Table 2.
Comparison of the effects (or lack thereof) of nutrients/dietary patterns in patients with established rheumatoid arthritis or systemic lupus erythematosus.
Author, Ref | Dietary Pattern or Nutrient | Study Type | Follow Up | N Patients | Results | ||
---|---|---|---|---|---|---|---|
Intervention | Control | ||||||
RA | Gioxari et al. [36] | Mediterranean diet/PUFAs | Meta-analysis of RCTs | NA | NA | NA | Improvement of joint pain, acute phase reactants and physical function |
Elkan et al. [37] | Gluten-free and vegan diet * | RCT | 12 m | 38 | 28 | Improvement of disease activity | |
Hafstrom et al. [38] | Gluten-free and vegan diet * | RCT | 12 m | 38 | 28 | Improvement of disease activity | |
Muller et al. [39] | Fasting | Systematic literature review | NA | NA | NA | Improvement of pain, morning stiffness and inflammation | |
Uden et al. [40] | Fasting | Longitudinal | 3–6 w | 4 | 9 | Improvement of pain, morning stiffness and inflammation | |
SLE | Bello et al. [41] | PUFAs | RCT | 12 w | 42 | 45 | No effect on disease activity No improvement of endothelial function |
Wright et al. [42] | PUFAs | RCT | 24 w | 30 | 30 | Improvement of disease activity; improvement of endothelial function | |
Curado Borges et al. [43] | PUFAs | RCT | 12 w | 22 | 27 | No effect on serum levels of IL-6 and IL-10 | |
Pocovi-Gerardino et al. [44] | Mediterranean diet | Cross sectional, non-interventional | NA | SLE N = 280 | Improvement of disease activity | ||
Elkan et al. [45] | Mediterranean diet | Cross sectional, non-interventional | NA | SLE N = 114 NC N = 122 |
Improvement of disease activity Improvement of endothelial function | ||
Goharifar et al. [46] | Fasting | Longitudinal | 24 ± 5 d | 21 | 19 | No effect on disease activity |
* no data available on systemic lupus erythematosus; d = days; w = weeks; m = months; NA = not applicable; NC = normal controls; PUFAs = polyunsaturated fatty acids; RCT = randomized controlled trial; SLE= systemic lupus erythematosus.