction of urine, causing it to become alkaline. This leads to partial dissolution of already formed acid salts and insoluble stones from them.

Eating at least 4 times a day, reducing the level of refractory fats and extractive compounds have a beneficial effect on the state of the digestive system and the general well-being of a person.

Diet menu No. 6

Diet table No. 6 was developed by the Soviet scientist Pevzner and is therapeutic. It is prescribed to people suffering from urolithiasis and gout. The essence of the diet is to exclude from the diet foods rich in oxalic acid and purines - these are sausages, young meat, nuts, legumes, rhubarb, fatty meat and fish broths, as well as chocolate and cocoa. At the same time, the emphasis in nutrition is on fruits, vegetables and dairy products. The amount of salt consumed on this diet should be significantly reduced.

You should also somewhat limit the proportion of fats and protein foods in the menu, and in case of obesity, fast carbohydrates too. At least four meals a day. It is worth noting that diet table No. 6 requires mandatory preliminary boiling of fish, meat and poultry - this is necessary to completely eliminate purines from the food composition. The rest of the dishes are prepared as usual.

Indications

There are several main medical indications, in the presence of which diet 6 is prescribed, these include:

• Gout.
• Uric acid diathesis with an increased likelihood of the formation of insoluble stones in the hollow structures of the urinary tract.
• Uraturia is an increased excretion of insoluble urate salts in the urine.
• Urolithiasis - diet 6 is a prerequisite for successful treatment of the formation of insoluble stones in the hollow structures of the urogenital tract, as well as for the prevention of the pathological condition.
• Oxaluria is an increase in the concentration of insoluble acid salts of oxalates in the urine, which is the initial stage of the development of urolithiasis.
• Cystinuria is an increase in the level of certain insoluble salts in the urine that have an acidic reaction. The pathological process in most cases is of hereditary origin.

Basic principles of nutrition for gout

It is important to follow several recommendations for shaping your daily diet. The diet for gout and high uric acid, what is possible and what is not, includes the following rules:

1. Eat the right fats. When reducing the level of animal fats in your diet, include vegetable oils, in particular olive, sunflower, and corn oils.
2. Lose weight. Excess body weight aggravates the course of the disease, provokes kidney dysfunction, and eliminates the possibility of normal excretion of uric acid. If you are overweight, reduce the energy value of your diet.
3. Drink a lot. In the absence of edema and normal kidney function, abundant fluid intake is recommended. It is important for you to drink at least two and a half liters of liquids per day, including plain water with lemon juice, as well as fruit and berry juices, herbal teas, rosehip infusion, and milk.
4. Take a multivitamin. To correct the condition, it is especially important to consume sufficient amounts of vitamins C, PP and B2.
5. Eat foods that alkalize your urine. These include almost all fresh fruits and berries. Their value in the diet also lies in their high potassium content, which has a diuretic effect.
6. Drink alkaline mineral water. It alkalinizes urine, which makes its composition active against uric acid. The alkaline reaction of urine helps dissolve dangerous compounds and reduces the risk of disease progression.
7. Avoid alcohol. Alcoholic drinks disrupt kidney function, which makes it impossible to remove uric acid from the body. Even taking them periodically can provoke an attack and exacerbation.
8. Reduce salt content. Salt itself promotes the deposition of uric acid crystals in the joints. Its increased content in food reduces the intensity of urine excretion and causes swelling, which eliminates the diuretic effect necessary during exacerbations. Reduce salt intake in dishes to a minimum.

It is also worth arranging fasting days. Once a week, give your body a relief from rich food. What is good for you is one-day mono-diets on foods low in purines. In the summer, arrange fasting days on watermelons, which perfectly remove uric acid and salts from the body. In spring and autumn, use cucumber and apple mono-diets. In winter, potato is suitable. All of these foods are rich in potassium and fiber that are valuable to you.

Contraindications

There are several contraindications for using diet 6, these include:

• Individual intolerance to most products that form the basis of table 6 or the development of an allergic reaction in response to their entry into the human body.
• Severe cardiovascular pathology.
• Acute inflammatory kidney diseases.

