Rheumatoid arthritis and dietary interventions: systematic review of clinical trials
Abstract Context The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased attention. Objective A systematic review was conducted to update the current knowledge on the effects of nutritional, dietary supple...
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| Published in | Nutrition reviews Vol. 79; no. 4; pp. 410 - 428 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Oxford University Press
09.03.2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0029-6643 1753-4887 1753-4887 |
| DOI | 10.1093/nutrit/nuaa033 |
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| Abstract | Abstract
Context
The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased attention.
Objective
A systematic review was conducted to update the current knowledge on the effects of nutritional, dietary supplement, and fasting interventions on RA outcomes.
Data Sources
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with prespecification of all methods, Medline and Embase were systematically searched for relevant articles.
Data Extraction
Data were extracted by 2 independent reviewers.
Results
A total of 70 human studies were identified. Administration of omega-3 polyunsaturated fatty acids at high doses resulted in a reduction in RA disease activity and a lower failure rate of pharmacotherapy. Vitamin D supplementation and dietary sodium restriction were beneficial on some RA outcomes. Fasting resulted in significant but transient subjective improvements. While the Mediterranean diet demonstrated improvements in some RA disease activity measures, outcomes from vegetarian, elimination, peptide, or elemental diets suggested that responses are very individualized.
Conclusion
Some dietary approaches may improve RA symptoms and thus it is recommended that nutrition should be routinely addressed. |
|---|---|
| AbstractList | Abstract
Context
The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased attention.
Objective
A systematic review was conducted to update the current knowledge on the effects of nutritional, dietary supplement, and fasting interventions on RA outcomes.
Data Sources
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with prespecification of all methods, Medline and Embase were systematically searched for relevant articles.
Data Extraction
Data were extracted by 2 independent reviewers.
Results
A total of 70 human studies were identified. Administration of omega-3 polyunsaturated fatty acids at high doses resulted in a reduction in RA disease activity and a lower failure rate of pharmacotherapy. Vitamin D supplementation and dietary sodium restriction were beneficial on some RA outcomes. Fasting resulted in significant but transient subjective improvements. While the Mediterranean diet demonstrated improvements in some RA disease activity measures, outcomes from vegetarian, elimination, peptide, or elemental diets suggested that responses are very individualized.
Conclusion
Some dietary approaches may improve RA symptoms and thus it is recommended that nutrition should be routinely addressed. The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased attention. A systematic review was conducted to update the current knowledge on the effects of nutritional, dietary supplement, and fasting interventions on RA outcomes. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with prespecification of all methods, Medline and Embase were systematically searched for relevant articles. Data were extracted by 2 independent reviewers. A total of 70 human studies were identified. Administration of omega-3 polyunsaturated fatty acids at high doses resulted in a reduction in RA disease activity and a lower failure rate of pharmacotherapy. Vitamin D supplementation and dietary sodium restriction were beneficial on some RA outcomes. Fasting resulted in significant but transient subjective improvements. While the Mediterranean diet demonstrated improvements in some RA disease activity measures, outcomes from vegetarian, elimination, peptide, or elemental diets suggested that responses are very individualized. Some dietary approaches may improve RA symptoms and thus it is recommended that nutrition should be routinely addressed. The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased attention.CONTEXTThe impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased attention.A systematic review was conducted to update the current knowledge on the effects of nutritional, dietary supplement, and fasting interventions on RA outcomes.OBJECTIVEA systematic review was conducted to update the current knowledge on the effects of nutritional, dietary supplement, and fasting interventions on RA outcomes.Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with prespecification of all methods, Medline and Embase were systematically searched for relevant articles.DATA SOURCESFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with prespecification of all methods, Medline and Embase were systematically searched for relevant articles.Data were extracted by 2 independent reviewers.DATA EXTRACTIONData were extracted by 2 independent reviewers.A total of 70 human studies were identified. Administration of omega-3 polyunsaturated fatty acids at high doses resulted in a reduction in RA disease activity and a lower failure rate of pharmacotherapy. Vitamin D supplementation and dietary sodium restriction were beneficial on some RA outcomes. Fasting resulted in significant but transient subjective improvements. While the Mediterranean diet demonstrated improvements in some RA disease activity measures, outcomes from vegetarian, elimination, peptide, or elemental diets suggested that responses are very individualized.RESULTSA total of 70 human studies were identified. Administration of omega-3 polyunsaturated fatty acids at high doses resulted in a reduction in RA disease activity and a lower failure rate of pharmacotherapy. Vitamin D supplementation and dietary sodium restriction were beneficial on some RA outcomes. Fasting resulted in significant but transient subjective improvements. While the Mediterranean diet demonstrated improvements in some RA disease activity measures, outcomes from vegetarian, elimination, peptide, or elemental diets suggested that responses are very individualized.Some dietary approaches may improve RA symptoms and thus it is recommended that nutrition should be routinely addressed.CONCLUSIONSome dietary approaches may improve RA symptoms and thus it is recommended that nutrition should be routinely addressed. |
| Author | Petersson, Sara Danuta Nikiphorou, Elena Philippou, Elena Rodomar, Carrie |
| Author_xml | – sequence: 1 givenname: Elena orcidid: 0000-0003-0300-9572 surname: Philippou fullname: Philippou, Elena email: Philippou.e@unic.ac.cy organization: Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus – sequence: 2 givenname: Sara Danuta surname: Petersson fullname: Petersson, Sara Danuta organization: Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus – sequence: 3 givenname: Carrie surname: Rodomar fullname: Rodomar, Carrie organization: University of Nicosia Medical School, University of Nicosia, Nicosia, Cyprus – sequence: 4 givenname: Elena surname: Nikiphorou fullname: Nikiphorou, Elena organization: Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32585000$$D View this record in MEDLINE/PubMed |
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| Keywords | vegetarian diet fish oils fasting dietary supplement Mediterranean diet rheumatoid arthritis |
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The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to... The impact of various dietary interventions on rheumatoid arthritis (RA), characterized by immune-inflammatory response, has been subject to increased... |
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| Title | Rheumatoid arthritis and dietary interventions: systematic review of clinical trials |
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