Nutritional Status of Iranian Women with Rheumatoid Arthritis: An Assessment of Dietary Intake and Disease Activity

Hejazi, Jalal; Mohtadinia, Javad; Kolahi, Sousan; Bakhtiyari, Mahmood; Delpisheh, Ali

doi:10.2217/whe.11.41

Cited by 23 publications

(31 citation statements)

References 29 publications

(30 reference statements)

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“…Key data from the included studies are shown in Table 1. The 12 eligible papers included five randomised controlled trials [52][53][54][55][56], one non-randomised controlled trial [57], three uncontrolled clinical trials [58][59][60], one case-control study [49], and two cross-sectional studies [50,51].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In total, four different chronic musculoskeletal pain conditions were studied: osteoarthritis (n = 3) [50,52,54], rheumatoid arthritis (n = 4) [51,53,55,59], fibromyalgia (n = 4) [49,[56][57][58], and general musculoskeletal pain (n = 1) [60].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Investigated types of dietary patterns in the experimental studies included weight loss diet (n = 2) [52,54], peptide diet (n = 1) [53], aspartame eliminated diet (n = 1) [56], vegetarian diet (n = 2) [55,60], vegan diet (n = 2) [57,59], and FODMAP (low fermentable oligo-di-mono saccharides and polyols) diet (n = 1) [58]. Additionally, in the three observational studies [49][50][51], dietary patterns of patients were obtained, and characteristics of these patterns were explored.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Using the QUALSYST tool for non-randomised controlled trials and uncontrolled clinical trials, two studies scored 0.90 [58,60], whereas two other studies were rated as 0.73 and 0.79 on the total score of 1.00 [57,59]. Using the Newcastle Ottawa risk of bias assessment tool, both cross-sectional studies were rated with five out of seven stars [50,51]. The only case-control study in this review was scored with seven out of nine stars [49].…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

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Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review

Elma

Yılmaz

Deliens

et al. 2020

JCM

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Dietary patterns may play an important role in musculoskeletal well-being. However, the link between dietary patterns, the components of patients’ diet, and chronic musculoskeletal pain remains unclear. Therefore, the purpose of this review was to systematically review the literature on the link between dietary patterns, the components of patients’ diet and chronic musculoskeletal pain. This review was conducted following the “Preferred Reporting Items for Systematic reviews and Meta-Analyses” (PRISMA) guidelines and was registered in PROSPERO with the registration number CRD42018110782. PubMed, Web of Science, and Embase online databases were searched. After screening titles and abstracts of 20,316 articles and full texts of 347 articles, 12 eligible articles were included in this review, consisting of nine experimental and three observational studies. Seven out of nine experimental studies reported a pain-relieving effect of dietary changes. Additionally, protein, fat, and sugar intake were found to be associated with pain intensity and pain threshold. In conclusion, plant-based diets might have pain relieving effects on chronic musculoskeletal pain. Patients with chronic rheumatoid arthritis pain can show inadequate intake of calcium, folate, zinc, magnesium, and vitamin B6, whilst patients with fibromyalgia can show a lower intake of carbohydrates, proteins, lipids, vitamin A-E-K, folate, selenium, and zinc. Chronic pain severity also shows a positive relation with fat and sugar intake in osteoarthritis, and pain threshold shows a positive association with protein intake in fibromyalgia.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

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Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review

Elma

Yılmaz

Deliens

et al. 2020

JCM

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“…In addition, studies have been published on Mg and some chronic diseases linked to inflammation. For example, patients with rheumatoid arthritis have been found to have inadequate Mg intake (14–16). Dietary Mg deficiency was associated with atherosclerosis, hypertension, osteoporosis, diabetes mellitus, colon and breast cancers which were suggested by several epidemiological studies (17).…”

Section: Introductionmentioning

confidence: 99%

Association of dietary magnesium intake with radiographic knee osteoarthritis: Results from a population‐based study

Qin¹,

Shi²,

S.³

et al. 2012

Arthritis Care & Research

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Purpose To examine the cross-sectional association between dietary magnesium (Mg) intake and the radiographic knee osteoarthritis (OA) among African-American and Caucasian men and women. Methods The presence of radiographic knee OA was examined among participants from the Johnston County Osteoarthritis Project (JoCo OA) and was defined as Kellgren-Lawrence (K-L) grade of at least 2 in at least one knee. The Block Food Frequency Questionnaire (FFQ) was used to assess Mg intake. Effect modifiers were explored by testing interactions of Mg intake and selected factors based on previous literature. The multivariable logistic regression model with standard energy adjustment method was used to estimate the relation of Mg intake and radiographic knee OA. Results The prevalence of knee OA was 36.27% among 2112 participants. The relation of Mg intake and radiographic knee OA was found to be modified by race (P for interaction = 0.03). An inverse threshold association was observed among Caucasians. Comparing to those in the lowest quintile, the relative odds of radiographic knee OA was cut by half for participants in the second quintile of Mg intake (OR: 0.52; 95% CI 0.34–0.79); further Mg intake did not provide further benefits (P for trend = 0.51). A statistically significant association was not observed among African Americans. Conclusion A modest inverse threshold association was found between dietary Mg intake and knee OA in Caucasians but not in African Americans. Further studies are needed to confirm the results and to elucidate the possible mechanisms of action for the racial modification.

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Gabapentin‐induced exacerbation of myasthenia gravis

et al. 2010

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Objective To examine the cross‐sectional association between dietary magnesium intake and radiographic knee osteoarthritis (OA) among African American and white men and women. Methods The presence of radiographic knee OA was examined among participants from the Johnston County Osteoarthritis Project and was defined as a Kellgren/Lawrence grade of at least 2 in at least 1 knee. The Block Food Frequency Questionnaire was used to assess magnesium intake. Effect modifiers were explored by testing interactions of magnesium intake and selected factors based on previous studies. The multivariable logistic regression model with standard energy adjustment method was used to estimate the relationship between magnesium intake and radiographic knee OA. Results The prevalence of knee OA was 36.27% among the 2,112 participants. The relationship between magnesium intake and radiographic knee OA was found to be modified by race (P for interaction = 0.03). An inverse threshold association was observed among whites. Compared to participants in the lowest quintile, the relative odds of radiographic knee OA were cut by one‐half for participants in the second quintile of magnesium intake (odds ratio 0.52, 95% confidence interval 0.34–0.79); further magnesium intake did not provide further benefits (P for trend = 0.51). A statistically significant association was not observed among African Americans. Conclusion A modest inverse threshold association was found between dietary magnesium intake and knee OA in whites, but not in African Americans. Further studies are needed to confirm these results and to elucidate the possible mechanisms of action for the racial modification.

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Nutritional Status of Iranian Women with Rheumatoid Arthritis: An Assessment of Dietary Intake and Disease Activity

Abstract: Intake of energy and some micronutrients were significantly lower than the recommended values. However, no relationship was found between intake of different food groups or nutrients with disease activity or serum antioxidant capacity.

Cited by 23 publications

References 29 publications

Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review

Do Nutritional Factors Interact with Chronic Musculoskeletal Pain? A Systematic Review

Association of dietary magnesium intake with radiographic knee osteoarthritis: Results from a population‐based study

Gabapentin‐induced exacerbation of myasthenia gravis

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