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Plant

Bread, white with whole wheat swirl

How bread, white with whole wheat swirl scores for gout, what moved that score, and the nutrition and portions behind it.

Food Index score

Bread, white with whole wheat swirlExcellent

88/ 100
0100
Based on a well-supported purine estimate
What moved this score
Starting score100
Calorie Density-5.1
Sodium-5
Nutrient Gaps-4
Fiber+2.6
Magnesium+1.3
Saturated Fat-1.2
2 smaller factors-0.2
Final score88
Flare risk (acute)99
Long-term (chronic)89

Bread, white with whole wheat swirl scores 88 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 16.3 points off a starting score of 100, and protective factors added 4.7 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 serving24 g
Calories260
  • Total Fat3.6 g
  • Saturated Fat0.78 g
  • Sodium440 mg
  • Dietary Fiber4.2 g
  • Total Sugars4.9 g
  • Protein10.9 g
  • Calcium187 mg
  • Iron3.0 mg
  • Magnesium52 mg
  • Vitamin C0 mg
  • Folate76 ug
  • Water37.2 g
  • Alcohol0 g
  • Omega-3 EPA0 g
  • Omega-3 DHA0 g

Common portions

  • 1 small or thin/very thin slicetypical24 g
  • 1 medium or regular slice28 g
  • 1 large or thick slice43 g
  • 1 slice, crust not eaten13 g
  • 1 slice, snack-size10 g
  • Quantity not specified28 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
  • -5.1

    Calorie DensityLong-term

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

    Evidence: Aune D 2014, Eur J Nutr

  • -5

    SodiumLong-term

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

    Evidence: FitzGerald JD 2020, Arthritis Care Res

  • -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

  • +2.6

    FiberLong-term

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

    Evidence: Juraschek SP 2016, Arthritis Rheumatol

  • +1.3

    MagnesiumLong-term

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

    Evidence: Li X 2015, BMJ

  • -1.2

    Saturated FatLong-term

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

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

  • -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

  • +0.8

    FolateLong-term

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

    Evidence: Lyu LC 2017, Am J Clin Nutr

Common questions

About bread, white with whole wheat swirl

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.

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