THE IMPACT OF DIETARY REGULATION ON THE MANAGEMENT OF RHEUMATOID ARTHRITIS IN ADULTS: A LITERATURE REVIEW
DOI:
https://doi.org/10.53366/jimki.v11i3.798Keywords:
Rheumatoid Arthritis, DietAbstract
Background: Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes pain, stiffness, and joint damage, as well as other systemic symptoms. The prevalence of RA worldwide is around 1-2%. The disease is influenced by genetic and environmental factors such as infection, pollution, and diet. Diet can affect RA symptoms; foods such as red meat, alcohol, and sodas can aggravate, while fish and berries can alleviate symptoms. The Mediterranean diet, which is rich in herbs and olive oil, as well as gluten-free vegetarian and vegan diets, show positive effects on RA. Research suggests that this diet may contribute to the lower prevalence of RA in Southern Europe compared to other regions.
Methods: This study used PubMed and Google Scholar as the main databases. Key words were used, such as “Rheumatoid Atritis”, “Diet”. Considering the relevance of the topic under study, the literature selected for inclusion in this paper covered publications from 2019 to 2024.
Discussion: The results of this systematic review suggest that anti-inflammatory, Mediterranean, and gluten-free diets may provide benefits in reducing pain and inflammation in adults with RA. The Mediterranean diet in particular has been shown to be effective in improving quality of life and reducing RA disease activity.
Conclusion: Dietary management, especially anti-inflammatory, Mediterranean, and gluten-free diets may play an important role in the control of RA symptoms in adults. Recommendations to adopt a healthy and anti-inflammatory diet may be an effective strategy in RA management.
Keywords: Rheumatoid Arthritis, Diet
References
1. Schönenberger KA, Schüpfer AC, Gloy VL, Hasler P, Stanga Z, Kaegi?braun N, et al. Effect of anti?inflammatory diets on pain in rheumatoid arthritis: A systematic review and meta?analysis. Nutrients2021;13(12).
2. Gioia C, Lucchino B, Tarsitano MG, Iannuccelli C, Di Franco M. Dietary habits and nutrition in rheumatoid arthritis: Can diet influence disease development and clinical manifestations? Nutrients2020;12(5).
3. Vadell AKE, Bärebring L, Hulander E, Gjertsson I, Lindqvist HM, Winkvist A. Anti-inflammatory Diet in Rheumatoid Arthritis (ADIRA) - A randomized, controlled crossover trial indicating effects on disease activity. American Journal of Clinical Nutrition 2020;111(6):1203–13.
4. Papandreou P, Gioxari A, Daskalou E, Grammatikopoulou MG, Skouroliakou M, Bogdanos DP. Mediterranean Diet and Physical Activity Nudges versus Usual Care in Women with Rheumatoid Arthritis: Results from the MADEIRA Randomized Controlled Trial. Nutrients 2023;15(3).
5. Shekhar K V, Pathak MM, Pisulkar G. Diet and Lifestyle Impact on Rheumatoid Arthritis: A Comprehensive Review. Cureus 2023;
6. Cutolo M, Nikiphorou E. Don’t neglect nutrition in rheumatoid arthritis! RMD Open2018;4(1).
7. Lerner A, Shoenfeld Y, Matthias T. Adverse effects of gluten ingestion and advantages of gluten withdrawal in nonceliac autoimmune disease. Nutr Rev 2017;75(12):1046–58.
8. Bustamante MF, Agustín-Perez M, Cedola F, Coras R, Narasimhan R, Golshan S, et al. Design of an anti-inflammatory diet (ITIS diet) for patients with rheumatoid arthritis. Contemp Clin Trials Commun 2020;17.
9. Sparks JA, Barbhaiya M, Tedeschi SK, Leatherwood CL, Tabung FK, Speyer CB, et al. Inflammatory dietary pattern and risk of developing rheumatoid arthritis in women. Clin Rheumatol 2019;38(1):243–50.
10. Zhan Y, Yang Z, Liu Y, Zhan F, Lin S. Interaction between rheumatoid arthritis and mediterranean diet on the risk of cardiovascular disease for the middle aged and elderly from National Health and Nutrition Examination Survey (NHANES). BMC Public Health 2023;23(1).
11. Bruzzese V. Efficacy of gluten-free diet in patients with rheumatoid arthritis. 2020;
BIBLIOGRAPHY
1. Schönenberger KA, Schüpfer AC, Gloy VL, Hasler P, Stanga Z, Kaegi?braun N, et al. Effect of anti?inflammatory diets on pain in rheumatoid arthritis: A systematic review and meta?analysis. Nutrients2021;13(12).
2. Gioia C, Lucchino B, Tarsitano MG, Iannuccelli C, Di Franco M. Dietary habits and nutrition in rheumatoid arthritis: Can diet influence disease development and clinical manifestations? Nutrients2020;12(5).
