Ideal food pyramid for patients with rheumatoid arthritis: A narrative review

Emerging literature suggests that diet plays an important modulatory role in rheumatoid arthritis (RA) because is environmental factor affects inflammation, antigen presentation, antioxidant defense mechanisms and gut microbiota. Patients with RA frequently ask their doctors about which diets to follow, even the absence of advice from physicians, many patients are undertaking various dietary interventions.Given this background, aim review evaluate evidence date regarding ideal approach for management order reduce counteracting construct a food pyramid RA. The shows carbohydrates should be consumed every day (3 portions whole grains, preferably gluten free), together fruits vegetables (5 portions; among fruit, berries citrus fruit preferred, vegetables, green leafy ones.), light yogurt (125 ml), skim milk (200 1 glass ml) wine extra virgin olive oil; weekly, fish portions), white meat legumes (2 portions) eggs seasoned cheeses red or processed meats (once week). 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Peripheral blood leptin resistin biomarkers Mexican Arthritis patients.Reumatol Clin. 12: 323-326https://doi.org/10.1016/j.reuma.2015.11.011Crossref (12) studyModerateCirculating Leptin, Resistin, IL-6 IL-17 positively correlate independent subject's BMIXibillé-Friedmann 2010 [[36]Xibillé-Friedmann Bustos-Bahena Hernández-Góngora Burgos-Vargas Two-year follow-up plasma 930-931https://doi.org/10.1136/ard.2009.111732Crossref (22) studyModerateLeptin change direct close Interleukin-17Olama [[37]Olama Senna M.K. 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