What are the benefits of moderate exercise for gout patients? (Weight control, metabolic improvement)

Ottfried Dörschner
Ottfried Dörschner
Clinical researcher with 7 years in metabolic diseases.

When suffering from gout, many people are afraid to move, thinking that any movement will cause joint pain, and simply choose to lie still. However, this idea is incorrect. Moderate exercise offers numerous benefits for us gout patients, mainly the two points you mentioned:

1. Control weight, 'reduce the burden' on joints

Think of it this way: our body is like a car, and our joints are the axles. The heavier the body, the greater the pressure on the axles. This is especially true for our knees, ankles, and toes, which are precisely the areas gout most frequently attacks. Exercise, especially activities like brisk walking and swimming, can help you burn calories and gradually reduce your weight.

With less weight, the pressure on your joints naturally decreases, wear and tear is reduced, and the likelihood of gout attacks also lowers. Furthermore, many studies indicate that obesity itself leads the body to produce more uric acid, so weight loss is a form of 'uric acid-lowering' treatment in itself.

2. Improve metabolism, help the body 'detoxify'

Metabolism, simply put, is the body's ability to process ingested food and excrete waste. Uric acid is one such 'waste product' that needs to be eliminated.

When you exercise, your overall blood circulation speeds up, and the 'factories' (cells) in your body operate more efficiently. This helps the kidneys more effectively filter uric acid from the blood and excrete it through urine. Sweating more can also help eliminate a small amount of uric acid. Therefore, consistent exercise can make your 'waste disposal system' more efficient, preventing uric acid from accumulating in the body and forming those excruciatingly painful urate crystals.

Besides these two points, there are additional benefits:

  • Strengthen joint function: Exercise strengthens the muscles around the joints, providing better protection and support.
  • Improve overall health: Beneficial for blood sugar, blood pressure, and blood lipids, which are often issues for gout patients.

However, exercise must be done correctly:

  • Avoid exercise during acute attacks: When joints are red, swollen, hot, and painful, it's crucial to rest and let the inflammation 'die down' first.
  • Choose the right exercises: Low-intensity aerobic exercises like swimming, brisk walking, jogging, cycling, yoga, and Tai Chi are recommended. Avoid strenuous, high-impact sports such as basketball or soccer, as these can cause joint damage and potentially trigger gout attacks.
  • 'Moderation' is key: Exercise until you're slightly sweating and your body feels warm, but don't push yourself to exhaustion. Excessive exercise leading to profuse sweating, if not followed by timely rehydration, can concentrate the blood and temporarily raise uric acid levels.
  • Drink plenty of water: Remember to drink plenty of water (plain water or soda water is best) before, during, and after exercise to aid uric acid excretion.

In summary: Life lies in movement, and this is especially true for gout patients. Make it a long-term habit, and you will find your body rewards you greatly.