The presence of contraindications is usually the basis for correction of dietary recommendations. At the same time, the list of permitted products is expanded or narrowed, certain dishes are replaced, as well as the diet. After the correction, it is usually possible to achieve the necessary therapeutic effect from the diet without negative effects on the human body.

Diet for children

Gout and urolithiasis are considered diseases of older people. But more and more often they appear in young patients and are even diagnosed in young children. Table No. 6 is suitable for both adult patients and children. The only difference is in the energy value and chemical composition of the diet. For children, the menu is compiled taking into account the weight and degree of illness.

• We recommend reading: hypoallergenic diet for children

If the child has been instilled with the principles of proper nutrition, the diet will be tolerated very easily. Moreover, you can use new recipes every day and delight your little ones with delicious, healthy dishes.

Authorized Products

Diet 6 involves taking dishes from a fairly wide list of permitted foods, which include:

• The first courses are vegetarian borscht, cabbage soup, soups with cereals or vegetables that are cooked without adding meat or fish broth, okroshka, beetroot soup.
• Cereals - porridges from all cereals (millet, buckwheat, rice, barley, wheat groats), cooked in water, the quantity is usually limited.
• Meat and fish are low-fat varieties (rabbit, chicken, beef), their consumption is limited. They are included in the diet only 3 times a week in the amount of 150-160 g.
• Chicken egg - 1 piece per day in any form (omelet, hard-boiled or soft-boiled egg, scrambled egg).
• Dairy products - low-fat whole milk, sour cream, cottage cheese, kefir, small amounts of unsalted hard cheese, yogurt.
• Vegetables, fruits – any fruits and vegetables can be consumed fresh or after heat treatment.
• Sweets – marmalade, pastille, jam, jelly, cream, honey.
• Fats - vegetable, butter, ghee, mainly in other dishes.
• Flour products – bread made from wheat or rye flour, products with bran.
• Drinks - black or green tea, fruit or vegetable juices, compotes, weak coffee, rose hip decoction.

General characteristics of dietary table No. 6

Diet No. 6 satisfies human physiological needs for nutrients and energy, and is enriched with plant fiber. Nitrogenous extractives (purines), oxalic acid, and foods rich in essential oils are sharply limited. Meat, poultry and fish - no more than 3 times a week in small pieces. Food is prepared steamed, boiled and baked. Diet No. 6 provides for fractional meals 4-6 times a day. You must drink permitted drinks on an empty stomach and between meals.

Prohibited Products

There are a number of the following food products, the intake of which is excluded while using diet 6:

• Any broths based on meat or fish, as well as sauces prepared on their basis.
• Legumes, green beans, peas, sorrel and any products made from them.
• Offal.
• Fatty meat (pork, lamb, duck, goose), smoked meat, sausage.
• Almost any dried fruit except prunes.
• Confectionery with powdered sugar, muffins, chocolate.
• Marinades, pickles.
• Mushrooms in any form.
• Rhubarb, cauliflower, spinach.
• Salty hard cheeses.
• Cocoa, hot chocolate, strong black coffee, tea.
• Spices, mustard, black pepper, horseradish.
• Raspberries, cranberries.
• Alcoholic drinks.

What should you not eat if you have gout?

If the patient has damage to the joints on the legs, you need to find out what you can’t eat if you have gout. The fact is that while following a diet, some foods (even fruits) are not recommended to be consumed, since they contain a certain amount of purines. It is impossible to cure or at least eliminate symptoms without proper nutrition.

Diet for gout and high uric acid, what not to eat, food table:

The following drinks should not be consumed: any alcohol, especially beer and wine; coffee, cocoa, strong tea (despite the fact that the drinks presented contain purines, they are not broken down into uric acid, however, they have a strong diuretic effect, which promotes dehydration).

