Re-evaluation of dietary interventions in rheumatoid arthritis: can we improve patient conversations around food choices?

Autor: Sharma P; College of Medicine and Public Health, Flinders University, Flinders Health and Medical Research Institute, Adelaide, SA, Australia., Brown S; Flinders University Library, Adelaide, SA, Australia., Sokoya EM; College of Medicine and Public Health, Flinders University, Flinders Health and Medical Research Institute, Adelaide, SA, Australia. elke.sokoya@flinders.edu.au.
Jazyk: angličtina
Zdroj: Rheumatology international [Rheumatol Int] 2024 Aug; Vol. 44 (8), pp. 1409-1419. Date of Electronic Publication: 2024 Feb 20.
DOI: 10.1007/s00296-024-05541-4
Abstrakt: Rheumatoid arthritis (RA) is one of over 100 different types of autoimmune conditions. In RA, the cells of the immune system attack the tissue lining the joints, triggering inflammation. A large body of research suggests that the underlying trigger(s) of RA are unique to an individual. For example, increased risk of RA can be driven by smoking tobacco in one individual and mercury exposure in another. Due to the development of next-generation sequencing technology, the critical role of the microbiota in shaping RA risk has been elucidated. Therefore, it is surprising that diet, arguably the most important lever in shaping the gut microbiota, is ineffective in the treatment of RA, even in a sub-set of patients. To attempt to rationalise this apparent paradox, we conducted an umbrella review to address the question as to whether diet can affect outcomes in RA.
(© 2024. The Author(s).)
Databáze: MEDLINE
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