Academic Journal
Rheumatoid arthritis guidelines require More Specific dietary recommendations: An overlooked opportunity.
| Τίτλος: | Rheumatoid arthritis guidelines require More Specific dietary recommendations: An overlooked opportunity. |
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| Συγγραφείς: | Xin T; Department of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, Shijiazhuang City, Hebei Province, PR China; Hebei International Joint Research Center on Rheumatic Diseases, Shijiazhuang, Hebei Province, PR China., Liu A; Department of Rheumatology and Immunology, The Second Hospital of Hebei Medical University, Shijiazhuang City, Hebei Province, PR China; Hebei International Joint Research Center on Rheumatic Diseases, Shijiazhuang, Hebei Province, PR China; Hebei Key Laboratory of Laboratory Medicine, Shijiazhuang, Hebei Province, PR China. Electronic address: ajliu@hebmu.edu.cn. |
| Πηγή: | Clinical nutrition ESPEN [Clin Nutr ESPEN] 2026 Oct; Vol. 75, pp. 105055. Date of Electronic Publication: 2026 Aug 25. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101654592 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2405-4577 (Electronic) Linking ISSN: 24054577 NLM ISO Abbreviation: Clin Nutr ESPEN Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Oxford] : Elsevier Ltd., [2015]- |
| Ιατρικοί όροι (MeSH): | Arthritis, Rheumatoid*/diet therapy , Diet* , Nutrition Policy* , Practice Guidelines as Topic*, Humans ; Diet, Mediterranean |
| Περίληψη: | Clinical guidelines for rheumatoid arthritis (RA), including those from the American College of Rheumatology (ACR) and the European Alliance of Associations for Rheumatology (EULAR), predominantly emphasize pharmacotherapy while largely omitting dietary recommendations. This omission persists despite accumulating clinical evidence and strong patient interest in nutrition. Recent cohort studies and randomized trials have demonstrated that anti-inflammatory dietary patterns, such as the Mediterranean diet, may improve RA clinical outcomes; yet dietary recommendations remain limited in international guidelines. This critical gap is especially pronounced in low-resource settings, where dietary modifications could serve as accessible, cost-effective adjuncts to pharmacotherapy. Although several national associations (including those in Germany, France, Australia, the UK, and New Zealand) have begun incorporating whole-food and plant-based recommendations, these frameworks often fail to personalize based on age, sex, ethnicity, and body composition. This opinion paper calls on the ACR and EULAR to integrate evidence-based, culturally sensitive, and individualized dietary recommendations into future RA guidelines. Addressing this gap is essential to align clinical practice with emerging scientific evidence and support equitable, patient-centered care. (Copyright © 2026 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.) |
| Competing Interests: | Declaration of competing interest T.X. and A.L. have no conflicts of interest to disclose. |
| Contributed Indexing: | Keywords: Diet therapy; Mediterranean diet; Nutritional therapy; Practice guidelines as topic; Rheumatoid arthritis |
| Entry Date(s): | Date Created: 20260825 Date Completed: 20260923 Latest Revision: 20260928 |
| Update Code: | 20260929 |
| DOI: | 10.1016/j.clnesp.2026.105055 |
| PMID: | 42641789 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2405-4577 |
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| DOI: | 10.1016/j.clnesp.2026.105055 |