Per combattere la tendenza all'artrite, e per conviverci al meglio, oltre a seguire uno stile di vita che comprenda poco stress ed un pò di esercizio fisico, è utile seguire una sana alimentazione, oltre a questo è particolarmente sconsigliato l'uso di carni rosse ed invece incoraggiato l'uso di frutta e verdura freschi, di stagione, da assumere crudi, quando possibile la preferenza di cereali integrali (biologici per evitare redidui chimici che rimangono nella parte esterna del cereale), introdurre nella dieta semi oleosi ed in particolare le noci. Tra i nostri consigli per una dieta adeguata, che trovi raccolti alla voce "sana alimentazione" nel menù della colonna a sinistra, è seguire pasti regolari per evitare picchi glicemici. Assumere una certa quantità di proteine già dalla prima colazione, in associazione ai carboidrati, aiuta il controllo della glicemia e riduce la presenza, ed eventualmente l'eccesso, di citochine infiammatorie sistemiche. Sono molteplici gli studi che sostengono l'importanza del controllo di eventuali intolleranze. Molti che evidenziano l'efficacia di una dieta vegana e gluten free. In ogni caso una di eliminazione prolungata va discussa con un medico.

Leggi tutte le notizia relative all'argomento selezionando la voce "Artrite" nella sezione news del portale

ARTICOLI SUL RUOLO DELLA BARRIERA INTESTINALE E DELLA DIETA NELL'ARTRITE REUMATOIDE:

-Zonulin and Its Regulation of Intestinal Barrier Function: The Biological Door to Inflammation, Autoimmunity, and Cancer
Alessio Fasano
Physiological ReviewsPublished 1 January 2011Vol. 91no. 151-175DOI: 10.1152/physrev.00003.2008

-Diet therapy for rheumatoid arthritis. A controlled double-blind study of two different dietary regimens.
Sarzi-Puttini P, Comi D, Boccassini L, Muzzupappa S, Turiel M, Panni B, Salvaggio A.
Scand J Rheumatol. 2000; 29 (5):302-7.PMID: 11093596

“Our results suggest that individualized dietary revisions may regulate TNF-α and IL-1β levels in selected patients with RA”
-The effect of individualized diet challenges consisting of allergenic foods on TNF-α and IL-1β levels in patients with rheumatoid arthritis
Karatay S, Erdem T, Yildirim K, Melikoglu MA, Ugur M, Cakir E, Akcay F, Senel K.
Rheumatology (2004) 43 (11): 1429-1433.
doi: 10.1093/rheumatology/keh366
First published online: August 10, 2004

-General or personal diet: the individualized model for diet challenges in patients with rheumatoid arthritis. Rheumatol Int. Epub 2005 Jul 16

-Antibody response against gastrointestinal antigens in demyelinating diseases of the central nervous system (pages 1492–1495)
M. Banati, P. Csecsei, E. Koszegi, H. H. Nielsen, G. Suto, L. Bors, A. Trauninger, T. Csepany, C. Rozsa, G. Jakab, T. Molnar, A. Berthele, S. R. Kalluri, T. Berki and Z. Illes
Article first published online: 7 JAN 2013 | DOI: 10.1111/ene.12072

-Anti-Saccharomyces cerevisiae antibodies are elevated in Graves' disease but not in Hashimoto's thyroiditis.
Mankaï A1, Thabet Y, Manoubi W, Achour A, Sakly W, Ghedira I.
Endocr Res. 2013;38(2):98-104. doi: 10.3109/07435800.2012.723293. Epub 2012 Sep 19

-Effectiveness of the gluten-free, casein-free diet for children diagnosed with autism spectrum disorder: Based on parental report.
Pennesi Christine M.; Klein Laura Cousino.
Nutritional Neuroscience, 2012 DOI:10.1179/1476830512Y.0000000003

-GLIADIN IMMUNE REACTIVITY IN PATIENTS WITH RHEUMATOID-ARTHRITIS
By:PAIMELA, L; KURKI, P; LEIRISALOREPO, M); PIIRAINEN, H.
CLINICAL AND EXPERIMENTAL RHEUMATOLOGY
Volume: 13 Issue: 5 Pages: 603-607
Published: SEP-OCT 1995 Accession Number: WOS:A1995TB09400006
ISSN: 0392-856X

“The present work indicates, however, that individual susceptibility (allergy?, unusual immune response?) may be an important area for future investigations of the pathogenesis of RA”.
-Effect of dietary restrictions on disease activity in rheumatoid arthritis
DEEPA BERI, A N MALAVIYA, RENU SHANDILYA, AND R R SINGH
From the Clinical Immunology Section, Department of Medicine, All India Institute of Medical Sciences, New Delhi 110029, India
Annals of the Rheumatic Diseases, 1988; 47, 69-72