Nutritional Features

To obtain the maximum therapeutic effect while using Diet 6, it is important to pay attention to the following several features of proper nutrition:

• The diet includes eating 4-5 times a day.
• Single portions should be small, thereby reducing the functional load on the digestive system, improving the absorption of the main ingredients into the blood, and reducing the risk of developing fermentation and putrefactive processes in the intestinal lumen.
• It is recommended to take the last meal no later than 2 hours before expected sleep (in accordance with the latest gastroenterological recommendations, the period of time between dinner and bedtime increases to 3-4 hours).
• The diet is not gentle, so chopping food and dishes prepared from them is not recommended. For better absorption, it should be chewed thoroughly before swallowing.
• The temperature of the food consumed can vary within fairly wide limits. Avoid eating very hot or very cold foods.
• Steaming of food is allowed, it can be boiled, fried, stewed and baked.

Recipes for gout

Recipes for gout are very easy to prepare and do not require special preparation or a specific set of products. Anyone can repeat them at home.

Light puree soup

Required Products:

• 1 carrot, 1 onion, champignons, 2 tablespoons lemon juice, ½ teaspoon sugar, 2 tablespoons sunflower oil, 30 g cream.

Preparation:

• We clean and chop the vegetables. Place the cooked carrots and onions in a pan with heated oil, put on the fire, and simmer for 7-8 minutes. Add spinach leaves and blend until pureed. Add lemon juice, sugar and let it boil; when serving, add cream to the plate.

Cottage cheese casserole

Products:

• 3 chicken eggs, 100 g semolina, 100 g sugar, 2 packs of cottage cheese, 200 g low-fat sour cream, dried fruits, salt, soda, slaked with lemon juice.

Preparation:

• Mix all ingredients thoroughly, add 0.5 teaspoon of soda, slaked with lemon juice, and raisins. Pour the resulting mass into the prepared baking dish and bake in the oven at 180 degrees until lightly browned.

Steamed chicken meatballs with gravy

Products:

• Chicken fillet 350 g, 70 g onions, 30 ml milk, 1 chicken egg, 150 g boiled rice, 70 g white bread, pepper. Salt, herbs. For the gravy: 150 g carrots, 200 ml chicken broth, 50 g herbs, 70 g onions, vegetable oil, 50 g sour cream, 15 g wheat flour, salt, pepper, green onions for serving.

Preparation:

• Cut the chicken fillet, put it in a blender, add onions, a raw chicken egg and bread soaked in milk, pepper, and dry dill. Grind thoroughly. Add boiled cold rice, fine table salt and mix the minced meatballs, let it sit for 20 minutes in the refrigerator. Form meatballs and steam for 6-8 minutes. Sauté onions and carrots, add chicken broth, herbs, wheat flour, salt to taste and sour cream. Warm up over low heat. Place the steamed meatballs into the prepared gravy and cook for another 5-6 minutes, sprinkle with green onions.

Eggplant and minced meat casserole

Products:

• eggplant, flour, vegetable oil, onion, garlic, minced meat, tomato paste, cheese, cream, black pepper, salt.

Preparation:

• Sprinkle the eggplant slices cut lengthwise with salt, pepper to taste, roll in flour and fry a little in vegetable oil on both sides. Sauté the garlic and onion until golden brown, add the minced meat and simmer for 3 minutes. Add tomato paste, pepper and salt and water (1/2 tbsp.) Simmer for another 2 minutes. Place eggplants, minced meat and grated cheese in layers in a mold, pour in cream and bake for half an hour in a preheated oven, temperature - 180˚C.

Pumpkin puree soup

Products:

• water – 1 liter; pumpkin (pre-clean) – 500 g; butter – 2 tbsp. l.; rice – 2 tbsp. l.; milk – 2 tbsp.; sugar – 1 tbsp. l.; salt - on the tip of the knife.

Preparation:

• Place diced pumpkin, washed rice, salt and sugar in a pan, add water and cook until tender. Pour over melted butter, rub everything through a sieve or grind with a blender and pour in boiled milk. Let the soup boil and season with boiled cream.

