Fish That Are High in Purines
Individuals with gout should avoid high-purine. Gout is a medical condition defined by the accumulation of uric acid that is formed by purines in foods. Purines are proteins found in certain foods and too many of them, along with other risk factors, can cause gout. Purines are found mostly in high-protein and high-fat foods. A person following a normal diet consumes from 600 to 1000 mg purines daily.
A person restricting purines due to gout should consume 100 to 150 mg purines daily. Most seafood items are high in purines and should be avoided when possible if you have gout.
High purine fish include anchovies, cod, herring, haddock, mackerel and sardines. These foods should be avoided if you have gout. According to New York University, high-purine foods contain 100 to 1000 mg purines per 3-oz. serving. The highest concentration of purines in fish is found in sardines. Choose instead other lean protein sources like poultry and pork. If vegetarian, choose dried peas and beans only twice a week due to moderate purine content in legumes.
- High purine fish include anchovies, cod, herring, haddock, mackerel and sardines.
- If vegetarian, choose dried peas and beans only twice a week due to moderate purine content in legumes.
Foods That May Cause Joint Pain
Moderate-purine fish include all other fish; there are no low purine fish. According to New York University, moderate purine foods contain nine to 100 mg purines per 3-oz. serving. Moderate purine foods also include red meats, legumes, spinach, mushrooms and asparagus. Individuals with gout should limit these foods to two servings or less per week.
Choose canned salmon for the lowest purine content with 80 mg per 100 g serving. If you have gout, fish should not be part of the daily diet due to its purine content.
- Moderate-purine fish include all other fish; there are no low purine fish.
- Individuals with gout should limit these foods to two servings or less per week.
High-purine shellfish include mussels, scallops, clams, squid, and shrimp. These foods contain between 100 to 1000 mg of purines per 3-oz. serving. They should be avoided if you have gout.
Choose instead other lean protein sources such as poultry, pork, cheeses and yogurt. Always speak with your physician to determine what level of purines should be eaten each day depending on your particular condition.
- High-purine shellfish include mussels, scallops, clams, squid, and shrimp.
- Always speak with your physician to determine what level of purines should be eaten each day depending on your particular condition.
Strawberries for Gout
Moderate-purine shellfish include all others that are not listed as high-purine shellfish. They contain between nine and 100 mg purines per 3-oz. serving.
Canned clams have some of the lowest purine levels among shellfish with about 60 mg per 100 g serving. They should be limited to two servings per week or less if you have gout.
All shellfish contain moderate or high levels of purines. If you have gout, shellfish should not be part of your daily diet.
- Moderate-purine shellfish include all others that are not listed as high-purine shellfish.
- Canned clams have some of the lowest purine levels among shellfish with about 60 mg per 100 g serving.
Foods That May Cause Joint Pain
Strawberries for Gout
Gout and Shrimp
Signs of High Uric Acid
List of Foods High in Uric Acid
Tuna & Gout
Normal Range of Uric Acid Levels in the Blood
List of Foods Containing Tyramine
Does Apple Juice Prevent Gout?
Uric Acid Levels in Nuts
- John's Hopkins: Treatment of Gout
- NYU: Low Purine Diet
- University of Pittsburgh Medical Center: Low Purine Diet
- DietaryFiberFood: Gout Causes
- National Institute of Arthritis and Musculoskeletal and Skin Diseases. Gout. Updated April 2016.
- Zhang Y, Chen C, Choi H, et al. Purine-rich foods intake and recurrent gout attacks. Ann Rheum Dis. 2012; 71(9):1448-53. doi:10.1136/annrheumdis-2011-201215
- Fischer E. Ueber die Harnsauer. 1 [On Uric Acid. 1]. Berichte der Deutschen Chemischen Gesellschaft. 1884: 17:328-338. doi:10.1002/cber.18980310304
- Ragab, G., Elshahaly, M., & Bardin, T. (2017). Gout: An old disease in new perspective – A review. Journal of Advanced Research, 8(5), 495–511. doi:10.1016/j.jare.2017.04.008
- Centers for Disease Control and Prevention. Gout. Updated January 28, 2019.
- Zgaga, L., Theodoratou, E., Kyle, J., Farrington, S. M., Agakov, F., Tenesa, A., … Campbell, H. (2012). The Association of Dietary Intake of Purine-Rich Vegetables, Sugar-Sweetened Beverages and Dairy with Plasma Urate, in a Cross-Sectional Study. PLoS ONE, 7(6), e38123. doi:10.1371/journal.pone.0038123
- Choi HK, Gao X, Curhan G. Vitamin C intake and the risk of gout in men: a prospective study. Arch Intern Med. 2009;169(5):502–507. doi:10.1001/archinternmed.2008.606
- Zhang Y, Neogi T, Chen C, Chaisson C, Hunter DJ, Choi HK. Cherry consumption and decreased risk of recurrent gout attacks. Arthritis Rheum. 2012;64(12):4004–4011. doi:10.1002/art.34677
- Arthritis Foundation. Gout Diet: Dos and Don’ts.
- Boban M, Modun D. Uric acid and antioxidant effects of wine. Croat Med J. 2010;51(1):16–22. doi:10.3325/cmj.2010.51.16
- Caliceti C, Calabria D, Roda A, Cicero AFG. Fructose Intake, Serum Uric Acid, and Cardiometabolic Disorders: A Critical Review. Nutrients. 2017;9(4):395. Published 2017 Apr 18. doi:10.3390/nu9040395
- U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition. Published December 2015.
- U.S. Department of Health and Human Services. Gripped by Gout. NIH News in Health. Published February 2014.
- Kakutani-Hatayama M, Kadoya M, Okazaki H, et al. Nonpharmacological Management of Gout and Hyperuricemia: Hints for Better Lifestyle. Am J Lifestyle Med. 2015;11(4):321–329. Published 2015 Sep 2. doi:10.1177/1559827615601973
Rachel Fox has been writing since 2010, primarily for LIVESTRONG.COM. She is a registered dietitian from Michigan. Fox received her Bachelor of Science in dietetics from Central Michigan University.