Diet is unlikely to mitigate the development of osteoarthritis and rheumatoid arthritis

Diet is unlikely to mitigate the development of osteoarthritis and rheumatoid arthritis

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Diet is unlikely to make any difference to the development of osteoarthritis and rheumatoid arthritis, finds a review of the existing scientific evidence, published in the open access journal. Open RMD.

While a healthy diet brings other health benefits, any effect on rheumatoid and musculoskeletal diseases is minimal and not clinically meaningful, but there are not enough high-quality nutritional studies, the review concluded.

Diet is known to influence cardiovascular and mental health outcomes, but it is not clear whether it may also influence the symptoms and progression of rheumatic and musculoskeletal diseases.

In an effort to find out, the European League Against Rheumatology (EULAR) set up an international task force in 2018 to look at the potential impact of diet, exercise, weight, alcohol, smoking and paid work on disease progression, and make appropriate recommendations for clinicians. and patients for each of these behaviors.

For dietary recommendations, the task force searched for relevant systematic reviews of randomized controlled trials or observational studies and pooled data analyzes investigating the effect of dietary ingredients/supplements on pain, joint damage, and physical function of seven common rheumatic and musculoskeletal conditions.

These were: rheumatoid arthritis; systemic lupus erythematosus; Axial spondyloarthritis. psoriatic arthritis; plaque sclerosis; And gout.

In all, 24 systematic reviews, published between 2013 and 2018, and 150 original research articles with no publication date restrictions, were included in the pooled data analysis.

Most studies relate to osteoarthritis and rheumatoid arthritis, and have included a wide range of compounds/dietary supplements: animal products; experimental diets; food ingredients; fruit and vegetable as well as other botanical interventions; Minerals and nutritional supplements. and vitamins.

There have been relatively few dietary studies on osteoporosis, which means the evidence for this has been rated poor or very poor.

Pooled data analyzes showed that for dietary interventions with moderate evidence (fish oil, chondroitin, glucosamine, vitamin D, avocado, and soy), the magnitude of the effect on disease progression was generally small and not clinically meaningful.

Evidence for most dietary interventions in rheumatoid arthritis was rated as weak or very weak, mainly due to the small number of studies and participants. There was moderate quality evidence for probiotics, vitamin D, and fish oil/omega-3 but the effect was either minimal or too small to make a significant difference.

Evidence for fish oil/omega-3 for systemic lupus erythematosus was rated as moderate but showed no effect on outcomes. The evidence for all other studies of this condition was rated as weak or very weak, as was the case for axial spondyloarthritis.

Similarly, the evidence for fish oil/omega-3 for psoriatic arthritis was rated moderate and showed no effect on outcomes. Evidence for other dietary interventions has been rated as weak. Evidence for systemic sclerosis and gout is also rated poor.

“Therefore, based on the current evidence, there is no single dietary intervention that has significant benefits on the outcome of affected people [osteoarthritis and rheumatoid arthritis]The authors concluded.

While there were far fewer research studies published than the other included [rheumatic and musculoskeletal diseases]Again, there is no consistent evidence that any food exposure significantly improves outcomes in these conditions.”

While diet may not make much difference to disease progression in these circumstances, those who live with them should make sure they are eating healthy and not gaining weight, they stress.

“Health professionals can advise people with [these conditions] The consumption of certain food components is unlikely to affect its development [disease]But it is important to maintain a healthy diet and a healthy weight for general health reasons.”

Impact of inconsistent dietary interventions in rheumatoid arthritis

more information:
Effects of diet on rheumatic and musculoskeletal disease outcomes (RMDs): a systematic review and meta-analyses to inform the 2021 EULAR recommendations for improving lifestyle in people with RMD, Open RMD (2022). DOI: 10.1136 / rmdopen-2021-002167

Submitted by the British Medical Journal

the quote: Diet unlikely to mitigate progression of rheumatoid arthritis (2022, May 31), Retrieved May 31, 2022 from .html

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2022-05-31 22:30:03

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