Generic placeholder image

Current Rheumatology Reviews


ISSN (Print): 1573-3971
ISSN (Online): 1875-6360

Clinical Trial

Effect of Dietary Education on Cardiovascular Risk Factors in Rheumatoid Arthritis Patients

Author(s): Rahil Taheri, Shahram Molavynejad*, Parvin Abedi, Elham Rajaei and Mohammad Hosein Haghighizadeh

Volume 17, Issue 1, 2021

Published on: 07 September, 2020

Page: [131 - 139] Pages: 9

DOI: 10.2174/1573397116666200907112338

Price: $65


Aim: The aim of this study was to investigate the effect of dietary education on cardiovascular risk factors in patients with rheumatoid arthritis.

Methods: In this randomized clinical trial, 112 patients with rheumatoid arthritis were randomly assigned into two groups, intervention and control. Dietary education was provided for the intervention group in 4 sessions; anthropometric measurements, serum levels of RF, triglycerides, cholesterol, HDL, LDL, and fasting blood sugar were measured before and three months after the intervention. Data were analyzed using SPSS software and appropriate statistical tests.

Results: The mean of total cholesterol (p <0.001), triglycerides (p = 0.004), LDL (p <0.001), systolic blood pressure (p = 0.001), diastolic blood pressure (p = 0.003), FBS and BMI (p <0.001) were decreased significantly in the intervention group after education compared the control group.

Conclusion: Traditional care for rheumatoid arthritis patients is not enough. Patients need more education in order to improve their situation.

Keywords: Rheumatoid Arthritis, cardiovascular risk factors, education, diet, CVDs, HDL.