“The existence of a subgroup of patients in whom food intolerance influences the activity of rheumatoid factor seropositive rheumatoid arthritis deserves serious consideration”
Food intolerance in rheumatoid arthritis. I. A double blind, controlled trial of the clinical effects of elimination of milk allergens and azo dyes.
M A van de Laar, J K van der Korst
Ann Rheum Dis 1992; 51 : 298-302 doi: 10.1136/ard.51.3.298

-Overlap between functional GI disorders and other functional syndromes: what are the underlying mechanisms?
S. E. Kim and L. Chang
Article first published online: 2 AUG 2012
DOI: 10.1111/j.1365-2982.2012.01993.x

“Introduction:
Irritable bowel syndrome (IBS) and fibromyalgia syndrome (FMS) are two common central sensitization disorders frequently associated in the same patient, and some of these patients with IBS plus FMS (IBS/FMS) could actually be undiagnosed of coeliac disease (CD)(…)
Conclusions:
The findings of this screening indicate that a non-negligible percentage of IBS/FMS patients are CD patients, whose symptoms can improve and in whom long-term CD-related complications might possibly be prevented with a strict lifelong GFD(…)”
-Remarkable prevalence of coeliac disease in patients with irritable bowel syndrome plus fibromyalgia in comparison with those with isolated irritable bowel syndrome: a case-finding study
Luis Rodrigo, Ignacio Blanco, Julio Bobes and Frederick J de Serres
Arthritis Research & Therapy 2013, 15:R201 doi:10.1186/ar4391

-Dietary fish oil and olive oil supplementation in patients with Rheumatoid Arthritis clinical and immunologic effects
Joel M. Kremer, David A. Lawrence, William Jubiz, Ralph Digiacomo, Richard Rynes, Lee E. Bartholomew and Malcolm Sherman
Article first published online: 9 DEC 2005
DOI: 10.1002/art.1780330607

-n−3 Fatty acid supplements in rheumatoid arthritis1,2
Joel M Kremer
Am J Clin Nutr January 2000 vol. 71 no. 1 349s-351s

-High Incidence of Celiac Disease in Patients with Systemic Sclerosis
EDOARDO ROSATO, DANIELA De NITTO, CARMELINA ROSSI, VALERIO LIBANORI, GIUSEPPE DONATO, MARCO Di TOLA, SIMONETTA PISARRI, FELICE SALSANO and ANTONIO PICARELLI
Published online before print March 30, 2009, doi: 10.3899/jrheum.081000
The Journal of Rheumatology vol. 36 no. 5 965-969

-Antibodies to tissue transglutaminase and Saccharomyces cerevisiae in ankylosing spondylitis and psoriatic arthritis.
Lucrezia Riente, Daniele Chimenti, Federico Pratesi, Andrea Delle Sedie, Simona Tommasi, Cristina Tommasi, Stefano Bombardieri, and Paola Migliorini
J Rheumatol May 2004 31(5):920-924
The Journal of Rheumatology vol. 31 no. 5 920-924

-Autoantibodies to tissue transglutaminase in Sjögren's syndrome and related rheumatic diseases.
Leeanne M Luft, Susan G Barr, Liam O Martin, Edward K L Chan, and Marvin J Fritzler
J Rheumatol December 2003 30(12):2613-2619
The Journal of Rheumatology vol. 30 no. 12 2613-2619

-Commensal Gut Bacteria and the Etiopathogenesis of Rheumatoid Arthritis
CHRISTOPHER J. EDWARDS
J Rheumatol 2008;35;1477-1479 vol. 35 no. 8 1477-1479

-Dietary factors in relation to rheumatoid arthritis: a role for olive oil and cooked vegetables?
Athena Linos, Virginia G Kaklamani, Evangelia Kaklamani, Yvonni Koumantaki, Ernestini Giziaki, Sotiris Papazoglou, and Christos S Mantzoros
Am J Clin Nutr 1999;70:1077–82.

-Effects of high-dose fish oil on rheumatoid arthritis after stopping nonsteroidal antiinflammatory drugs clinical and immune correlates
Joel M. Kremer, David A. Lawrence, Gayle F. Petrillo, Laura L. Litts, Patrick M. Mullaly, Richard I. Rynes, Ralph P. Stocker, Nourollah Parhami, Neal S. Greenstein, Betsy R. Fuchs, Anupum Mathur, Dwight R. Robinson, Richard I. Sperling and Jean Bigaouette
Article first published online: 9 DEC 2005 DOI: 10.1002/art.1780380813

-Folate supplementation and methotrexate treatment in rheumatoid arthritis: a review
S. L. Whittle and R. A. Hughes
Rheumatology 2004;43:267–271 doi:10.1093/rheumatology/keh088

