Dietary recommendations of the French Society for Rheumatology for patients with chronic inflammatory rheumatic diseases.

Pauline Rivière, Jérémie Sellam, René-Marc Flipo, Daniel Wendling, Danielle Vacher, Anne Tournadre, Sylvie Sfedj, Raphaèle Seror, Luca Semerano, Monique Romon, Claire Daien, Vincent Rigalleau, Robert Le Puillandre, Sandra Desouches, Catherine Beauvais, Johanna Sigaux, Pauline Sanchez, Yann Nguyen, Jean-Guillaume Letarouilly, Sébastien Czernichow

Journal: Joint bone spine 2022;89(2):105319

PMID: 34902577

Free Full Text on Elsevier Science View on PubMed

Abstract

This article presents the 1st set of dietary recommendations of the French Society for Rheumatology for patients suffering from chronic inflammatory rheumatic diseases (IRD) made by a working group consisting of 12 rheumatology experts, 3 physician nutrition specialists, 1 internal medicine specialist, 1 registered dietician and 3 representatives from patient associations. This group relied on a systematic literature review and on expert opinions, while taking into consideration not only the joint effects of diet in IRD but also the extra-articular ones. Eight general principles and nine recommendations were established. The general principles emphasize that nutritional advice is not a substitute for pharmacological treatment of IRD and that it is an integral part of the patients' overall care, which could help the patient actively participate in their care. The recommendations propose supporting weight loss in subjects who are overweight or obese, a Mediterranean-type diet and supplementation in polyunsaturated fatty acids, mainly omega-3. Conversely, gluten-free diets (in the absence of celiac disease), vegetarian/vegan diets, fasting and elimination of dairy products should not be proposed. Supplementation with vitamins or trace elements is not indicated for controlling chronic IRD activity, while the use of probiotics or spices is not recommended given the limited or disparate data.

Address: CHRU Montpellier, Département de Rhumatologie, Montpellier, France; University of Montpellier, PhyMedExp, INSERM, CNRS UMR, Montpellier, France. Electronic address: [email protected].; Department of Nutrition, Specialized Obesity Center, Hôpital Européen Georges-Pompidou, Université de Paris, AP-HP, 75015 Paris, France; Epidemiology and Biostatistics Sorbonne Paris City Center, UMR1153, Institut National de la Santé et de la Recherche Médicale, 75004 Paris, France.; Department of Rheumatology, Université Lille, CHU Lille, 59000 Lille, France.; Department of Internal Medicine, Assistance publique-Hôpitaux de Paris (AP-HP), Nord, Hôpital Beaujon, Université de Paris, 92100 Clichy, France.; CHRU Montpellier, Département de Rhumatologie, Montpellier, France.; Department of Rheumatology, AP-HP, Hôpital Avicenne, 93017 Bobigny, France; INSERM U1125, Université Sorbonne Paris Nord, 93017 Bobigny, France.; Department of Rheumatology, AP-HP, Sorbonne Université, Hôpital Saint-Antoine, Paris, France.; Association Française de Spondyloarthrite, 19000 Tulle, France.; Department of Endocrinology, Diabetology, nutrition, CHU de Bordeaux, Hôpital Haut-Lévêque, 33600 Pessac, France.; 1 ter, impasse Gabrielle-d'Estrées, 37270 Montlouis-sur-Loire, France.; Faculté de Médecine de Lille, Lille, France.; Department of Rheumatology, AP-HP, Hôpitaux universitaires Paris-Saclay-Hôpital Bicêtre, 94270 Le Kremlin-Bicêtre, France; Centre of Immunology of Viral Infections and Auto-immune Diseases (IMVA), INSERM U1184, Université Paris-Saclay, 94270 Le Kremlin-Bicêtre, France.; Association Française des Polyarthritiques et des Rhumatismes inflammatoires chroniques (AFP(ric)), 75011 Paris, France.; Department of Rheumatology, Université Clermont Auvergne, CHU Clermont-Ferrand, INRAE, UNH UMR 1019, 63003 Clermont-Ferrand, France.; Association nationale de défense contre la polyarthrite rhumatoïde (ANDAR), 75014 Paris, France.; Service de Rhumatologie, CHU de Besançon, EA 4266 EPILAB, Université de Besançon, 25000 Besançon, France.; Department of Rheumatology, AP-HP, Sorbonne Université, Hôpital Saint-Antoine, Paris, France; Inserm UMRS_938, FHU PaCeMM, Sorbonne Université, 75012 Paris, France. Electronic address: [email protected].

DOI: 10.1016/j.jbspin.2021.105319

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MeSH Terms: Diet, Fatty Acids, Omega-3, Humans, Rheumatic Diseases, Rheumatology, Vitamins