Autoinflammatory & rare systemic diseases

Association of Mediterranean diet adherence with familial Mediterranean fever severity in a Lebanese cohort

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

Our findings reinforce the multifactorial aspect of FMF

Study context

Population
Confirmed individuals with Familial Mediterranean Fever (FMF) in Lebanon
Participants
101 individuals
Exposure
Low vs moderate vs high Mediterranean diet adherence
Outcome
Association between MD adherence and FMF severity (International Severity Score for FMF, International Severity Score for FMF (ISSF))
Methodological detailssurvey, questionnaire-based
  • Survey
  • Questionnaire-based

Main finding

As reported in the abstract

FMF severity (ISSF) by MD adherence

Observational data: associations, not effects.

Further findings

MD component intakes

Most MD component intakes did not meet the recommended ranges

Diarrhoea by MD adherence

Differed significantly, higher frequency in the low MD group

Factors associated with FMF severity

Obesity, high physical activity and comorbidities (particularly rheumatoid manifestations, IBD, CVD) associated with significantly increased FMF severity
None emerged as independent predictors in multivariate models

Original publication

Association of Mediterranean diet adherence with familial Mediterranean fever severity in a Lebanese cohort. Pediatr Rheumatol Online J. Published 21 November 2025. doi:10.1186/s12969-025-01167-3

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