THE
ARTHRITIS DIET
The
Facts Put Simply
The
Joint-Healthy Arthritis Diet
There is a great deal of advice about diet and nutritional
supplements for arthritis and rheumatism in magazines, books, and on
the internet. Much of it is confusing. Claims are made for many food
supplements and diets, suggesting that they help with arthritis. Some
of the advice, particularly on the internet, is given by companies who
produce food supplements, and who have an obvious interest in you
buying their products!
Within this section of the site we endeavour to provide an unbiased
overview of how the food you eat might affect your arthritis. We then
offer advice on the most sensible arthritis diet to follow and answer
the most common questions which people ask about food and the arthritis
diet.
.

| Can changing my diet really
help my arthritis?
| Beneficial
Foods: Foods to
avoid:  [Back to Top of Page]
| How can I change my diet to
help my arthritis?
|
There
are five golden rules you should follow to help your
arthritis:
Taken together, these measures are likely to be
beneficial whatever type of arthritis you have. Current evidence
suggests that oily fish is likely to be beneficial if you have an
inflammatory type of arthritis (such as rheumatoid arthritis, reactive
arthritis, psoriatic arthritis, or ankylosing spondylitis). Oily fish
helps protect against heart disease and is good for your health in
general, but the strongest evidence that it can help arthritis relates
to inflammatory arthritis.

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of Page]
| What else can I do to help
my arthritis? |
Cut down on fat
Fat has twice as many calories as the same weight of starch or protein.
Most people eat far more fat than they need for health. Eating 30 g
(about 1 oz) less fat each day saves 270 calories. So cutting calories
does not require massive sacrifices. Making minor changes to the food
you eat can be enough.
The fats in food are of three kinds: saturates, mono-unsaturates, and
polyunsaturates. Saturated fats are mostly of animal origin and are
found particularly in full-fat dairy products and processed foods
including foods like cakes, pastry and biscuits. Chips are sometimes
fried in animal fat and therefore can be a source of saturated fat.
Lean meat does not contain much saturated fat, and for most people who
eat a typical 'traditional' British diet, dairy products (milk, butter,
cheese, yogurt etc.) make up the biggest source of saturated fat. Asian
food can also be quite high in saturated fats, for example meals cooked
using ghee (clarified butter). Some vegetable oils, such as palm oil
and coconut oil, contain a lot of saturates. Saturated fats are the
most important kind of fat to reduce since they can increase the pain
and inflammation in the body. Softer fats and oils from corn or
sunflower sources are high in what are called omega-6 polyunsaturates
and these can also increase general inflammation in the body.
Mono-unsaturates, as found in olive and rapeseed oil, are 'neutral'
fats in this respect and do not worsen inflammation, but remember they
contain just as many calories, so limiting them is still important to
lose weight.
To eat less fat, follow these guidelines:
• look out for and avoid 'invisible' fats in
foods like biscuits, cakes, chocolate, pastry and savoury snacks –
check the labels
• trim fat off meat
• choose lean cuts of meat
• choose fish and poultry more often
• use low-fat milk (skimmed or semi-skimmed)
• use low or reduced fat dairy products (e.g. yogurt, low-fat cheese)
• use low-fat, olive-oil-based or soya margarines
• grill instead of frying
• if you do have the occasional 'fry-up', use olive oil and use only a
very small amount
• fill up on wholegrain bread, cereals, fruit and vegetables
• look for snacks which are naturally low in fat such as plain popcorn
or fruit or try roasted beans, such as 'soya nuts'.
Cut down on sugar
Sugar contains only calories and has no other food value (so-called
'empty' calories) so it can be cut down without any loss of
nourishment. Eating 30 g (about 1 oz) less sugar each day saves 120
calories.
Try not to add sugar to drinks and cereals. Although artificial
sweeteners contain very few calories, it is better to get used to food
being less sweet by not adding them to drinks. Dried fruit like raisins
can be used to sweeten cereals and puddings; unlike sugar and
artificial sweeteners, they also provide vitamins and minerals.
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| Fruits
and vegetables – what
types and how much?
| You
should try to eat at least 5 portions of fruit or vegetables a day.
The World Health Organization recommends that we eat at least five
portions of fruit and vegetables every day (see Table 2). This is to
make sure that the body receives the important nutrients, particularly
vitamins, minerals and antioxidants which it needs to maintain good
health and to protect it during the stress of disease. Antioxidants can
help protect joints, and help reduce inflammation by 'mopping up' some
of the body chemicals which cause inflammation, and may even help
prevent arthritis. Recent research has shown that people who eat plenty
of fresh fruit and vegetables, particularly those containing vitamin C,
seem to have a lower risk of developing inflammatory arthritis. Choose
fruit and vegetables of various different colours especially the
brightly coloured varieties as these tend to be rich in antioxidants.
Examples include apples, oranges, cherries, blueberries, peppers,
spinach, tomatoes, avocado, sweet potato, beetroot and broccoli.
You can also get more fibre from eating plenty of fruit and vegetables.
