Will there be a special diet for RA in the future?

[Simba1992]

Came accross this study that is still in the making (ADIRA). A study focusing on an eventual special diet for RA that would be beneficial, like it has been shown in many other illnesses. Today there are in fact no official recommendations. Interesting background read as well in the study.

nutritionj.biomedcentral.co...

[Hessie5]

Thanks for sharing.

[PJ1163]

Interesting, I have cut out all processed food and alcohol and have to admit I feel better. I am guessing that may just be a benefit of the change rather than a change in the condition. As no one knows for sure I will have to wait for the results of the study.

[Downtime]

Very interested in seeing the results of this trial. Personally a good diet with hardly any red meat and lots of veg and olive oil makes me feel better. Less pain and fatigue. Just got to try and cut out the red wine now!

[Simba1992 in reply to Downtime]

Yes official guidlines for RA patients that would decrease inflammation and increase wellbeing would certainly be a step forward. As it seems that such a large % infact seem to eat nutritionally poor food and have problems with their weight. As this is what studies have shown.

[Shalf in reply to Downtime]

Let me know how or if you cut out the red wine 😄

[Simba1992 in reply to Shalf]

Unfortunately I cannot take alcohol when on LDN but do take a glas of red sometimes, my favorate wine and it makes me feel good 😊

[Shalf in reply to Simba1992]

Me too! 🍷

[MissMinto]

This trial is really interesting and encouraging!

However one thing jumped out at me: "The primary outcome measure, DAS28, is the most clinically relevant outcome and often used in double-blinded pharmacological interventions."

I see this as something of a stumbling block - the DAS28 score is used universally by rheumatologists but is, in my experience, a really unreliable measure. It doesn't take into account any disease activity in joints below the hips (e.g. feet and knees) and is influenced by inflammation markers such as ESR which we all know can be elevated by simple things like a cough/cold and many other things not related to RA. Conversely, it's also known that many people on here have blood tests showing no disease activity when their joints are jumping!

I just wish a group of rheumatologists AND patients could come up with something better than the DAS28 score because all the time it's used as "the primary outcome measure" people with RA are being sold short, and many can't get access to biologics because their DAS score isn't high enough - even though they may be unable to walk because their feet are so bad.

[Padram]

Hi Simba, finally something that will cheer the people who think Diet plays a part in inflammation. Thank you for sharing this.

[Padram]

greenmedinfo.com/blog/your-...

This is your body (and brain) on gluten.

Sharing this article for everyone 's benefit.

[Simba1992 in reply to Padram]

Thank you for this. Useful read.👍🏻

[Hidden]

Thanks

Certain foods definitely cause terrible gut issues for me. Some being so bad I'm afraid to leave the house! I developed IBS along side the PsA.

Cutting out the foods that cause me gut problems most probably helps joint inflammation, although I can't be certain. I still have dome pain, however if my gut is settled I generally don't feel so bad. Some foods cause awful pain...feels like I've swallowed battery acid!