Spondyloarthritis & psoriatic arthritis

Patients with radiographic axial spondylarthritis have an impaired dietary intake—a cross-sectional study with matched controls from northern Sweden

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

Our results suggest that r-axSpA patients have an impaired dietary intake. Notably, intake was lower in several nutrients theorized to have anti-inflammatory properties (fiber density, marine-omega-3 fatty acids, vitamin D, and selenium).

Study context

Population
Radiographic axial spondyloarthritis (r-axSpA) patients at the rheumatology clinic in Region Västerbotten, northern Sweden, and population controls aged 50–64 years155 patients included
Participants
81 vs 319
Exposure
r-axSpA patients vs matched controls without r-axSpA
  • r-axSpAn = 81
  • Controlsn = 319reference
Outcome
Dietary nutrient intake (semi-quantitative food frequency questionnaire MiniMeal-Q)
Methodological detailsmatched controls (4 per patient, on age ± 1 year, sex and geographic location), exact conditional logistic regression, adjusted
  • Matched controls (4 per patient, on age ± 1 year, sex and geographic location)
  • Exact conditional logistic regression, adjusted

Main finding

As reported in the abstract

Dietary nutrient intake, r-axSpA vs controls
  • Significantly higher energy intake from carbohydrates in patients
  • Lower fiber density in patients
  • Lower intake of marine omega-3 fatty acids in patients
  • Significantly lower intake of vitamins D, E, K, selenium, folate, calcium, magnesium, phosphorus, potassium, vitamin A and β-carotene in patients
  • Adjusted for country of birth, educational level, single household, weight, smoking status, and energy intake

Observational data: associations, not effects.

Original publication

Patients with radiographic axial spondylarthritis have an impaired dietary intake—a cross-sectional study with matched controls from northern Sweden. Arthritis Res Ther. Published 7 August 2023. doi:10.1186/s13075-023-03126-3

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