Remember that you also get fibre from wholegrain versions of bread,
cereals, pasta and rice. In addition, as suggested above, fruit,
vegetables and wholegrains are relatively filling and help if you are
trying to lose weight.
The table below gives examples.
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| Should I take extra
supplements, calcium, vitamin
D, or iron? |
Generally
If you have concerns that you are not eating a healthy well balanced
diet that is delivering 100% of the nutrients you need to combat your
arthritis – it is a good idea to add a quality multi vitamin supplement
to your diet. Based on unanimous scientific research confirming that
liquid vitamins are superior in the delivery of their nutritional
content, we highly recommend that any supplementation be via an organic
liquid product such as IntraMin from Drucker Labs.
Phosphorus
Drugs prescribed for arthritis – primarily NSAIDs (nonsteroidal
anti-inflammatory drugs) – can have very negative effects such leeching
nutrients from the body. Additionally, the use of antacids can result
in phosphorus – a key mineral to keeping bones strong and healthy –
being leeched from your body.
Calcium
Calcium is an important basic nutrient. Not having enough calcium in
the diet can make you more likely to get osteoporosis (brittle bones).
Women after the menopause are particularly liable to osteoporosis. Many
people with arthritis also have a risk of developing this condition.
The richest sources of calcium are milk, cheese and yogurt and, as
shown below, certain types of fish which are eaten with the bones. If
you are watching your weight it is worth knowing that skimmed or
semi-skimmed milk actually contains more calcium than full-fat milk. We
recommend a daily intake of calcium of 1000 milligrams (mg) or 1500 mg
if you are over 60. A pint of milk a day, together with a reasonable
amount of other foods which contain calcium, should be sufficient.
Vitamin D Vitamin D is needed
for the body to absorb calcium and there is some evidence that
arthritis (both osteoarthritis and inflammatory types), progresses
faster in people who are low in it. Vitamin D is produced by the body
when sunlight falls on the skin, so slight deficiency is quite common
in winter, and it can be obtained from the diet (especially from oily
fish) or vitamin supplements. For people over 60 it may be helpful to
take a supplement containing 10–20 micrograms (µg) of vitamin D.
If, for whatever reason, you do not eat many dairy products, soya milk
is now available in most supermarkets. It can be used in exactly the
same way as cow's milk. Some soya milk is fortified with calcium, so
try to use this type. Other 'milks', made from rice or oats, are now
available; some of these are also fortified with calcium. If you are
not drinking dairy products or a suitable quantity of other
calcium-fortified 'milk' or other calcium-fortified products, you may
need a calcium supplement.
Iron
Iron is important to prevent anaemia. Many people with arthritis are
anaemic. The anaemia can be due to different causes. NSAIDs
(non-steroidal anti-inflammatory drugs) such as aspirin, ibuprofen and
diclofenac help the pain and stiffness of arthritis but may cause
bleeding and stomach ulcers in some people, leading to anaemia. The
other main cause of anaemia in arthritis is anaemia of chronic disease,
which often occurs with rheumatoid arthritis and similar conditions,
and does not improve with iron supplements. If you are anaemic your
doctor can tell you if more iron is likely to help.
The best source of iron in food is red meat. However, as many people
are now cutting down on red meat for various reasons, it is important
to have iron from other sources. Iron from fish is easily absorbed and
oily fish are a good source. For example, sardines contain as much iron
as beef. Iron is better absorbed if there is also vitamin C in the meal
so have a good portion of vegetables or salad or fresh fruit with your
meal. On the other hand, tea reduces the amount of iron which your body
can absorb so it is a good idea not to drink tea with your meal. If you
are vegetarian, please note that dairy products like milk and cheese
are a very poor source of iron, but vegetables like haricot beans and
lentils and dark green vegetables (such as kale, spinach and
watercress) are quite good sources. Good sources of iron like these
should be included daily in a vegetarian diet.
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| Are Fasting or Vegetarian
diets a good option for
rheumatoid arthritis? |
Fasting for a week can improve
rheumatoid arthritis, but the arthritis
quickly returns when you go back to a normal diet. We do not
recommend fasting as a treatment for arthritis. If you do want to fast
it should be done under specialist supervision.
However, less drastic changes may help. Vegetarian diets have been
shown to be helpful in the long term to some people with rheumatoid
arthritis. In addition, some studies have shown that people who eat
large amounts of red meat seem to have a higher risk of developing
inflammatory arthritis. A vegan diet (i.e. no meat, fish, or other
animal products such as eggs, milk, cheese or other dairy-based foods)
may also be helpful, but it is difficult to get enough of some
important nutrients on a vegan diet. A possible explanation of the
success of these diets is the change in polyunsaturated fatty acids
being eaten.
[Back
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| Where can I get some
excellent free recipes that
will help me combat my arthritis? |
Our monthly newsletter “Prospering
With Arthritis” includes ideas and tips related to diet as
well as one healthful “Arthritis Busting” recipe each and every month.
We guarantee these recipes to be delicious and nutritious and a
integral step in improving both your health and your quality of life.
 [Back to Top of Page]
| Additional Arthritis Diet
related resources: |
• For more detailed information related
to Arthritis
Diet please visit The
Arthritis Society
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