-Toll-like receptor signalling in the intestinal epithelium: how bacterial recognition shapes intestinal function
Maria T. Abreu
Nature Reviews Immunology 10, 131-144 (February 2010) | doi:10.1038/nri2707

-Epigenetics and the microbiome: developing areas in the understanding of the aetiology of lupus
CJ Edwards, KH Costenbader
Lupus May 2014 vol. 23 no. 6 505-506 doi: 10.1177/0961203314531636

-Diet Influences Expression of Autoimmune-Associated Genes and Disease Severity by Epigenetic Mechanisms in a Transgenic Mouse Model of Lupus
Faith M. Strickland, Anura Hewagama, Ailing Wu, Amr H. Sawalha, Colin Delaney, Mark F. Hoeltzel, Raymond Yung, Kent Johnson, Barbara Mickelson and Bruce C. Richardson
Article first published online: 2 JUL 2013
DOI: 10.1002/art.37967

-Induction of osteoarthritis and metabolic inflammation by a very high-fat diet in mice: Effects of short-term exercise
Timothy M. Griffin, Janet L. Huebner, Virginia B. Kraus, Zhen Yan and Farshid Guilak
Article first published online: 27 JAN 2012
DOI: 10.1002/art.33332


“The present and earlier studies lend some support tothe notion oh a benefical effect of vegetarian diets in at least somepatients with RA”
-A vegan diet free of gluten improves the signs and symptoms of rheumatoid arthritis: the effects on arthritis correlate with a reduction in antibodies to food antigens
I. Hafström, B. Ringertz, A. Spångberg, L. von Zweigbergk, S. Brannemark, I. Nylander, J. Rönnelid, L. Laasonen and L. Klareskog
Rheumatology (2001) 40 (10): 1175-1179.
doi: 10.1093/rheumatology/40.10.1175

“A vegan diet in RA induced decreased LDL and oxLDL levels and raised levels of natural antibodies of IgA and IgM subclasses to PC”
-Gluten-free vegan diet induces decreased LDL and oxidized LDL levels and raised atheroprotective natural antibodies against phosphorylcholine in patients with rheumatoid arthritis: a randomized study
Ann-Charlotte Elkan, Beatrice Sjöberg, Björn Kolsrud, Bo Ringertz, Ingiäld Hafström and Johan Frostegård*
Arthritis Research & Therapy 2008, 10:R34 doi:10.1186/ar2388

“The results show that some patients with RA can benefit from a fasting period followed by a vegetarian diet”
-Rheumatoid arthritis treated with vegetarian diets
Jens Kjeldsen-Kragh
Am J Clin Nutr September 1999 vol. 70 no. 3 594s-600s

"A high level of red meat consumption may represent a novel risk factor for inflammatory arthritis or may act as a marker for a group of persons with an increased risk from other lifestyle causes."
-Dietary risk factors for the development of inflammatory polyarthritis: Evidence for a role of high level of red meat consumption
Dorothy J. Pattison PhD1, Deborah P. M. Symmons MD1, Mark Lunt PhD1, Ailsa Welch BSc2, Robert Luben BSc2, Sheila A. Bingham PhD3, Kay-Tee Khaw MD2, Nicholas E. Day PhD2 andAlan J. Silman MD1,*
Article first published online: 8 DEC 2004
DOI: 10.1002/art.20731

“These data would help clarify the notion that meat-rich diets (e.g., the Western diet) may be proinflammatory and thus increase the risk of RA, cardiovascular disease, and type 2 diabetes, whereas diets rich in omega-3 fatty acids are antiinflammatory and thus beneficial for these disorders. Nonetheless, currently available data from rheumatology and other disciplines of medicine indicate that healthy dietary patterns advocated for cardiovascular disease prevention in the general public (13) may be doubly beneficial among patients with RA and need to be implemented accordingly”
-Diet and rheumatoid arthritis: Red meat and beyond
Hyon K. Choi
Article first published online: 8 DEC 2004
Volume 50, Issue 12, pages 3745–3747, December 2004
DOI: 10.1002/art.20732

“These data would help clarify the notion that meat-rich diets (e.g., the Western diet) may be proinflammatory and thus increase the risk of RA, cardiovascular disease, and type 2 diabetes, whereas diets rich in omega-3 fatty acids are antiinflammatory and thus beneficial for these disorders. Nonetheless, currently available data from rheumatology and other disciplines of medicine indicate that healthy dietary patterns advocated for cardiovascular disease prevention in the general public (13) may be doubly beneficial among patients with RA and need to be implemented accordingly”.
-Diet and rheumatoid arthritis: Red meat and beyond
Hyon K. Choi
Article first published online: 8 DEC 2004
DOI: 10.1002/art.20732

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