Bakir E, Baglama SS, Gursoy S. The effects of reflexology on pain and sleep deprivation in patients with rheumatoid arthritis: A randomized controlled trial. Complement Ther Clin Pract 2018; 31: 315-9.
[] [PMID: 29705475]
Firestein GS, Budd RC, Gabriel SE, Mcinnes I, Odell JR. Kelley’s Textbook of Rheumatology Saunders 2017.
Winkvist A, Bärebring L, Gjertsson I, Ellegård L, Lindqvist HM. A randomized controlled cross-over trial investigating the effect of anti-inflammatory diet on disease activity and quality of life in rheumatoid arthritis: the Anti-inflammatory Diet In Rheumatoid Arthritis (ADIRA) study protocol. Nutr J 2018; 17(1): 44.
[] [PMID: 29678183]
Badsha H. Role of diet in influencing rheumatoid arthritis disease activity. Open Rheumatol J 2018; 12: 19-28.
[] [PMID: 29515679]
George MD, Baker JF. The obesity epidemic and consequences for rheumatoid arthritis care. Curr Rheumatol Rep 2016; 18(1): 6.
[] [PMID: 26739963]
Hajjaj-Hassouni N, Mawani N, Allali F, et al. Evaluation of vitamin d status in rheumatoid arthritis and its association with disease activity across 15 countries: “The COMORA Study”. Int J Rheumatol 2017; 2017: 5491676.
[] [PMID: 28656048]
Jagpal A, Navarro-Millán I. Cardiovascular co-morbidity in patients with rheumatoid arthritis: a narrative review of risk factors, cardiovascular risk assessment and treatment. BMC Rheumatol 2018; 2: 10.
[] [PMID: 30886961]
Mc Namara K, Alzubaidi H, Jackson JK. Cardiovascular disease as a leading cause of death: how are pharmacists getting involved? Integr Pharm Res Pract 2019; 8: 1-11.
[] [PMID: 30788283]
Hermans MP, Volkov M, Velden DVD, et al. Anti-citrullinated protein antibodies: a marker of cardiovascular disease and mortality in patients without rheumatoid arthritis. Ann Rheum Dis 2017; 76(1): A82.
Sung KC, Ryu S, Chang Y, Byrne CD, Kim SH. C-reactive protein and risk of cardiovascular and all-cause mortality in 268 803 East Asians. Eur Heart J 2014; 35(27): 1809-16.
[] [PMID: 24569028]
Urman A, Taklalsingh N, Sorrento C, McFarlane IM. Inflammation beyond the joints: rheumatoid arthritis and cardiovascular disease. Scifed J Cardiol 2018; 2(3): 1000019.
[PMID: 30607397]
Khalid U, Egeberg A, Ahlehoff O, et al. Incident heart failure in patients with rheumatoid arthritis: A nationwide cohort study. J Am Heart Assoc 2018; 7(2): e007227.
[] [PMID: 29352092]
Mitchell AJ, Alexy T, Rubinsztain L, et al. Rheumatoid arthritis presenting as acute myopericarditis. Am J Med 2016; 129(5): e17-8.
[] [PMID: 26797082]
Ruscitti P, Cipriani P, Liakouli V, et al. Subclinical and clinical atherosclerosis in rheumatoid arthritis: results from the 3-year, multicentre, prospective, observational GIRRCS (Gruppo Italiano di Ricerca in Reumatologia Clinica e Sperimentale) study. Arthritis Res Ther 2019; 21(1): 204.
[] [PMID: 31481105]
Votano D, Tsang GM, Ashton-Key M, Göbölös L. Recurrent constrictive pericarditis associated with seropositive rheumatoid arthritis: A case report. Int J Surg Case Rep 2017; 34: 93-5.
[] [PMID: 28376422]
Chang K, Yang SM, Kim SH, Han KH, Park SJ, Shin JI. Smoking and rheumatoid arthritis. Int J Mol Sci 2014; 15(12): 22279-95.
[] [PMID: 25479074]
Orsó E, Schmitz G. Lipoprotein(a) and its role in inflammation, atherosclerosis and malignancies. Clin Res Cardiol Suppl 2017; 12(Suppl. 1): 31-7.
[] [PMID: 28188431]
Toosi TD, Rostamiyan A, Moharrami K, Movassaghi S, Nakhjavani M, Norooznezhad AH. Lipid profile changes in rheumatoid arthritis patients: investigation of different affecting factors. Acta Med Iran 2018; 56(10): 665-70.
Guo Q, Wang Y, Xu D, Nossent J, Pavlos NJ, Xu J. Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies. Bone Res 2018; 6: 15.
[] [PMID: 29736302]
Alwarith J, Kahleova H, Rembert E, et al. Nutrition interventions in rheumatoid arthritis: the potential use of plant-based diets. A review. Front Nutr 2019; 6: 141-1.
[] [PMID: 31552259]
Helli B, Mowla K, Mohammadshahi M, Jalali MT. Effect of sesamin supplementation on cardiovascular risk factors in women with rheumatoid arthritis. J Am Coll Nutr 2016; 35(4): 300-7.
[] [PMID: 26151734]
Khanna S, Jaiswal KS, Gupta B. Managing rheumatoid arthritis with dietary interventions. Front Nutr 2017; 4: 52.
[] [PMID: 29167795]
Skoczyńska M, Świerkot J. The role of diet in rheumatoid arthritis. Reumatologia 2018; 56(4): 259-67.
[] [PMID: 30237632]
Chin KY, Ima-Nirwana S. The role of vitamin e in preventing and treating osteoarthritis - a review of the current evidence. Front Pharmacol 2018; 9: 946.
[] [PMID: 30186176]
Elshamy AM, Gaafar NK, ElAshwah NE, Wagih AA, Shahba AA. Evaluation of the effect of vitamin C on caspase 9 and oxidative stress in rheumatoid arthritis patients. Afr J Biochem Res 2018; 12(10): 94-101.
Bauerova K, Kucharska J, Ponist S, et al. The role of endogenous antioxidants in the treatment of experimental arthritis. In: Antioxidants IntechOpen. 2019.
Leopold JA. Antioxidants and coronary artery disease: from pathophysiology to preventive therapy. Coron Artery Dis 2015; 26(2): 176-83.
[] [PMID: 25369999]
Joplin S, van der Zwan R, Joshua F, Wong PK. Medication adherence in patients with rheumatoid arthritis: the effect of patient education, health literacy, and musculoskeletal ultrasound. BioMed Res Int 2015; 2015: 150658.
[] [PMID: 26060812]
Chodara AM, Wattiaux A, Bartels CM. Managing Cardiovascular Disease Risk in Rheumatoid Arthritis: Clinical Updates and Three Strategic Approaches. Curr Rheumatol Rep 2017; 19(4): 16.
[] [PMID: 28361332]
Primdahl J, Ferreira RJ, Garcia-Diaz S, Ndosi M, Palmer D, van Eijk-Hustings Y. Nurses’ Role in cardiovascular risk assessment and management in people with inflammatory arthritis: A european perspective. Musculoskelet Care 2016; 14(3): 133-51.
[] [PMID: 26549188]
Svensson AL, Christensen R, Persson F, et al. Multifactorial intervention to prevent cardiovascular disease in patients with early rheumatoid arthritis: protocol for a multicentre randomised controlled trial. BMJ Open 2016; 6(4): e009134.
[] [PMID: 27098820]
Heidari B, Hajian-Tilaki K, Babaei M, Vitamin D. Vitamin D deficiency and rheumatoid arthritis: epidemiological, immunological, clinical and therapeutic aspects. Mediterr J Rheumatol 2019; 30(2): 94-102.
[PMID: 32185348]
Meena N, Singh Chawla SP, Garg R, Batta A, Kaur S. Assessment of vitamin D in rheumatoid arthritis and its correlation with disease activity. J Nat Sci Biol Med 2018; 9(1): 54-8.
[] [PMID: 29456394]
Gioia C, Lucchino B, Tarsitano MG, Iannuccelli C, Di Franco M. Dietary habits and nutrition in rheumatoid arthritis: can diet influence disease development and clinical manifestations? Nutrients 2020; 12(5): 1456.
[] [PMID: 32443535]
Vallverdú-Queralt A, Regueiro J, Martínez-Huélamo M, Rinaldi Alvarenga JF, Leal LN, Lamuela-Raventos RM. A comprehensive study on the phenolic profile of widely used culinary herbs and spices: rosemary, thyme, oregano, cinnamon, cumin and bay. Food Chem 2014; 154: 299-307.
[] [PMID: 24518346]
Janeiro MH, Ramírez MJ, Milagro FI, Martínez JA, Solas M. Implication of trimethylamine n-oxide (tmao) in disease: potential biomarker or new therapeutic target. Nutrients 2018; 10(10): 1398.
[] [PMID: 30275434]
He J, Wang Y, Feng M, et al. Dietary intake and risk of rheumatoid arthritis-a cross section multicenter study. Clin Rheumatol 2016; 35(12): 2901-8.
[] [PMID: 27553386]
Panche AN, Diwan AD, Chandra SR. Flavonoids: an overview. J Nutr Sci 2016; 5: e47-7.
[] [PMID: 28620474]
Aryaeian N, Mahmoudi M, Shahram F, Poursani S, Jamshidi F, Tavakoli H. The effect of ginger supplementation on IL2, TNFα, and IL1β cytokines gene expression levels in patients with active rheumatoid arthritis: A randomized controlled trial. Med J Islam Repub Iran 2019; 33: 154-4.
[PMID: 32280660]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy