Diet and the risk of rheumatoid arthritis- a systematic literature review
Bäcklund, Rebecka Teresia LU ; Drake, Isabel LU ; Bergström, Ulf LU ; Compagno, Michele LU ; Sonestedt, Emily LU
and Turesson, Carl
LU
(2023)
In Seminars in Arthritis and Rheumatism
58.
- Abstract
- Objectives
Diet has received attention as a factor possibly contributing to the development of Rheumatoid arthritis (RA). Several dietary exposures have been examined in various populations using different diet assessment methods. The aim of this study was to systematically assess the literature on the relation between dietary patterns, different food and food groups, macronutrients, non-alcoholic beverages and the risk of developing RA.
Methods
A systematic literature search was performed to identify relevant articles on diet and the risk of developing RA. The selection of articles and overall quality assessment of all included studies were performed independently by two examiners. Overall study quality was evaluated using the... (More) - Objectives
Diet has received attention as a factor possibly contributing to the development of Rheumatoid arthritis (RA). Several dietary exposures have been examined in various populations using different diet assessment methods. The aim of this study was to systematically assess the literature on the relation between dietary patterns, different food and food groups, macronutrients, non-alcoholic beverages and the risk of developing RA.
Methods
A systematic literature search was performed to identify relevant articles on diet and the risk of developing RA. The selection of articles and overall quality assessment of all included studies were performed independently by two examiners. Overall study quality was evaluated using the Newcastle-Ottawa Scales. We excluded all articles where the temporal relation between dietary data collection and time of RA diagnosis was not presented. Main findings were summarized for cohort-based studies and case-control studies separately.
Results
A total of 984 articles were screened. Nineteen relevant cohort-based studies, and eight case-control studies, were included in our review. Two articles were excluded due to lacking data on the relation between RA diagnosis and time of dietary data collection and one due to incorrect outcome. Identified studies suggested protective effects of fish, vegetables and Mediterranean-style diets, although study results and methods were heterogenous. An issue in some case-control studies was that unvalidated diet assessment methods were used. A vast majority of the cohort-based studies used validated diet assessment methods, although the definitions of exposures studied varied.
Conclusion
There is lack of consistent evidence on the role of diet in the development of RA, partly due to differences in study quality and methodology Limited evidence suggests that some healthy eating habits may reduce the risk of RA. More high-quality studies in the area are needed for a deeper understanding of the effect of diet, and to enable strategies to prevent RA. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/02dd1771-1045-46ac-8c11-e4727a542252
- author
- Bäcklund, Rebecka Teresia
LU
; Drake, Isabel
LU
; Bergström, Ulf
LU
; Compagno, Michele
LU
; Sonestedt, Emily
LU
and Turesson, Carl
LU
- organization
- publishing date
- 2023-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Diet, Rheumatoid arthritis, Predictor
- in
- Seminars in Arthritis and Rheumatism
- volume
- 58
- article number
- 152118
- publisher
- W.B. Saunders
- external identifiers
-
- scopus:85141803912
- pmid:36379128
- ISSN
- 0049-0172
- DOI
- 10.1016/j.semarthrit.2022.152118
- language
- English
- LU publication?
- yes
- id
- 02dd1771-1045-46ac-8c11-e4727a542252
- date added to LUP
- 2022-11-01 11:36:00
- date last changed
- 2024-05-16 08:20:53
@article{02dd1771-1045-46ac-8c11-e4727a542252,
abstract = {{Objectives<br/>Diet has received attention as a factor possibly contributing to the development of Rheumatoid arthritis (RA). Several dietary exposures have been examined in various populations using different diet assessment methods. The aim of this study was to systematically assess the literature on the relation between dietary patterns, different food and food groups, macronutrients, non-alcoholic beverages and the risk of developing RA.<br/>Methods<br/>A systematic literature search was performed to identify relevant articles on diet and the risk of developing RA. The selection of articles and overall quality assessment of all included studies were performed independently by two examiners. Overall study quality was evaluated using the Newcastle-Ottawa Scales. We excluded all articles where the temporal relation between dietary data collection and time of RA diagnosis was not presented. Main findings were summarized for cohort-based studies and case-control studies separately.<br/>Results<br/>A total of 984 articles were screened. Nineteen relevant cohort-based studies, and eight case-control studies, were included in our review. Two articles were excluded due to lacking data on the relation between RA diagnosis and time of dietary data collection and one due to incorrect outcome. Identified studies suggested protective effects of fish, vegetables and Mediterranean-style diets, although study results and methods were heterogenous. An issue in some case-control studies was that unvalidated diet assessment methods were used. A vast majority of the cohort-based studies used validated diet assessment methods, although the definitions of exposures studied varied.<br/>Conclusion<br/>There is lack of consistent evidence on the role of diet in the development of RA, partly due to differences in study quality and methodology Limited evidence suggests that some healthy eating habits may reduce the risk of RA. More high-quality studies in the area are needed for a deeper understanding of the effect of diet, and to enable strategies to prevent RA.}},
author = {{Bäcklund, Rebecka Teresia and Drake, Isabel and Bergström, Ulf and Compagno, Michele and Sonestedt, Emily and Turesson, Carl}},
issn = {{0049-0172}},
keywords = {{Diet; Rheumatoid arthritis; Predictor}},
language = {{eng}},
publisher = {{W.B. Saunders}},
series = {{Seminars in Arthritis and Rheumatism}},
title = {{Diet and the risk of rheumatoid arthritis- a systematic literature review}},
url = {{http://dx.doi.org/10.1016/j.semarthrit.2022.152118}},
doi = {{10.1016/j.semarthrit.2022.152118}},
volume = {{58}},
year = {{2023}},
}