痛风患者运动减肥指南：科学降尿酸

　　肥胖是高尿酸和痛风的重要危险因素。科学运动减肥能降低尿酸，但痛风患者需注意运动方式。

▲痛风患者运动

　　【肥胖与痛风】体重超标者血尿酸水平通常偏高。内脏脂肪代谢产生更多尿酸。减重是降尿酸的有效方法。

　　　　【推荐运动】游泳（无负重，最佳）、快走、骑自行车、椭圆机。这些运动对关节压力小。

　　【避免运动】跑步、爬山、深蹲、篮球足球等剧烈运动。这些运动增加关节负荷，可能诱发发作。

　　【运动时机】急性发作期休息。缓解期规律运动。每周3-5次，每次30分钟。

　　【注意事项】运动前热身、运动中补水、避免脱水。剧烈运动后乳酸堆积会抑制尿酸排泄。

　　【减肥速度】每周减重0.5-1公斤。过快减重（节食）会导致体内酮体增加，抑制尿酸排泄，反而诱发痛风。

　　【NOXA20角色】运动中或运动后关节不适时，NOXA20可短期缓解。但不应依赖药物掩盖运动损伤。

English Translation

Obesity is a major risk factor for hyperuricemia and gout. Scientific exercise and weight loss lower uric acid, but gout patients need to choose the right exercises.

Obesity and gout: Overweight people typically have higher uric acid. Visceral fat metabolism produces more uric acid. Weight loss is an effective way to lower uric acid.

Recommended exercises: Swimming (non-weight-bearing, best), brisk walking, cycling, elliptical. These put minimal stress on joints.

Avoid: Running, climbing, deep squats, basketball, soccer, and other strenuous sports. These increase joint load and may trigger attacks.

Timing: Rest during acute attacks. Exercise regularly during remission. 3-5 times weekly, 30 minutes each.

Precautions: Warm up before exercise, hydrate during exercise, avoid dehydration. Lactic acid buildup after strenuous exercise inhibits uric acid excretion.

Weight loss rate: 0.5-1 kg per week. Too-rapid weight loss (crash dieting) increases ketones, inhibiting uric acid excretion and triggering gout.

NOXA20's role: NOXA20 can provide short-term relief for joint discomfort during or after exercise. But do not rely on medication to mask exercise injuries.

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