Bone joints
In reviewing the literature it becomes clear that there are few objective studies that examine the benefits of dietary manipulation and arthritis. bone joints Pain shoulder neck. This discussion will focus on diet and Rheumatoid Arthritis (RA) only since most of the available medical literature has focused on this type of arthritis. (top of page) A Healthy Diet Until we have access to more conclusive data regarding the benefits of dietary manipulation and RA, patients are encouraged to follow a healthy, balanced diet that fosters a healthy weight. It is important to avoid elimination diets and fad nutritional practices and to be cautious of claims of miracle cures. bone joints Forearm pain. The fourth edition of Nutrition and Your Health: Dietary Guidelines for Americans(ref 2) outlines some basic dietary advice for all healthy Americans ages 2 years and above about food choices that promote health and prevent disease. The main messages are as follows: Eat a variety of foods Balance the food you eat with physical activity, maintain or improve your weight Choose a diet with plenty of grain products and vegetables, and fruits Choose a diet low in fat, saturated fat and cholesterol Choose a diet moderate in sugars If you drink alcoholic beverages, do so in moderation (top of page) Malnutrition Patients with RA are considered to be at nutritional risk for many reasons. One cause of poor nutritional status in this patient population is thought to be the result of the weight loss and cachexia linked to cytokine production. bone joints Pain scales. (ref 3) In patients experiencing chronic inflammation, the production of cytokines, such as interleukin-1 and tumor necrosis factor, increases resting metabolic rate and protein breakdown. The patient then is faced with the challenge of increasing both calorie and protein intake to meet the nutritional requirements of the increased metabolic rate. This is frequently difficult secondary to the pain and swelling associated with RA which frequently make food preparation and purchasing difficult for those who live alone or have limited resources. The effects of arthritis medications that are frequently taken long-term may also compound these nutritional problems. One example of this is observed in patients receiving methotrexate, where patients are frequently identified with folic acid deficiency.
Bone joints
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