The effects of the Mediterranean diet on rheumatoid arthritis prevention and treatment: a systematic review of human prospective studies

被引:140
作者
Forsyth, Casuarina [1 ]
Kouvari, Matina [2 ]
D'Cunha, Nathan M. [1 ,3 ]
Georgousopoulou, Ekavi N. [1 ,2 ,3 ]
Panagiotakos, Demosthenes B. [1 ,2 ,4 ]
Mellor, Duane D. [1 ,3 ,5 ]
Kellett, Jane [1 ,3 ]
Naumovski, Nenad [1 ,3 ]
机构
[1] Univ Canberra, Fac Hlth, Discipline Nutr & Dietet, Locked Bag 1, Canberra, ACT 2601, Australia
[2] Harokopio Univ, Fac Hlth Sci & Educ, Dept Nutr Dietet, Athens 17671, Greece
[3] Collaborat Res Bioact & Biomarkers CRIBB Grp, Kirinari St, Canberra, ACT 2617, Australia
[4] Rutgers State Univ, New Brunswick, NJ 08901 USA
[5] Coventry Univ, Sch Life Sci, Coventry CV1 2DS, W Midlands, England
关键词
Rheumatoid arthritis; Mediterranean diet; Autoimmune; Review; Arthritis; CARDIOVASCULAR-DISEASE; 10-YEAR INCIDENCE; RISK; ADHERENCE; INTERVENTIONS; MORTALITY; QUALITY; ATTICA;
D O I
10.1007/s00296-017-3912-1
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Rheumatoid arthritis is a progressive autoimmune disease characterised by severely swollen and painful joints. To compliment pharmacotherapy, people living with rheumatoid arthritis often turn to dietary interventions such as the Mediterranean diet. The aim of the present systematic review is to discuss the effects of the Mediterranean diet on the management and prevention of rheumatoid arthritis in human prospective studies. Four studies met the inclusion criteria, including two intervention studies reporting improvement in the pain visual analogue scale (p < 0.05) and a decrease in the health assessment questionnaire for rheumatoid arthritis score (p < 0.05) in the Mediterranean diet groups. Only one study reported a reduction in the 28 joint count disease activity score for rheumatoid arthritis for the Mediterranean diet group (p < 0.05). This review has identified beneficial effects of the Mediterranean diet in reducing pain and increasing physical function in people living with rheumatoid arthritis. However, there is currently insufficient evidence to support widespread recommendation of the Mediterranean diet for prevention of rheumatoid arthritis.
引用
收藏
页码:737 / 747
页数:11
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