If you're living with arthritis, the simplest tasks can seem Herculean --
especially when they involve preparing and eating meals. You're not alone.
Opening a carton of milk, slicing a tomato, or making a sandwich can be
overwhelming to the millions of people with arthritis and other conditions that
affect mobility -- and yet healthy eating is important.
So how are you supposed to eat the healthy, balanced diet that your doctors
insist is part of your treatment?
Symptoms of gout usually strike unexpectedly. They typically do not last more than a week, but may recur. Although, less commonly, some patients may have chronic pain due to gout. Symptoms of a gout attack may include:
Sudden, intense pain in a joint, typically the big toe or ankle, sometimes the knee, hand, or wrist
Swelling, inflammation, and a feeling that the joint is very hot
Extreme tenderness of the joint to even the lightest touch
Red or purple skin around the joint
"Anyone with osteoarthritis or any kind of limitation that affects their
ability to walk, use their hands, or their ability to stand, as well as those
with decreased general endurance and weakness that's secondary to another
disease, can run into trouble when it comes to preparing and eating meals,"
says Susan Underwood, RN, RD, manager of nutrition services for the Visiting
Nurse Service-Choice of New York. (VNS-Choice), a long-term care program
serving the elderly and disabled.
"Someone's ability to cook and prepare meals is compromised if they
can't stand or use their hands."
But simple strategies and tasty tips can help make cooking and eating
manageable and enjoyable once again.
Counting Your Calories
First things first: "If someone isn't as mobile as they used to be,
their total energy decreases so their calorie needs go down. But if they are
still eating the same amount as when they were more mobile, it can lead to
weight gain," Underwood says.
"Over time, they will gain weight and this will exacerbate problems with
mobility." That's why the first step is to talk with a registered dietitian
or health care provider who can evaluate calorie needs and discuss how best to
meet them, she says. The American Dietetic Association can help you find a
dietitian near you.
Harnessing the Power of Protein
Getting adequate amounts of protein is crucial for the elderly and disabled,
Underwood says. "As people get older and older, we become concerned about
weight loss and we tend to see decreased protein intake," Underwood
explains. "When you don't eat enough protein, you don't just lose fat, you
lose lean body mass and muscle that your body burns off for energy, then tissue
repair," Underwood explains.
So how do you make sure you meet your protein needs?
Tina Freiwald, RD, CDE, at Windber Medical Center in Windber, Penn.,
suggests the incredible, edible egg. "Eggs get a bad rap, but if you don't
have a problem with cholesterol, they are a good source of protein, are soft,
so they can chew them as well as cook them very easily," she says.
Tuna and salmon, which are also high in protein, now come in pouches, not
just hard-to-open cans, she says. Imitation crabmeat and frozen shrimp are also
easy to open and good sources of protein.
You can also get protein and a bonus of calcium from cottage cheese and
yogurt -- both of which are easy to chew and open, she suggests. "The less
mobility you have, the heavier you [can] get, so calories can still be an
issue, and many of these dairy foods come in low-fat varieties, which can be
helpful unless you are already not getting enough calories because you are so
frail," Freiwald says.