Diet for rheumatoid arthritis
Rheumatoid arthritis( RA) is a chronic disease of an autoimmune origin.With this pathology, the immune system begins to perceive its own connective tissue of the joints as an alien and has a damaging effect.Rheumatoid arthritis is characterized by the development of a chronic inflammatory process, the symptoms of which are pain syndrome of varying severity, a feeling of stiffness and limited mobility in the joints.Contents:
Features of the course of rheumatoid arthritisWe recommend to read:
Without adequate complex treatment, pathology becomes the cause of irreversible changes in the tissues of the joints, leading to disability of the patient.The consumption of certain foods can help to alleviate the condition and subsidence of acute symptoms, i.e., remission.Some types of food on the contrary are capable of provoking an exacerbation.
In order to improve the health of rheumatoid arthritis, the patient must abandon the acute, fried and salty foods( especially - animal origin), all kinds of spices, marinades and spirits.You need to eat as much fresh fruit and greens as possible, while minimizing the consumption of animal protein.Patients need to follow the body weight;Extra pounds increase the load on the joints, leading to exacerbations.
Note: for people with rheumatoid arthritis is useful for Mediterranean or for the vegetarian diet of .
Does the diet help with rheumatoid arthritis?
With a thorough study of the issue of the medicinal properties of products in RA, data were obtained that can not be interpreted unambiguously.Nevertheless, up to 70% of the polled patients noted that, while observing a certain curative diet, their condition improved somewhat.In some, the stiffness in the joints decreased slightly and the intensity of pain decreased, while in others there was a marked remission.
Note: according to data obtained from arthritic physicians from the American association Arthritis Foundation, for the therapy of rheumatoid arthritis diets are ineffective.However, for example, French researchers, who studied the course of the disease among adherents of Mediterranean cuisine, categorically disagree with them.
Since rheumatoid arthritis is used for complex treatment, it is quite difficult to find out how much the diet helped.In connection with the individual characteristics of the body and the different severity of the pathological process, the same food can contribute to temporary relief, and may be useless in terms of therapy of the disease.
It can be unequivocally asserted that in the event that the consumption of a certain product correlates with the exacerbation of the disease, it must be excluded from the ration.Preliminary it is necessary to receive consultation of the attending physician, and also the expert-dietician.The introduction of significant adjustments in the diet can lead to a deficit of certain nutrients and trace elements.
Fundamentals of proper nutrition in rheumatoid arthritis
Exclusion of harmful food
First of all, the patient needs to start adhering to the so-called.Elimination diet, which helps identify "problem" products, to subsequently limit their consumption or completely excluded from the diet.
If food can provoke the development of an allergy, then rheumatoid arthritis, when consumed, usually worsens.The situation in this case is the same as with individual hypersensitivity: for some people food can be completely harmless, while in others it can cause serious complications.
For 2-3 weeks, it is necessary to completely eliminate the consumption of both pure food and all meals, including even small quantities.For example, when it comes to milk, you do not need to consume sour-milk products, cheeses, ice cream, etc. In the next stage for 1 day, you need to return the product to the diet and listen carefully for your own well-being for several days.If the aggravation began to develop, this suggests a connection of an attack with food.After 3 days, the experiment should be repeated.If the condition worsened several times in a row, it can be considered that one of the problematic products is detected.It is now not worth eating at all, or, at least, during the deterioration.
There are a number of potentially dangerous products in arthritis, from which it is recommended to start testing with an elimination diet.
- milk( whole) and dairy products;
- cocoa and chocolate;
- potatoes;Oatmeal and flakes;
- corn( including cornstarch);
- millet cereals;
- fish and seafood;
Milk and Mediterranean diet
According to data obtained by the French researchers at the University of Sorbonne, more than 40% of people suffering from rheumatoid arthritis note improvement after switching to the vegetarian diet .It should be noted that complete elimination of dairy products is not required.Even the addition of oily marine fish to the diet is permissible, since it is a unique source of vitamin D and omega-3 fatty acids.
Many experts reasonably believe that the is best suited for patients with this autoimmune disease, the Mediterranean diet .It involves the consumption of a significant amount of vegetables and fruits, cereals, legumes, olive oil and nuts.The source of animal protein and many other necessary compounds is in this case sea fish and seafood.In Sweden at the beginning of the century, serious work was carried out to study the effect of this diet on the condition of patients with RA.The physical condition of the subjects improved significantly by the third month.
More vegetables and fruits!