To avoid painful symptoms, seek medical help at the first warning signs and strictly follow all the recommendations of your doctor. Including those related to nutritional adjustments. An experienced nutritionist will help you create the right menu, who will tell you what you can eat with an increased concentration of uric acid, and which foods you should avoid forever.

Sample menu for the week

Monday

• Breakfast - salad made from fresh carrots, cucumbers, cabbage, bread with bran, rosehip decoction.
• Lunch – 1 soft-boiled egg, carrot and pumpkin salad, rowan decoction.
• Lunch - soup cooked with milk, cutlets made from zucchini, boiled potatoes, apple compote.
• Afternoon snack – cottage cheese with fruit.
• Dinner – cabbage rolls with vegetables, whole low-fat milk.

Tuesday

• Breakfast - casserole with cottage cheese, juice from apples and carrots.
• Lunch – fruit yoghurt with cereals.
• Lunch – vegetable soup cooked in water, cabbage salad, tomato juice.
• Afternoon snack – fruit jelly with white bread.
• Dinner – oatmeal, boiled in water, baked vegetables, green tea.

Wednesday

• Breakfast – sweet rice porridge, boiled in water, with apples, fruit juice.
• Lunch – fresh fruit.
• Lunch – vegetarian borscht, cutlets made from carrots, low-fat whole milk.
• Afternoon snack – yogurt, fresh fruit.
• Dinner - rice boiled in water with the addition of bell pepper, pancakes with added fruit, compote.

Thursday

• Breakfast - buckwheat porridge cooked in water, toast with jam and a small amount of butter, low-fat whole milk.
• Lunch – weak black tea with marmalade and marshmallows.
• Lunch – soup boiled in water with potatoes and pearl barley, pancakes with cottage cheese, green tea.
• Afternoon snack – fresh fruits and berries, juice.
• Dinner – cheesecakes with banana, bran decoction.

Friday

• Breakfast – cheesecakes, fruit jelly, kefir.
• Lunch – oatmeal with milk.
• Lunch - soup with zucchini, boiled in water, boiled fish without bones, mashed potatoes with the addition of a small amount of sunflower oil.
• Afternoon snack – milkshake made with fruit.
• Dinner - salad with egg, croutons, carrots, sour cream, corn porridge boiled in water, fermented baked milk.

Saturday

• Breakfast - casserole cooked with cottage cheese and carrots, oatmeal with apple, boiled in water, apple compote.
• Lunch – milk soup.
• Lunch – buckwheat porridge cooked in water, beef cutlet, stewed cabbage, fruit juice.
• Afternoon snack – fresh fruits and berries.
• Dinner - pasta cooked in water, boiled beet salad with vegetable oil, jelly with white bread.

Sunday

• Breakfast – okroshka without adding meat, fruit compote.
• Lunch – fruit and low-fat cream.
• Lunch – stewed vegetables in the form of a stew without adding meat, kefir.
• Afternoon snack – juice from apples and carrots, a piece of white wheat bread.
• Dinner – salad made from fresh vegetables, boiled chicken fillet, fruit drink.

Dish recipes

The vinaigrette

Ingredients:

• 3 potatoes;
• 1 beet;
• 1 carrot;
• 100 grams of sauerkraut;
• 2 pickled cucumbers;
• Half a bunch of green onions;
• 50 grams of olive oil;
• A pinch of salt.

Preparation:

Boil potatoes, beets and carrots. Cut all vegetables into cubes, mix with all other ingredients and mix thoroughly.

Curd cupcakes

Ingredients:

• 500 grams of low-fat cottage cheese;
• 150 grams of rice flour;
• 70 grams of pitted cherries;
• 2 eggs;
• ½ tsp. baking powder;
• ½ vanillin
• 2 tbsp. l. stevia.

Preparation:

Mix all ingredients thoroughly, pour the dough into molds and place in an oven preheated to 180 degrees for 20 minutes.

