Are Cashews Bad for Gout? Purines & Dietary Facts

Many wonder if cashews, a popular snack, are suitable for individuals managing gout. Diet plays a considerable role in managing this condition, prompting careful food choices. This article explores the relationship between cashews and gout, clarifying their purine content and providing practical dietary guidance.

Understanding Gout and Dietary Factors

Gout, a form of inflammatory arthritis, is characterized by sudden, severe attacks of pain, swelling, redness, and tenderness in one or more joints, most often the big toe, occurring when urate crystals accumulate and trigger inflammation. The formation of these crystals is directly linked to high levels of uric acid in the blood, a condition known as hyperuricemia.

The body produces uric acid when it breaks down purines, natural substances found in cells and foods. Normally, uric acid dissolves in the blood and is excreted by the kidneys through urine. However, if the body either produces too much uric acid or the kidneys do not excrete enough, uric acid can build up, leading to crystal formation. Foods are typically categorized by their purine content: high (150-825 mg/100g), moderate (50-150 mg/100g), and low (less than 50 mg/100g). High-purine foods include organ meats, certain seafood, and alcoholic beverages.

Cashews and Their Purine Levels

Cashews are a type of nut with a low purine content, typically less than 50 milligrams per 100 grams. Some sources indicate a purine content as low as 25-37 mg per 100 grams. This places them in the low-purine food category, unlike high-purine foods such as organ meats or certain seafood.

Beyond their low purine content, cashews offer beneficial nutrients. They are a good source of protein, fiber, and healthy monounsaturated fats. Cashews also provide vitamins and minerals such as copper, magnesium, iron, and zinc. Magnesium helps regulate blood uric acid levels and can reduce inflammation, which is beneficial for gout management.

Dietary Guidance for Cashews and Gout

Given their low purine content, individuals with gout can include cashews in their diet, consuming them in moderation due to their calorie density. A serving size for cashews is 1 ounce (15-18 whole cashews or 28 grams), which provides 157 calories.

Integrating cashews into a balanced dietary pattern is beneficial for gout management. Plant-based proteins, including nuts, are recommended over animal-based proteins. Alongside a moderate intake of cashews, maintaining adequate hydration helps the kidneys flush out excess uric acid, reducing crystal formation. While cashews are safe, choosing plain, unsalted varieties helps avoid excessive sodium intake. Personalized advice from a healthcare professional or registered dietitian is recommended to tailor dietary plans.