Diet for traumatic and dystrophic arthritis and arthrosis
For arthritis caused by injuries, physical overexertion, nutritional disorders (for example, lack of vitamins), the main thing is a rational, nutritious diet containing sufficient amounts of proteins, fats, carbohydrates, vitamins and minerals. The only limitation is that the diet should not contain a large amount of easily digestible carbohydrates and refractory fats, since with diseased joints it is necessary to combat excess weight.
Jellied meat or bone broths, which contain a large amount of collagen, will be useful for restoring joints. Collagen provides strength to cartilage and bone tissue and is necessary for the restoration of damaged muscles and ligaments. Edible gelatin is also useful for this type of arthritis, from which you can prepare various jellies. Dairy products must be included in the diet, since, firstly, milk protein is easily absorbed by the body, and secondly, milk contains a lot of calcium, which is necessary to strengthen bone tissue. Animal protein contains lean meat and fish, vegetable protein - buckwheat porridge, beans and lentils. For more information about nutrition for arthrosis, see Diet for arthrosis
Dietary goals
The basis of treatment for this type of arthritis is the need to take anti-inflammatory and immunosuppressive drugs, physiotherapeutic procedures and physical therapy. The diet will help strengthen the quality of therapy and prolong the period of symptom relief.
By changing their diet, many patients suffering from rheumatoid joint pathology note a noticeable improvement in their general condition. The main objectives of the diet are:
- Normalization of metabolism and functioning of the gastrointestinal tract. Metabolic abnormalities are not directly related to the development of this type of arthritis, but their presence can lead to excess weight, as well as a lack of beneficial microelements and vitamins. As a result, the joints become less resistant to destruction and are subject to constant pressure due to excess body weight.
- Elimination of symptoms of inflammation. It has been proven that certain foods can increase joint swelling, pain and inflammation. Proper nutrition for rheumatoid arthritis not only reduces pain, eliminates swelling and swelling, but also prevents the development of new exacerbations.
- Enriching the body with calcium and vitamins. In the fight against immune pathology of the joints, it is necessary to pay special attention to strengthening them and restoring the protective function of the body.
Diet for gouty arthritis
To prevent attacks of gouty arthritis, diet plays a vital role. With this type of arthritis, meat, fish and mushroom broths, smoked meats, salted and fried fish, caviar, legumes (lentils, peas, beans, beans, soy), sorrel, and spices (pepper, horseradish, mustard) are excluded from the diet. Alcohol, including beer, is strictly prohibited. The diet for gouty arthritis is recommended to be mainly vegetarian; dietary types of meat are allowed - chicken, turkey, rabbit, chicken eggs, boiled fish. For more information on nutrition for gout, see Diet for Gout.
Fully or partially limited products
The diet for rheumatoid polyarthritis excludes fatty concentrated meat/fish broths, fatty red meats (pork) and waterfowl poultry (goose, duck), various types of offal (tongue, liver, brains), as well as meat products - sausages , semi-finished meat products, ham, ham. Animal fats, hydrogenated foods (mayonnaise, margarine), cooking oil, smoked, pickled, salted and canned foods are excluded from the diet. The consumption of confectionery products, chocolate, cocoa, products made from premium flour, starch and yeast-containing products, strong coffee, and black tea is not allowed.
It is prohibited to consume seafood (mussels, squid, crabs, oysters, shrimp), crustacean seasonings based on them, anchovies, red fish caviar, products of the nightshade family - eggplant, tomatoes/tomato products, potatoes, sweet peppers, paprika, seasonings/spices. Citrus fruits, grapes, avocados, raspberries, pomegranates, strawberries, wild strawberries, and currants are subject to restrictions. It is prohibited to include in the diet full-fat whole milk, legumes, fatty dairy products, vinegar, honey, snacks, jam, jam, alcohol and drinks containing carbon dioxide.
