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Macfarlane TV, Abbood HM, Pathan E, et al. Relationship between diet and ankylosing spondylitis: A systematic review. Eur J Rheumatol. 2017;5(1):45-52doi: 10.5152/eurjrheum.2017.16103.
Macfarlane, T. V., Abbood, H. M., Pathan, E., Gordon, K., Hinz, J., & Macfarlane, G. J. (2018). Relationship between diet and ankylosing spondylitis: A systematic review. European journal of rheumatology, 5(1), 45-52. https://doi.org/10.5152/eurjrheum.2017.16103
Macfarlane, Tatiana V, et al. "Relationship between diet and ankylosing spondylitis: A systematic review." European journal of rheumatology vol. 5,1 (2018): 45-52. doi: https://doi.org/10.5152/eurjrheum.2017.16103
Macfarlane TV, Abbood HM, Pathan E, Gordon K, Hinz J, Macfarlane GJ. Relationship between diet and ankylosing spondylitis: A systematic review. Eur J Rheumatol. 2018 Mar;5(1):45-52. doi: 10.5152/eurjrheum.2017.16103. Epub 2017 Oct 25. PMID: 29657875; PMCID: PMC5895151.
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Eur J Rheumatol. 2018 Mar;5(1):45-52. doi: 10.5152/eurjrheum.2017.16103. Epub 2017 Oct 25.

Relationship between diet and ankylosing spondylitis: A systematic review.

European journal of rheumatology

Tatiana V Macfarlane, Hadeel M Abbood, Ejaz Pathan, Katy Gordon, Juliane Hinz, Gary J Macfarlane

Affiliations

  1. Epidemiology Group, University of Aberdeen School of Medicine, Medical Sciences and Nutrition, Aberdeen, UK.
  2. Medicines Monitoring Unit, University of Dundee School of Medicine, Dundee, UK.
  3. Pain Concern, Edinburgh, UK.
  4. Department of Public Health, University of Bremen, Bremen, Germany.
  5. Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, Aberdeen, UK.

PMID: 29657875 PMCID: PMC5895151 DOI: 10.5152/eurjrheum.2017.16103

Abstract

The question of whether diet plays a role in the onset of ankylosing spondylitis (AS) or can affect the course of the disease is an important one for many patients and healthcare providers. The aims of this study were to investigate whether: 1) patients with AS report different diets to those without AS; 2) amongst patients with AS, diet is related to severity; 3) persons with particular diets are less likely to develop AS; 4) specific dietary interventions improve the AS symptoms. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Medline, Embase, Cochrane Library, and reference lists of relevant articles were searched. Two authors independently selected eligible studies, assessed the quality of included trials, and extracted the data. Sixteen studies (nine observational and seven interventions) were included in the review. Due to the heterogeneity of the study designs and analyses, the results could not be aggregated. Evidence on a possible relationship between AS and diet is extremely limited and inconclusive due to the majority of included studies being small, single studies with moderate-to-high risk of bias, and insufficient reporting of results.

Keywords: Ankylosing spondylitis; diet; nutrition; rheumatic disease; systematic review

Conflict of interest statement

Conflict of Interest: TVM reports grant from National Ankylosing Spondylitis Society (NASS), during the conduct of the study. GJM reports grant from NASS, during the conduct of the study; and GJM is C

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