Nutritional Pearls: Diet and Rheumatoid Arthritis

Mediterr J Rheumatol. 2020 May 15;31(3):319-324. doi: 10.31138/mjr.31.3.319. eCollection 2020 Sep.

Abstract

Various studies have investigated the effect of diet on rheumatoid arthritis (RA) as a complimentary treatment along with standard drug therapy. Various types of diet have been investigated. Fasting, the Mediterranean diet, the Cretan Mediterranean diet, vegetarian diet, an anti-inflammatory diet and the use of various specific food substances have been in the focus of research interest. The relationship of obesity with disease activity in RA has also been investigated. A period of fasting followed by Mediterranean diet, the Cretan Mediterranean diet and an anti-inflammatory diet have been found to have a beneficial effect on disease activity in RA. Obesity has been found to be associated with increased disease activity in RA. However, weight loss appears to be related to increased mortality in RA. The use of flavonoids, resveratrol and curcumin may have a beneficial effect in RA. It appears that diet may aid in RA management as a complimentary factor to standard drug treatment.

Keywords: Cretan Mediterranean diet; Mediterranean diet; curcumin; diet; fasting; flavonoids; obesity; resveratrol; rheumatoid arthritis; vegetarian diet.

Publication types

  • Review