Gota / hiperuricemia
Low-to-moderateConditionalin favorRecommendation: Se sugiere la intervención nutricional en personas con gota o hiperuricemia.
Rationale
Nutritional intervention helps reduce serum urate and gout flares in people with gout and those with hyperuricemia. The certainty of the evidence in the critical outcomes is low to moderate. This is why the recommendation is conditional in favor, because the balance between benefits and harms is favorable, although with lower certainty.
Cautions and contraindications
Before indicating nutritional changes, assess the patient's nutritional status, comorbidities, and treatments, and individualize the intervention according to their clinical condition. Carry out a screening for eating disorders and consider the possible interactions between food and the medications in use. Advise seeking professional assessment if any of these warning signs appear: involuntary weight loss, persistent digestive symptoms, decompensation of an underlying disease; and refer to a nutrition professional; where more appropriate, to the corresponding specialist when the situation requires it. Reassess the response and the tolerance periodically.
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