Diet shawarma

Ingredients:

• Armenian lavash for 1 serving;
• 50 grams of boiled chicken fillet;
• ½ cucumber;
• ½ tomato;
• ½ bell pepper;
• Parsley and dill to taste;
• 20 grams of tomato paste.

Preparation:

Lightly grease the pita bread with tomato paste. Cut the meat into small pieces and vegetables into strips, chop the greens. Place all ingredients on pita bread and wrap it. A delicious snack is ready.

Table 6 according to Pevzner will give a very good therapeutic effect if you follow all its rules. Already on the 2-3rd day of following the menu, renal colic stops bothering you, after a week the concentration of uric acid normalizes, the general condition improves, and the patient quickly recovers.

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Doctor's opinion

Diet 6 was developed by physician Pevzner to improve the metabolism of uric acid in gout. At the same time, first of all, it was possible to achieve a decrease in the flow of nucleotides into the human body, which accordingly affected the course of gout. Within a few days after starting food intake, the patient’s general condition improved, and the frequency, duration and severity of gout attacks decreased. By reducing the functional load on the digestive organs, their work improves, dyspeptic symptoms, including bloating (flatulence), stool disorders, and discomfort in the stomach, are reduced. In the presence of concomitant obesity, the use of a modified diet 6 made it possible to reduce the patient's body weight. Dietary recommendations can be carried out in a medical hospital or at home. Table 6 is recommended for people with a hereditary predisposition to the development of gout to prevent pathological disorders of nucleotide metabolism.

Sample menu for gout

A therapeutic diet for gout reduces the risk of relapse of the disease, relieves pain, and normalizes the functioning of the urinary system. In addition, such a nutritional system helps normalize body weight and is one of the principles of a healthy lifestyle.

Diet for gout and high uric acid, do’s and don’ts, sample menu:

First day:

• Before meals: a glass of rose hip decoction.
• 1st breakfast: tea with milk, cabbage salad.
• 2nd breakfast: vegetable juice.
• Lunch: borscht with vegetable broth, a piece of boiled meat with white sauce (no more than 100 g)
• Afternoon snack: a glass of rose hip decoction.
• Dinner: buckwheat with milk, vegetable cabbage rolls.
• Before bed: fruit juice.

Second day:

• Before meals: a glass of rose hip decoction.
• 1st breakfast: tea with milk, beet salad, dressed with butter or sour cream.
• 2nd breakfast: vegetable juice.
• Lunch: vegetable soup with barley, cabbage schnitzel.
• Afternoon snack: fruit juice.
• Dinner: carrot cutlets, jelly.
• Before bed: watermelon or a glass of yogurt.

The list of dishes can be combined, do not forget that the effect of diet therapy can be achieved and consolidated for a long time only with its full compliance.

Therapeutic diet for this pathology

The therapeutic diet is aimed at reducing the consumption of protein products of animal origin. The allowed amount is up to 1 g per 1 kg of body weight. It is imperative to maintain water balance, the amount of liquid you drink is up to 2 liters per day. As a liquid, you can use rosehip decoction, fruit juice, water with lemon, or alkaline mineral water. Alkaline water prevents the occurrence of nephrolithiasis. Salt consumption is limited, because it retains fluid in the body and disrupts lymphatic drainage. Diet therapy for gout is aimed at eliminating foods that are rich in purines.

Products that should be excluded:

• rich meat and fish broths;
• yeast baked goods;
• legumes;
• fatty fish, sprats, sardines, pike;
• offal;
• lard, lard;
• porcini mushrooms, champignons;
• sweets – cakes, pastries, sweets, chocolate;
• greens - spinach, sorrel, rhubarb;
• vegetables – asparagus, cauliflower, radish, radish;
• fruits – figs;
• cereals – white peeled rice;
• sausages, smoked meats;
• yeast products.

It is recommended to consume meat boiled, because... purine bases remain in the broth.

It is necessary to exclude or limit the consumption of coffee, strong tea, spices, smoked foods, fatty foods, and alcohol.