Plant
Multigrain bread
USDA description: Bread, multigrain
How multigrain bread scores for gout, what moved that score, and the nutrition and portions behind it.
Food Index score
Multigrain breadExcellent
| Starting score | 100 |
| Calorie Density | -5.3 |
| Fiber | +4.6 |
| Sodium | -4.1 |
| Nutrient Gaps | -4 |
| Magnesium | +2 |
| Saturated Fat | -1.3 |
| 2 smaller factors | -0.2 |
| Final score | 92 |
Multigrain bread scores 92 out of 100 and sits in the excellent band. Among the lower-risk choices for most people with gout, and often carries protective nutrients.
Penalties took 15.7 points off a starting score of 100, and protective factors added 7.4 back. Every factor is listed in full below.
Scores run 0–100, where higher means more gout-friendly on average. They reflect relative ranking across foods, not a personal risk level. The same food can suit one person and not another, so use the score as a starting point for a conversation with your clinician.
The underlying data
Nutrition and portions
Nutrition Facts
- Total Fat4.2 g
- Saturated Fat0.87 g
- Sodium360 mg
- Dietary Fiber7.4 g
- Total Sugars6.4 g
- Protein13.4 g
- Calcium103 mg
- Iron2.5 mg
- Magnesium78 mg
- Vitamin C0.10 mg
- Folate75 ug
- Water36.9 g
- Alcohol0 g
- Omega-3 EPA0 g
- Omega-3 DHA0 g
Common portions
- Quantity not specified36 g
- 1 slice, crust not eaten16 g
- 1 small or thin/very thin slice24 g
- 1 medium or regular slicetypical36 g
- 1 large or thick slice43 g
- 1 slice, snack-size10 g
- 1 sandwich thin42 g
Where the purine figure comes from
No direct purine measurement has been published for this food, so the score uses the measured median for its category (yeast breads).
We rate this a good confidence estimate.
How purines affect the score →Nutrition values from the USDA FoodData Central database.
Scoring rationale
Every factor, in full
Each row shows the points a factor moved, what drove it, and the studies behind its weight.
- -5.3Long-term
Calorie DensityLong-term
265 kcal per 100 g, above the 80 kcal energy-density threshold.
Evidence: Aune D 2014, Eur J Nutr
- +4.6Long-term
FiberLong-term
7.4 g of dietary fiber per 100 g, with no portion adjustment.
Evidence: Juraschek SP 2016, Arthritis Rheumatol
- -4.1Long-term
SodiumLong-term
360 mg of sodium per 100 g, with no portion adjustment.
Evidence: FitzGerald JD 2020, Arthritis Care Res
- -4Long-term
Nutrient GapsLong-term
Provides meaningful amounts of only 3 of the 5 protective nutrient groups (vitamin C, fiber, omega-3, magnesium and folate).
Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2016, Arthritis Rheumatol · Zhang M 2019, Arthritis Rheumatol
- +2Long-term
MagnesiumLong-term
78 mg of magnesium per 100 g, with no portion adjustment.
Evidence: Li X 2015, BMJ
- -1.3Long-term
Saturated FatLong-term
0.87 g of saturated fat per 100 g, with no portion adjustment.
Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol
- -1Flare risk
Purine LoadFlare risk
20 mg of purines per 100 g, weighted 0.45x as a plant source and 1.0x for the typical portion: 9 mg effective.
Evidence: Choi HK 2004, N Engl J Med · Kaneko K 2014, Biol Pharm Bull · Zhang Y 2012, Ann Rheum Dis
- +0.8Long-term
FolateLong-term
75 µg of folate per 100 g, with no portion adjustment.
Evidence: Lyu LC 2017, Am J Clin Nutr
Keep looking
Similar foods in yeast breads
Bread, multigrain, reduced calorie and/or high fiber
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Bread, reduced calorie and/or high fiber, white or NFS
Yeast breads · Excellent
Bread, wheat or cracked wheat, reduced calorie and/or high fiber
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Bread, white, special formula, added fiber
Yeast breads · Excellent
Bread, whole grain white
Yeast breads · Excellent
Bread, French or Vienna, whole wheat
Yeast breads · Excellent
Common questions
About multigrain bread
Look up any food's Food Index score
Each score lists the factors that moved it, the portion it assumes, and the studies behind each factor's weight.