3. Vadell AKE, Bärebring L, Hulander E, Gjertsson I, Lindqvist HM, Winkvist A. Anti-inflammatory Diet in Rheumatoid Arthritis (ADIRA) - A randomized, controlled crossover trial indicating effects on disease activity. American Journal of Clinical Nutrition 2020;111(6):1203–13.
4. Papandreou P, Gioxari A, Daskalou E, Grammatikopoulou MG, Skouroliakou M, Bogdanos DP. Mediterranean Diet and Physical Activity Nudges versus Usual Care in Women with Rheumatoid Arthritis: Results from the MADEIRA Randomized Controlled Trial. Nutrients 2023;15(3).
5. Shekhar K V, Pathak MM, Pisulkar G. Diet and Lifestyle Impact on Rheumatoid Arthritis: A Comprehensive Review. Cureus 2023;
6. Cutolo M, Nikiphorou E. Don’t neglect nutrition in rheumatoid arthritis! RMD Open2018;4(1).
7. Lerner A, Shoenfeld Y, Matthias T. Adverse effects of gluten ingestion and advantages of gluten withdrawal in nonceliac autoimmune disease. Nutr Rev 2017;75(12):1046–58.
8. Bustamante MF, Agustín-Perez M, Cedola F, Coras R, Narasimhan R, Golshan S, et al. Design of an anti-inflammatory diet (ITIS diet) for patients with rheumatoid arthritis. Contemp Clin Trials Commun 2020;17.
9. Sparks JA, Barbhaiya M, Tedeschi SK, Leatherwood CL, Tabung FK, Speyer CB, et al. Inflammatory dietary pattern and risk of developing rheumatoid arthritis in women. Clin Rheumatol 2019;38(1):243–50.
10. Zhan Y, Yang Z, Liu Y, Zhan F, Lin S. Interaction between rheumatoid arthritis and mediterranean diet on the risk of cardiovascular disease for the middle aged and elderly from National Health and Nutrition Examination Survey (NHANES). BMC Public Health 2023;23(1).
11. Bruzzese V. Efficacy of gluten-free diet in patients with rheumatoid arthritis. 2020;
BIBLIOGRAPHY
1. Schönenberger KA, Schüpfer AC, Gloy VL, Hasler P, Stanga Z, Kaegi?braun N, et al. Effect of anti?inflammatory diets on pain in rheumatoid arthritis: A systematic review and meta?analysis. Nutrients2021;13(12).
2. Gioia C, Lucchino B, Tarsitano MG, Iannuccelli C, Di Franco M. Dietary habits and nutrition in rheumatoid arthritis: Can diet influence disease development and clinical manifestations? Nutrients2020;12(5).
3. Vadell AKE, Bärebring L, Hulander E, Gjertsson I, Lindqvist HM, Winkvist A. Anti-inflammatory Diet in Rheumatoid Arthritis (ADIRA) - A randomized, controlled crossover trial indicating effects on disease activity. American Journal of Clinical Nutrition 2020;111(6):1203–13.
4. Papandreou P, Gioxari A, Daskalou E, Grammatikopoulou MG, Skouroliakou M, Bogdanos DP. Mediterranean Diet and Physical Activity Nudges versus Usual Care in Women with Rheumatoid Arthritis: Results from the MADEIRA Randomized Controlled Trial. Nutrients 2023;15(3).
5. Shekhar K V, Pathak MM, Pisulkar G. Diet and Lifestyle Impact on Rheumatoid Arthritis: A Comprehensive Review. Cureus 2023;
6. Cutolo M, Nikiphorou E. Don’t neglect nutrition in rheumatoid arthritis! RMD Open2018;4(1).
7. Lerner A, Shoenfeld Y, Matthias T. Adverse effects of gluten ingestion and advantages of gluten withdrawal in nonceliac autoimmune disease. Nutr Rev 2017;75(12):1046–58.
8. Bustamante MF, Agustín-Perez M, Cedola F, Coras R, Narasimhan R, Golshan S, et al. Design of an anti-inflammatory diet (ITIS diet) for patients with rheumatoid arthritis. Contemp Clin Trials Commun 2020;17.
9. Sparks JA, Barbhaiya M, Tedeschi SK, Leatherwood CL, Tabung FK, Speyer CB, et al. Inflammatory dietary pattern and risk of developing rheumatoid arthritis in women. Clin Rheumatol 2019;38(1):243–50.
10. Zhan Y, Yang Z, Liu Y, Zhan F, Lin S. Interaction between rheumatoid arthritis and mediterranean diet on the risk of cardiovascular disease for the middle aged and elderly from National Health and Nutrition Examination Survey (NHANES). BMC Public Health 2023;23(1).
11. Bruzzese V. Efficacy of gluten-free diet in patients with rheumatoid arthritis. 2020;
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