Table of prohibited products
Proteins, g | Fats, g | Carbohydrates, g | Calories, kcal | |
Vegetables and greens | ||||
eggplant | 1,2 | 0,1 | 4,5 | 24 |
beans | 6,0 | 0,1 | 8,5 | 57 |
peas | 6,0 | 0,0 | 9,0 | 60 |
chickpeas | 19,0 | 6,0 | 61,0 | 364 |
salad pepper | 1,3 | 0,0 | 5,3 | 27 |
soybeans | 34,9 | 17,3 | 17,3 | 381 |
tomatoes | 0,6 | 0,2 | 4,2 | 20 |
beans | 7,8 | 0,5 | 21,5 | 123 |
horseradish | 3,2 | 0,4 | 10,5 | 56 |
lentils | 24,0 | 1,5 | 42,7 | 284 |
sorrel | 1,5 | 0,3 | 2,9 | 19 |
Fruits | ||||
figs | 0,7 | 0,2 | 13,7 | 49 |
Berries | ||||
grape | 0,6 | 0,2 | 16,8 | 65 |
cranberry | 0,5 | 0,0 | 6,8 | 26 |
raspberries | 0,8 | 0,5 | 8,3 | 46 |
Mushrooms | ||||
mushrooms | 3,5 | 2,0 | 2,5 | 30 |
Snacks | ||||
potato chips | 5,5 | 30,0 | 53,0 | 520 |
Flour and pasta | ||||
pasta | 10,4 | 1,1 | 69,7 | 337 |
Bakery products | ||||
buns | 7,9 | 9,4 | 55,5 | 339 |
Confectionery | ||||
jam | 0,3 | 0,1 | 56,0 | 238 |
pastry cream | 0,2 | 26,0 | 16,5 | 300 |
Ice cream | ||||
ice cream | 3,7 | 6,9 | 22,1 | 189 |
Chocolate | ||||
chocolate | 5,4 | 35,3 | 56,5 | 544 |
Raw materials and seasonings | ||||
mustard | 5,7 | 6,4 | 22,0 | 162 |
mayonnaise | 2,4 | 67,0 | 3,9 | 627 |
sugar | 0,0 | 0,0 | 99,7 | 398 |
Dairy | ||||
baked milk | 3,0 | 6,0 | 4,7 | 84 |
cream | 2,8 | 20,0 | 3,7 | 205 |
sour cream 25% (classic) | 2,6 | 25,0 | 2,5 | 248 |
sour cream 30% | 2,4 | 30,0 | 3,1 | 294 |
Ryazhenka 6% | 5,0 | 6,0 | 4,1 | 84 |
Meat products | ||||
pork | 16,0 | 21,6 | 0,0 | 259 |
pork liver | 18,8 | 3,6 | 0,0 | 108 |
pork kidneys | 13,0 | 3,1 | 0,0 | 80 |
salo | 2,4 | 89,0 | 0,0 | 797 |
beef | 18,9 | 19,4 | 0,0 | 187 |
beef liver | 17,4 | 3,1 | 0,0 | 98 |
beef brains | 9,5 | 9,5 | 0,0 | 124 |
mutton | 15,6 | 16,3 | 0,0 | 209 |
bacon | 23,0 | 45,0 | 0,0 | 500 |
Sausages | ||||
smoked sausage | 28,2 | 27,5 | 0,0 | 360 |
Bird | ||||
duck | 16,5 | 61,2 | 0,0 | 346 |
goose | 16,1 | 33,3 | 0,0 | 364 |
Fish and seafood | ||||
fried fish | 19,5 | 11,7 | 6,2 | 206 |
smoked fish | 26,8 | 9,9 | 0,0 | 196 |
Red caviar | 32,0 | 15,0 | 0,0 | 263 |
squid | 21,2 | 2,8 | 2,0 | 122 |
shrimps | 22,0 | 1,0 | 0,0 | 97 |
mussels | 9,1 | 1,5 | 0,0 | 50 |
canned fish | 17,5 | 2,0 | 0,0 | 88 |
sardine in oil | 24,1 | 13,9 | — | 221 |
salmon | 21,6 | 6,0 | — | 140 |
mackerel | 18,0 | 13,2 | 0,0 | 191 |
cod (liver in oil) | 4,2 | 65,7 | 1,2 | 613 |
Oils and fats | ||||
animal fat | 0,0 | 99,7 | 0,0 | 897 |
cooking fat | 0,0 | 99,7 | 0,0 | 897 |
Alcoholic drinks | ||||
white dessert wine 16% | 0,5 | 0,0 | 16,0 | 153 |
red dessert wine | 0,5 | 0,0 | 20,0 | 172 |
vodka | 0,0 | 0,0 | 0,1 | 235 |
cognac | 0,0 | 0,0 | 0,1 | 239 |
liquor | 0,3 | 1,1 | 17,2 | 242 |
beer | 0,3 | 0,0 | 4,6 | 42 |
Non-alcoholic drinks | ||||
coffee | 0,2 | 0,0 | 0,3 | 2 |
black tea | 20,0 | 5,1 | 6,9 | 152 |
* data is per 100 g of product |
Diet for rheumatoid arthritis
