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Nutritional counseling for deteriorating joint health

Nutritional counseling for deteriorating joint health
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As a result of the increasing number of individuals struggling with obesity and inadequate nutrition and insufficient physical activity, various diseases are becoming increasingly prevalent, including those with rheumatoidal etiology. One such disease is ankylosing spondylitis, which is currently the most commonly diagnosed condition in this group of diseases. Read the article to find out what this disease is and what nutritional recommendations are worth considering.
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Articular degeneration

Articular degeneration represents a progressive condition predominantly affecting elderly individuals. As the most prevalent rheumatic disorder, it constitutes the primary factor diminishing life quality and causing disability in those over 65. The knee and hip joints are particularly susceptible to damage, though increasing obesity has led to its manifestation near the wrists as well. The pathogenesis stems from the interplay between excess body weight and elevated intake of saturated fatty acids, which promote inflammation and leptin resistance. Excessive leptin exhibits pro-inflammatory characteristics, damaging joint cartilage and facilitating its gradual deterioration. The critical factor involves an imbalance between cartilage degradation and synthesis, culminating in widespread chondrocyte apoptosis.
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Dietary support for joint degeneration treatment

Joint degeneration necessitates medical treatment, but diet can play a crucial role in managing the condition. Maintaining a healthy weight is essential to reduce strain on affected joints. It is advisable to limit the intake of fats, particularly animal fats such as fatty meats, full-fat dairy, and fats like lard, bacon, or butter. Research indicates that a high-fat diet accelerates disease progression. Instead, plant-based fats, including olive oil, are recommended, as they reduce inflammation in cartilage and support the production of joint-lubricating substances.
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Literatura:
Aini H., Ochi H. i in.,
Procyanidin B3 prevents articular cartilage degeneration and heterotopic cartilage formation in a mouse surgical osteoarthritis model
, PloS One, 2012,
Ghoochani N., Karandish M. i in.,
The effect of pomegranate juice on clinical signs, matrix metalloproteinases and antioxidant status in patients with knee osteoarthritis,
J Sci Food Agric, 2016,
Mooney R. A., Sampson E. R. i in.,
High-fat diet accelerates progression of osteoarthritis after meniscal/ligamentous injury,
Arthritis Res Ther, 2011,
Musumeci G., Trovato F. M. i in.,
Extra-virgin olive oil diet and mild physical activity prevent cartilage degeneration in an osteoarthritis model: an in vivo and in vitro study on lubricin expression,
J Nutr Biochem, 2013,
Sartori-Cintra A. R., Aikawa P., Cintra D. E.,
Obesity versus osteoarthritis: beyond the mechanical overload,
Einstein (Sao Paulo), 2014,
Szychlinska M. A., Castrogiovanni P. i in.,
Physical activity and Mediterranean diet based on olive tree phenolic compounds from two different geographical areas have protective effects on early osteoarthritis, muscle atrophy and hepatic steatosis,
Eur J Nutr, 2018,
Yang C., Wolf E. i in.,
Selenium deficiency and fulvic acid supplementation induces fibrosis of cartilage and disturbs subchondral ossification in knee joints of mice: an animal model study of Kashin-Beck disease,
Virchows Arch A Pathol Anat Histopathol, 1993.
Scientifically reviewed by a clinical dietitian • 25.03.2026

Literatura: Aini H., Ochi H. i in., Procyanidin B3 prevents articular cartilage degeneration and heterotopic cartilage formation in a mouse surgical osteoarthritis model , PloS One, 2012, Ghoochani N., Karandish M. i in., The effect of pomegranate juice on clinical signs, matrix metalloproteinases and antioxidant status in patients with knee osteoarthritis, J Sci Food Agric, 2016, Mooney R. A., Sampson E. R. i in., High-fat diet accelerates progression of osteoarthritis after meniscal/ligamentous injury, Arthritis Res Ther, 2011, Musumeci G., Trovato F. M. i in., Extra-virgin olive oil diet and mild physical activity prevent cartilage degeneration in an osteoarthritis model: an in vivo and in vitro study on lubricin expression, J Nutr Biochem, 2013, Sartori-Cintra A. R., Aikawa P., Cintra D. E., Obesity versus osteoarthritis: beyond the mechanical overload, Einstein (Sao Paulo), 2014, Szychlinska M. A., Castrogiovanni P. i in., Physical activity and Mediterranean diet based on olive tree phenolic compounds from two different geographical areas have protective effects on early osteoarthritis, muscle atrophy and hepatic steatosis, Eur J Nutr, 2018, Yang C., Wolf E. i in., Selenium deficiency and fulvic acid supplementation induces fibrosis of cartilage and disturbs subchondral ossification in knee joints of mice: an animal model study of Kashin-Beck disease, Virchows Arch A Pathol Anat Histopathol, 1993.

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