title: [Diet in rheumatic disease].
abstract: The goals of dietary therapy in rheumatic diseases are alleviation of under- and malnutrition, inhibition of inflammation, prophylaxis of osteoporosis, as well as recognition and treatment of nutrient sensitivities or intolerances.Inflammation inhibition in these patients is improved by manipulating the omega-3/omega-6 fatty acids ratio in the diet. Reduction of dietary arachidonic acid is recommended. This polyunsaturated fatty acid is the main precursor of pro-inflammatory mediators which interact with chemokines und cytokines. Simultaneously, intake of anti-inflammatory omega-3 fatty acids is increased. Studies have shown that this dietary regimen results in an amelioration of symptoms in patients with inflammatory rheumatic diseases. Dietary therapy in rheumatic diseases is often complicated by concomitant diseases and physical handicaps necessitating interdisciplinary patient care, consisting of rheumatologists, nutritionists, physiotherapists and ergotherapists. Dietary therapy of rheumatic diseases is an adjuvant therapy that should be initiated after a patient is properly diagnosed.
authors.affiliation: Ernährungsmedizin, Physiologikum, Ludwig-Maximilians-Universität München, Pettenkoferstr. 12-14, 80336, München, Deutschland. olaf.adam@lrz.uni-muenchen.de
authors.forename: O
authors.initials: O
authors.lastname: Adam
authors.forename: S
authors.initials: S
authors.lastname: Fasse
authors.forename: O
authors.initials: O
authors.lastname: Ditrich
mesh_terms: D019587:Dietary Supplements; D015525:Fatty Acids, Omega-3 / Q000008:administration & dosage*; D043371:Fatty Acids, Omega-6 / Q000008:administration & dosage*; D006801:Humans; D012216:Rheumatic Diseases / Q000178:diet therapy* / Q000517:prevention & control*; D016896:Treatment Outcome
chemical_list: D015525:Fatty Acids, Omega-3; D043371:Fatty Acids, Omega-6
references.citation: Arthritis Res Ther. 2009;11(3):229
references.pmid: 19519924
references.citation: Arthritis Care Res. 1993 Mar;6(1):4-10
references.pmid: 8443257
references.citation: Epidemiology. 2000 Jul;11(4):402-5
references.pmid: 10874546
references.citation: Biol Trace Elem Res. 1989 Apr-May;20(1-2):1-14
references.pmid: 2484388
references.citation: Lancet. 1993 Apr 24;341(8852):1056-7
references.pmid: 8096960
references.citation: JAMA. 2007 Feb 28;297(8):842-57
references.pmid: 17327526
references.citation: Br J Rheumatol. 1993 Jun;32(6):507-14
references.pmid: 8508288
references.citation: Acta Med Scand. 1980;208(5):401-6
references.pmid: 7457208
references.citation: Scand J Rheumatol. 1985;14(4):364-8
references.pmid: 3909379
references.citation: Scand J Rheumatol. 2001;30(4):208-12
references.pmid: 11578015
references.citation: Arthritis Res Ther. 2008;10(4):213
references.pmid: 18828865
references.citation: Autoimmun Rev. 2006 Feb;5(2):114-7
references.pmid: 16431339
references.citation: Ann Rheum Dis. 2008 Oct;67(10):1488-92
references.pmid: 18413445
references.citation: Dan Med Bull. 1994 Jun;41(3):264-74
references.pmid: 7924458
references.citation: Altern Med Rev. 2004 Jun;9(2):180-97
references.pmid: 15253677
references.citation: Joint Bone Spine. 2001 Oct;68(5):403-9
references.pmid: 11707006
references.citation: Scand J Rheumatol. 2001;30(1):1-10
references.pmid: 11252685
references.citation: Int J Biochem Cell Biol. 2007;39(1):44-84
references.pmid: 16978905
references.citation: Ann Rheum Dis. 2010 Jan;69(1):70-81
references.pmid: 19174392
references.citation: Can J Diet Pract Res. 2005 Summer;66(2):98-102
references.pmid: 15975198
references.citation: Res Exp Med (Berl). 1985;185(2):169-72
references.pmid: 3992060
references.citation: J Clin Epidemiol. 1995 Nov;48(11):1379-90
references.pmid: 7490601
references.citation: Rheumatology (Oxford). 2007 Aug;46(8):1223-33
references.pmid: 17522095
references.citation: Rheumatol Int. 2003 Jan;23(1):27-36
references.pmid: 12548439
references.citation: Ann Med. 2004;36(4):242-51
references.pmid: 15224650
references.citation: J Trace Elem Electrolytes Health Dis. 1991 Dec;5(4):261-3
references.pmid: 1822334
references.citation: Arthritis Res Ther. 2008;10(5):R123
references.pmid: 18928561
references.citation: Am J Clin Nutr. 1999 Sep;70(3 Suppl):594S-600S
references.pmid: 10479237
references.citation: Am J Cardiol. 1977 Feb;39(2):244-9
references.pmid: 835483
references.citation: Ann Intern Med. 2005 Jan 4;142(1):37-46
references.pmid: 15537682
references.citation: Mini Rev Med Chem. 2007 May;7(5):543-58
references.pmid: 17504191
references.citation: Nat Clin Pract Rheumatol. 2008 Nov;4(11):590-6
references.pmid: 18825134
references.citation: Clin Sci (Lond). 1992 Dec;83(6):657-64
references.pmid: 1336435
references.citation: Rheumatology (Oxford). 2004 Oct;43(10):1219-23
references.pmid: 15292530
references.citation: Mod Rheumatol. 2007;17(6):470-5
references.pmid: 18084698