Rheumatoid arthritis is an autoimmune disease in the treatment of which diet is auxiliary. However, a proper diet for rheumatoid arthritis can significantly alleviate the patient’s condition during drug therapy and significantly prolong the state of remission. Diet therapy is aimed at reducing inflammation and increasing the body's immune defense.
A diet for rheumatoid arthritis should include a normal or moderately high protein content, a normal carbohydrate content while limiting sugar and foods containing it, a limited amount of animal fats and replacing them with vegetable fats (olive and flaxseed oil are especially recommended), and a limited amount of salt. The diet should contain sufficient amounts of vitamins and minerals. Meals should be divided (meals 5-6 times a day). Dishes are prepared boiled or baked. The diet for rheumatoid arthritis excludes meat, fish, mushroom broths and sauces, fatty meat and dairy products, beef, lamb, pork, cooking fats, smoked meats, canned food, pickles, marinades, savory snacks, spices and seasonings, butter dough, ice cream, strong tea and coffee, very cold or hot food. The diet can be built on the basis of diet No. 10, taking into account the considered nutritional features.
What does the body of a RA patient require?
As a rule, basic therapy for rheumatoid arthritis is aimed at suppressing the patient’s overly strong immune system. Most often, the drug of choice for rheumatologists is Metatrexate. Despite good tolerance by patients and smoothed side effects against the background of a pronounced positive effect, damage is still caused to the body. In such a situation, it must be supported with nutrition - introduced into the diet:
- Diet for rheumatoid arthritis - allowed and prohibited foods, recipes with photos
- ascorbic acid (acts as a hormonal stabilizer, a strong antioxidant);
- bioflavonoids (reduce the permeability of the vascular wall, bind free radicals);
- Niacin (helps the stomach and strengthens blood vessels).
Ascorbic acid or vitamin C is found in Brussels sprouts, broccoli, bell peppers, rose hips, persimmons, sea buckthorn, jacket potatoes, peaches, apricots, fresh green peas, and sauerkraut.
Bioflavonoids of various types are found in the following products: bee propolis, medicinal herbs - tansy, cornflower, knotweed, St. John's wort, immortelle (maximum concentration in juice), berries - blueberries, red grapes (especially the skin), lingonberries, strawberries, blackberries. Green tea is also rich in them.
Niacin (niacin or vitamin B3) can be obtained from tuna, turkey and chicken meat, liver, sunflower seeds, legumes, mushrooms, wheat and buckwheat sprouts, and yeast.
On a note. Even knowing where what nutrients are found, it is difficult to create the right menu on your own. You should not experiment on yourself - seek help from a rheumatologist and nutritionist.