Do not save on products of vegetable origin.In the daily diet of a patient with rheumatoid arthritis should include up to 300 grams of vegetables( not counting potatoes) and not less than 200 g of fruit.They contain a large number of biologically active compounds, characterized by anti-inflammatory and even analgesic properties.In plant foods, there are many natural antioxidants that are able to minimize the negative impact of free radicals on the connective tissue of the joints.
In addition, plants are an indispensable source of vitamins and potassium.In particular, vitamin B9, also known as folic acid, is needed by the body for the normal course of the hemopoiesis process.The compound can reduce side effects when taking a cytotoxic drug Methotrexate.Vitamin D will help strengthen bone tissue, which is also important against rheumatoid arthritis.Degenerative changes in bone and cartilage tissue develop less intensively with sufficient intake of vitamin E. Supplements containing this compound, with regular intake, help reduce the severity of the pain syndrome.
Take care of the digestive system
Therapy of chronic diseases requires the regular use of pharmacological agents, many of which have a negative effect on the liver, kidneys and stomach.In this regard, in addition to load these organs with "heavy" food for rheumatoid arthritis should not be.
For the duration of the course of drug treatment from the diet, it is advisable to exclude:
- fried foods( incl. And vegetable origin);
- smoked products;
- canned food( including homemade preparations);
- strong broth;
- solid( animal) fats;
- strong tea;
- products containing cholesterol;
- alcoholic beverages.
Please note: recommends eating baked, stewed or boiled foods instead of fried foods.Steam cooking allows you to keep the maximum possible amount of vitamins for culinary( thermal) processing.
Do not forget about calcium!
Treatment of rheumatoid arthritis often involves the administration of hormonal drugs from the group of corticosteroids.Their use leads to the fact that the body loses a large amount of calcium.Elimination of this important element is the cause of osteoporosis.To ensure that enough calcium enters the bone tissue, you need to eat more leaf greens, soy and products containing it, and also to consume skimmed milk products.
Omega-3 fatty acidsRecommended to read:
These compounds, which have anti-inflammatory properties, are present in soy bean curd, fish, nuts and flaxseed oil.Studies conducted at the American College of Rheumatology have shown that when these products are consumed in patients with RA, the pain becomes less intense during an exacerbation period, and the inflammatory process is less active.Patients are recommended food additives with fish oil.The positive effect begins to develop after their regular intake for several weeks.The individual dosage should be determined by the attending physician.
Important: during the study, patients receive significantly more omega-3 fatty acids than those found in the recommended dietary supplements.
The dose required to protect the joints, as well as the cardiovascular system, is 3 g per day.Course treatment involves taking this dosage for at least 12 weeks.In a 100-gram piece of salmon slightly more than 2 g of omega-3 fatty acids, so regular consumption of fish allows you to do without additives.
Patients should be careful not to gain extra pounds.Excess weight gives an additional burden to the aching joints of the lower limbs, which is highly undesirable.During the period of exacerbations, a relatively sedentary lifestyle must be maintained, so that calorie consumption is reduced.
To prevent weight gain, it is recommended to minimize the consumption of the following products:
- ice cream;
- sandwiches with butter;
Important: refined carbohydrates, which are present in large quantities in any confectionery, it is better to exclude from the diet altogether.
Getting rid of extra pounds can significantly improve the overall quality of life, which was convincingly proved by the studies conducted in 2006.
Gluten-free diet for rheumatoid arthritisRecommended to read:
Gluten or gluten are protein compounds that are present in most cereal crops.In addition, gluten is added to a number of fast food products, confectionery, sausages, sauces, etc. In a disease such as celiac disease, the human small intestine responds inappropriately to gluten, which results in a violation of absorption of nutrients, vitamins, minerals andMicroelements.
Studies have shown that against the background of rheumatoid arthritis the probability of developing a syndrome of celiac disease is slightly increased.In addition, data have been obtained according to which exclusion from the diet of gluten, if not stop, then, at any rate, reduces the severity of RA symptoms.This therapeutic diet does not help all patients suffering from autoimmune diseases;Here much depends on the individual characteristics of the organism.Restriction of consumption of a number of habitual products can cause the body to lose vital connections.Before trying to improve your condition with a gluten-free diet, be sure to consult with a rheumatologist and a dietitian!
Positive emotions during meals
Exacerbation of chronic diseases is a strong stressor.Consuming food in a calm environment can minimize negative emotions, because the body at the same time produces endorphins( "happiness hormones"), which have analgesic effect.
Alcohol intake for rheumatoid arthritis
When rheumatoid arthritis from alcoholic beverages is recommended to abandon altogether.If a patient takes an antimetabolite drug Methotrexate, the parallel consumption of even small doses of ethanol can lead to severe damage to the liver cells.
Trofimova Yaroslava, dietitian