Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases

Summary: Background: Rheumatic disease (RD) represents a broad spectrum of systemic conditions characterized by inflammation and pain in muscles or joints with a significant burden on quality of life. Increasing evidence suggests that diet could play a modulatory role in RD by influencing cardiovas...

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Main Authors: Giuditta Pagliai, Barbara Colombini, Silvia Bellando Randone, Amedeo Amedei, Serena Guiducci, Francesco Sofi
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Clinical Nutrition Open Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667268522000316
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author Giuditta Pagliai
Barbara Colombini
Silvia Bellando Randone
Amedeo Amedei
Serena Guiducci
Francesco Sofi
author_facet Giuditta Pagliai
Barbara Colombini
Silvia Bellando Randone
Amedeo Amedei
Serena Guiducci
Francesco Sofi
author_sort Giuditta Pagliai
collection DOAJ
description Summary: Background: Rheumatic disease (RD) represents a broad spectrum of systemic conditions characterized by inflammation and pain in muscles or joints with a significant burden on quality of life. Increasing evidence suggests that diet could play a modulatory role in RD by influencing cardiovascular diseases (CVD) risk factors frequently present in these patients as well as inflammation and antioxidant defence. Objectives: This review aims to summarize the available evidence on the effect of nutrients, foods and dietary patterns on the most common autoimmune inflammatory RD including rheumatoid arthritis, Sjogren's syndrome, systemic lupus erythematosus and systemic sclerosis. Results: We documented that MUFAs and PUFAs seem to have positive effects in modulating the inflammatory process. Regarding the dietary interventions, low-calorie diets, Mediterranean diet and fasting appear to be effective in reducing the symptoms of the most common RD. Positive results were also obtained in some cases with gluten-free, low-fat, vegan, elimination or anti-inflammatory diets. Conclusion: Although further and specific studies are needed, the fact that people obtained an improvement in clinical outcomes after almost all these dietary patterns suggests that a healthy diet could play a pivotal role in the RD management.
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spelling doaj.art-78fcfa52dd20496eac88e2c81b349acc2022-12-22T03:59:14ZengElsevierClinical Nutrition Open Science2667-26852022-08-01444965Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseasesGiuditta Pagliai0Barbara Colombini1Silvia Bellando Randone2Amedeo Amedei3Serena Guiducci4Francesco Sofi5Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy; Unit of Clinical Nutrition, Careggi University Hospital, Florence, Italy; Corresponding author. Department of Experimental and Clinical Medicine, University of Florence. Largo Brambilla 3, 50134 Florence. fax: +39 055 7949919.Department of Experimental and Clinical Medicine, University of Florence, Florence, ItalyDivision of Rheumatology and Scleroderma Unit, Department of Geriatric Medicine, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, ItalyDivision of Rheumatology and Scleroderma Unit, Department of Geriatric Medicine, Careggi University Hospital, Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy; Unit of Clinical Nutrition, Careggi University Hospital, Florence, ItalySummary: Background: Rheumatic disease (RD) represents a broad spectrum of systemic conditions characterized by inflammation and pain in muscles or joints with a significant burden on quality of life. Increasing evidence suggests that diet could play a modulatory role in RD by influencing cardiovascular diseases (CVD) risk factors frequently present in these patients as well as inflammation and antioxidant defence. Objectives: This review aims to summarize the available evidence on the effect of nutrients, foods and dietary patterns on the most common autoimmune inflammatory RD including rheumatoid arthritis, Sjogren's syndrome, systemic lupus erythematosus and systemic sclerosis. Results: We documented that MUFAs and PUFAs seem to have positive effects in modulating the inflammatory process. Regarding the dietary interventions, low-calorie diets, Mediterranean diet and fasting appear to be effective in reducing the symptoms of the most common RD. Positive results were also obtained in some cases with gluten-free, low-fat, vegan, elimination or anti-inflammatory diets. Conclusion: Although further and specific studies are needed, the fact that people obtained an improvement in clinical outcomes after almost all these dietary patterns suggests that a healthy diet could play a pivotal role in the RD management.http://www.sciencedirect.com/science/article/pii/S2667268522000316DietRheumatic diseaseArthritisNutrition
spellingShingle Giuditta Pagliai
Barbara Colombini
Silvia Bellando Randone
Amedeo Amedei
Serena Guiducci
Francesco Sofi
Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases
Clinical Nutrition Open Science
Diet
Rheumatic disease
Arthritis
Nutrition
title Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases
title_full Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases
title_fullStr Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases
title_full_unstemmed Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases
title_short Nutrients, foods and dietary patterns in the management of autoimmune rheumatic diseases
title_sort nutrients foods and dietary patterns in the management of autoimmune rheumatic diseases
topic Diet
Rheumatic disease
Arthritis
Nutrition
url http://www.sciencedirect.com/science/article/pii/S2667268522000316
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