Rheumatic Disease Flashcards
aspirin depletes
folate
iron
vitaminC
salicylate depletes
folate
NSAIDs decrease
iron
folate
sulfasalazine decreases
folate
methotrexate decreases
folate
corticosteroids decrease
calcium vitamin D potassium zinc vitamin C magnesium folate selenium
tetracycline depletes
calcium
magnesium
iron
colchicine depletes
B12
sodium
potassium
D-penicillamine depletes
B6
magnesium
zinc
copper
diets to decrease inflammation
medeterranean diet
nordic diet
MIND diet
MIND diet (can eat)
green leafy veggies (6 servings a week) other veggies (1 per day) nuts (5/week) berries (2+/week) whole grains (>3/week) fish (1/week) poultry (2/week) olive oil (use as main cooking oil) wine (1/day)
MIND diet (avoid eating)
red meat (<4/week) butter and margarine (<1tbsp/day) cheese (<1/week) pasteries and sweets (<5/week) fried or fast food (<1/week)
what do you generally want to decrease to avoid inflammation
added sugars
processed grains
refined oils
trans fats
osteoarthritis nutritional therapy
anti-inflammatory diet moderate exercise for weight loss vitamin D SAMe, capsaicin gel, articulin F glucosamine sulfate, chondroitin sulfate
RA nutritional concerns
often have very low vitamin D
increased metabolic rate secondary to inflammation
often have taste alterations
identify possible food allergies with elimination diet
fasting has been historically used to decrease inflamation
protein for RA
1.5-2.0g/kg/d for highly inflammed or malnourished
fat for RA
<30% of energy
more omega 3s, flax, olive oil
micronutrients for RA
vitamin E (nuts and seeds)
methotrexate decreases folate
encourage adequate intake of folate, B6, B12
vitamin D and calcium supplements may be considered
probiotics
herbals for RA
evening primrose, black currant or boage oils
NO thunder god vine
people with gout should decrease
red meat seafood alcohol (beer) fructose (fruit) other high purine foods
people with gout should increase
low fat dairy
supplemental vitamin C
coffee
tart cherry juice
what should you do during a gout attack
drink 8-16cups of fluid (half water)
avoid alcohol
limit animal foods
get moderate protein from dairy, tofu, eggs and nut butters
foods high in purines
anchovies gravy broth organ meats mackerel herring bouillon yeast scallops meat fish poultry shellfish
