Flarebreak Logo

Plant

Pumpernickel bread

USDA description: Bread, pumpernickel

How pumpernickel bread scores for gout, what moved that score, and the nutrition and portions behind it.

Food Index score

Pumpernickel breadExcellent

89/ 100
0100
Based on a well-supported purine estimate
What moved this score
Starting score100
Sodium-6.8
Calorie Density-4.9
Fiber+4.1
Nutrient Gaps-4
Magnesium+1.4
Purine Load-1
2 smaller factors+0.2
Final score89
Flare risk (acute)99
Long-term (chronic)90

Pumpernickel bread scores 89 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 17.4 points off a starting score of 100, and protective factors added 6.4 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

Amounts per 100 g
Typical serving25 g
Calories250
  • Total Fat3.1 g
  • Saturated Fat0.44 g
  • Sodium596 mg
  • Dietary Fiber6.5 g
  • Total Sugars0.53 g
  • Protein8.7 g
  • Calcium68 mg
  • Iron2.9 mg
  • Magnesium54 mg
  • Vitamin C0 mg
  • Folate93 ug
  • Water37.9 g
  • Alcohol0 g
  • Omega-3 EPA0 g
  • Omega-3 DHA0 g

Common portions

  • 1 slice, snack-size10 g
  • Quantity not specified32 g
  • 1 small or thin/very thin slicetypical25 g
  • 1 medium or regular slice32 g
  • 1 large or thick slice43 g
  • 1 slice, crust not eaten15 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.

PointsFactor
  • -6.8

    SodiumLong-term

    596 mg of sodium per 100 g, with no portion adjustment.

    Evidence: FitzGerald JD 2020, Arthritis Care Res

  • -4.9

    Calorie DensityLong-term

    250 kcal per 100 g, above the 80 kcal energy-density threshold.

    Evidence: Aune D 2014, Eur J Nutr

  • +4.1

    FiberLong-term

    6.5 g of dietary fiber per 100 g, with no portion adjustment.

    Evidence: Juraschek SP 2016, Arthritis Rheumatol

  • -4

    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

  • +1.4

    MagnesiumLong-term

    54 mg of magnesium per 100 g, with no portion adjustment.

    Evidence: Li X 2015, BMJ

  • -1

    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

  • +0.9

    FolateLong-term

    93 µg of folate per 100 g, with no portion adjustment.

    Evidence: Lyu LC 2017, Am J Clin Nutr

  • -0.7

    Saturated FatLong-term

    0.44 g of saturated fat per 100 g, with no portion adjustment.

    Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol

Common questions

About pumpernickel 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.

Related Gout Resources

Gout Treatments

Explore medications, therapies, and lifestyle changes to manage gout.

Learn more →

Gout Blog

Latest research, tips, and stories from the gout community.

Read articles →