Diet for rheumatoid arthritis (rheumatism of the joints)
For acute rheumatoid arthritis, it is recommended to take diet No. 10a as the basis of the diet. The main purpose of this diet is to reduce inflammation and metabolic disorders in the body, increase the effectiveness of drug treatment and reduce the side effects of certain medications.
The amount of proteins in such a diet is within the physiological norm, mainly dairy proteins - milk, cottage cheese, lactic acid drinks, cheese, eggs, fish. The amount of fat is limited, mainly vegetable oils are recommended, butter is allowed, and refractory fats - lamb, beef, pork - are excluded. Limit easily digestible carbohydrates (honey, sugar), but increase the amount of vegetables, fruits and berries in the diet.
In a diet for rheumatoid arthritis, the use of table salt is sharply limited. The amount of free fluid is reduced to 1 liter per day. Food is taken in small portions 5-6 times a day.
A diet for rheumatoid arthritis should provide a large amount of vitamins, so in addition to fruits and juices, it also includes decoctions of rose hips, lemons, black currants, bran decoction, and a yeast drink.
What is allowed
If RA is in the active phase, all foods that could worsen the patient's condition are excluded. There is very little left in the diet that can be eaten without danger:
- chicken and quail eggs;
- skim cheese;
- rice or buckwheat porridge;
- fatty sea fish (salmon, trout, salmon), as a source of omega-3 polyunsaturated fatty acids and vitamin D;
- turkey meat;
- low-fat river fish (pike perch);
- vegetable soups (see list of excluded vegetables);
- barley drink;
- baked apples;
- rosehip decoction;
- greenery;
- 1% kefir;
- herbal or green tea.
On a note. The listed products contain a lot of protein, a minimum of fat and carbohydrates. It is forbidden to fry dishes from them. Stewing in a small amount of oil is allowed, but boiling or steaming is preferable. Salt is completely excluded. It is permissible to add a little salt to prepared dishes.
Diet for arthritis - general recommendations
For people with all types of arthritis, there are a few general guidelines worth paying attention to.
Foods containing omega-3 fatty acids should be included in the diet for arthritis . These substances reduce inflammation, which alleviates the symptoms of arthritis. Most omega-3 fatty acids are found in sea fish, in its fatty varieties, but if it is contraindicated for you, pay attention to flaxseed oil. It is easier to digest and also has a healing effect due to the content of the same healthy fatty acids.
For all types of arthritis, you should give up strong tea, coffee, and reduce alcohol consumption. The diet for arthritis limits, and often completely excludes, pickles, hot seasonings and spices. But there are exceptions here. Some studies have found the positive effects of turmeric and ginger. However, you should be careful here and exclude allergic reactions.
Although there is no solid scientific evidence on this matter, some studies have shown that plants of the nightshade family - potatoes, bell peppers, tomatoes, eggplants - can have a negative effect on the condition of patients with arthritis. If you notice a deterioration in your health after eating these foods, eliminate them from your diet.
The main thing to remember: the diet for arthritis should be balanced, with a sufficient content of vitamins and minerals, preferably low in calories.
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What is prohibited
Some foods may aggravate RA symptoms, causing persistent pain. They need to be excluded from the diet at least for a while until stable remission is achieved.
What not to eat:
- dairy products with a high percentage of fat;
- fat meat;
- spices;
- canned food;
- sweets, including honey (limit to the very minimum; sugar should be avoided altogether);
- alcoholic drinks;
- nuts;
- nightshades - potatoes, eggplants, tomatoes;
- citrus;
- salt (limit as much as possible).
On a note. In case of exacerbation, the products listed above should be completely removed from the diet.
Principle 7: Eat with Gratitude
Rheumatoid arthritis, along with bronchial asthma and gastric ulcers, are diseases whose exacerbation can provoke stress and strong negative emotions.
The habit of eating with gratitude allows the patient to neutralize the effects of negative factors, because... In response to positive emotions, the body produces substances that have analgesic and anti-inflammatory properties. And a calm atmosphere promotes eating at a leisurely pace, which is extremely important and necessary for the stomach.