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. 2021 Feb 27;13(3):772. doi: 10.3390/nu13030772

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.