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Dietary manipulation on in musculoskeletal conditions

Rayman, MP and Pattison, DJ (2008) Dietary manipulation on in musculoskeletal conditions BEST PRACT RES CL RH, 22 (3). 535 - 561. ISSN 1521-6942

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Abstract

Dietary advice and intervention clearly have a place in rheumatology and allow patients to have some control over their own disease. Although there is no evidence for efficacy of ‘fad’ diets, 30–40% of rheumatoid patients can benefit from excluding foods individually identified during the reintroduction phase of an elimination diet. A proportion of patients who follow a vegetarian or Mediterranean-type diet will experience benefit. Patients who are either overweight or obese should participate in weight-loss programmes. Those with osteoarthritis need to concentrate on reducing fat mass while maintaining muscle mass. Arthritic patients, other than those with gout, should increase their intake of oily fish and additionally supplement with fish oil for up to 3 months to see whether they experience benefit. All arthritic patients, particularly those with inflammatory disease, should be advised to ensure a good dietary intake of antioxidants, copper and zinc. Supplementation with selenium and vitamin D may be advisable.

Item Type: Article
Additional Information: NOTICE: this is the author’s version of a work that was accepted for publication in Best Practice & Research Clinical Rheumatology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Best Practice & Research Clinical Rheumatology, 22(3), June 2008, DOI 10.1016/j.berh.2007.12.010.
Uncontrolled Keywords: rheumatoid arthritis, osteoarthritis, gout, ankylosing spondylitis, dietary exclusion, BMI, obesity, fish oil, micronutrients, antioxidants, vitamin D, RHEUMATOID-ARTHRITIS PATIENTS, VITAMIN-D-RECEPTOR, BODY-MASS INDEX, POLYUNSATURATED FATTY-ACIDS, GAMMA-LINOLENIC ACID, KNEE OSTEOARTHRITIS, DISEASE-ACTIVITY, FISH-OIL, ANKYLOSING-SPONDYLITIS, ELEMENTAL DIET
Divisions: Faculty of Health and Medical Sciences > Nutrition and Metabolism
Depositing User: Symplectic Elements
Date Deposited: 10 Feb 2012 12:06
Last Modified: 09 Jun 2014 13:31
URI: http://epubs.surrey.ac.uk/id/eprint/185057

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