Effect of plant-based diets on rheumatoid arthritis: a systematic review

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dc.contributor.authorBostan, Zekiye Zeynep
dc.contributor.authorSare Bulut, Melike
dc.contributor.authorÖzen Ünaldı, Buket
dc.contributor.authorAlbayrak Buhurcu, Ceren
dc.contributor.authorAkbulut, Gamze
dc.date.accessioned2025-06-26T12:04:53Z
dc.date.available2025-06-26T12:04:53Z
dc.date.issued2025
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü
dc.description.abstractContext Rheumatoid arthritis (RA) is an autoimmune disease that leads to chronic inflammation and joint damage. Various plant-based diets are thought to have effects on RA symptoms and disease activity.Objective Relevant literature on the effect of different types of plant-based diets on RA was reviewed.Data Sources A systematic search was conducted using the Web of Science, PubMed, Scopus, and Cochrane databases and following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Data Extraction Articles on observational and interventional human studies carried out in the adult population and published in English between February 2013 and April 2023 were eligible for inclusion. Articles reporting on studies performed in populations under 18 years of age, with unclear methods and results, or for which the full text was unavailable were excluded. The risk of bias in the selected studies was assessed using the Joanna Briggs Institute checklists.Data Analysis Of 547 screened articles, 15 were included, comprising 4 cross-sectional, 2 cohort, and 9 randomized controlled trials. These studies examined the effects of various diets, including the Mediterranean, low-fat high-carbohydrate, anti-inflammatory, and vegan, on RA. Results indicate adherence to plant-based diets generally reduced disease severity and improved dietary intake, physical activity, body weight, and key clinical markers such as the Disease Activity Score-28, Visual Analog Scale score, Health Assessment Questionnaire Disability Index, erythrocyte sedimentation rate, and C-reactive protein level in patients with in RA.Conclusions Most of the studies suggested the Mediterranean diet may positively affect the severity of RA. However, the included studies show heterogeneity. Therefore, more randomized controlled studies are needed in this area to increase understanding of the effect of diet on RA and facilitate the implementation of strategies to prevent RA.Systematic Review Registration PROSPERO registration no. CRD42023420577.
dc.identifier.doi10.1093/nutrit/nuae181
dc.identifier.endpagee1814
dc.identifier.issn0029-6643
dc.identifier.issn1753-4887
dc.identifier.issue7
dc.identifier.pmid39786551
dc.identifier.scopus2-s2.0-105008276912
dc.identifier.scopusqualityQ1
dc.identifier.startpagee1798
dc.identifier.urihttps://doi.org/10.1093/nutrit/nuae181
dc.identifier.urihttps://hdl.handle.net/11501/2247
dc.identifier.volume83
dc.identifier.wosWOS:001388800800001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.institutionauthorBostan, Zekiye Zeynep
dc.language.isoen
dc.publisherOxford University Press
dc.relation.ispartofNutrition Reviews
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMediterranean Diet
dc.subjectNutrition
dc.subjectPlant-Based Diet
dc.subjectRheumatoid Arthritis
dc.subjectSystematic Review
dc.titleEffect of plant-based diets on rheumatoid arthritis: a systematic review
dc.typeReview Article

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