© 2003 by BMJ Publishing Group & European League Against Rheumatism
LEADER
Rheumatoid arthritis
Mediterranean diet intervention in rheumatoid arthritis
Department of Immunology and Transfusion Medicine, Ullevaal University Hospital, Oslo, Norway
Correspondence to:
Correspondence to:
Dr J Kjeldsen-Kragh, Department of Immunology and Transfusion Medicine, Ullevaal University Hospital, Kirkeveien 166, N-0407 Oslo, Norway;
jens.kjeldsen-kragh@ioks.uio.no
Is the controlled clinical trial the only tool for testing the efficacy of dietary treatment?
Keywords: rheumatoid arthritis; Mediterranean diet; omega-3 fatty acids; antioxidants
| The first 150 words of the full text of this article appear below. |
The belief that diet may influence the severity of rheumatoid arthritis (RA) is part of the folklore of the disease, and dietary treatment has been one of many unconventional remedies that have been widely used at health farms in northern Europe. Over the years, several stories about arthritic patients who improved dramatically after changing diet have appeared, not only in the lay press but also in scientific journals. Although the possible benefits of specific diets for patients with RA have been tested in a number of trials, many of the studies that showed positive results of dietary treatment have not been published as full papers in peer reviewed journals, probably because these studies lacked controls or were poorly designed and/or inadequately described.
A scientific investigation of the efficacy of dietary treatment of RA was pioneered by Swedish doctors. More than two decades ago Sköldstam et al conducted the
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