Loading…

Inadequate Dietary Nutrient Intake in Patients With Rheumatoid Arthritis in Southwestern Sweden: A Cross-Sectional Study

BackgroundPatients with rheumatoid arthritis (RA), who suffer from impaired physical function and fatigue, may have difficulties with grocery shopping and preparing meals. Also, to improve symptoms, patients often experiment with diets but seldom consult a dietitian. Although this could lead to a nu...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in nutrition (Lausanne) 2022-06, Vol.9, p.915064-915064
Main Authors: Turesson Wadell, Anna, Bärebring, Linnea, Hulander, Erik, Gjertsson, Inger, Lindqvist, Helen M., Winkvist, Anna
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43
cites cdi_FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43
container_end_page 915064
container_issue
container_start_page 915064
container_title Frontiers in nutrition (Lausanne)
container_volume 9
creator Turesson Wadell, Anna
Bärebring, Linnea
Hulander, Erik
Gjertsson, Inger
Lindqvist, Helen M.
Winkvist, Anna
description BackgroundPatients with rheumatoid arthritis (RA), who suffer from impaired physical function and fatigue, may have difficulties with grocery shopping and preparing meals. Also, to improve symptoms, patients often experiment with diets but seldom consult a dietitian. Although this could lead to a nutritiously deprived diet, an up-to-date, thorough description of the nutrient intake in Swedish patients with RA is absent. Here, we investigated the habitual dietary energy and nutrient intake in patients with RA living in southwestern Sweden. Materials and MethodsThree-day food records performed at two time points during the ADIRA (Anti-inflammatory Diet In Rheumatoid Arthritis) trial, were used. The intake of energy and nutrients was analyzed using The Swedish Food Composition Database. ResultsA total of 62 participants (50 females, 12 males) were included in the study, where 18 participants completed one 3-day food record and 44 participants completed two 3-day food records. Median (IQR) intake of total fat was above or in the upper range of recommendations (females: 37.1 [32.5, 41.7] energy percent (E%), and males: 40.3 [37.5, 42.9] E%). Median (IQR) intake of saturated fatty acids exceeded recommendations (females: 14.9 [12.5, 17.0] E% and males: 15.4 [12.2, 17.0] E%), while median (IQR) carbohydrate and fiber intakes were below recommendations (females: 41.7 [36.3, 45.4] E% and 17.2 [12.8, 20.9] g, respectively, and males: 38.8 [35.2, 40,3] E% and 18.5 [15.7, 21.0] g, respectively). The reported intake of other macronutrients was in line with recommendations. For several micronutrients, e.g., vitamin A and D, folate, and calcium, median intake was below recommended intake. Vitamin A intake was especially low and did not reach lower intake level (LI) for 14 and 17% of females and males, respectively. For females, about 10% did not reach LI for vitamin D, calcium, and riboflavin. ConclusionWe found that patients with RA residing in southwestern Sweden reported a high intake of saturated fatty acids and low intake of fiber and several micronutrients. Clinical Trial Registration[https://clinicaltrials.gov/ct2/show/NCT02941055?term=NCT02941055&draw=2&rank=1], identifier [NCT02941055].
doi_str_mv 10.3389/fnut.2022.915064
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_024b865ebc9849beb3a35696c8557d43</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_024b865ebc9849beb3a35696c8557d43</doaj_id><sourcerecordid>2687727459</sourcerecordid><originalsourceid>FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43</originalsourceid><addsrcrecordid>eNpVUk2P0zAUjBCIXS175-gjlxTHX4k5IFXlq9IKEF0JbpbtvDRe0qTrD8r-exyyQtSSZb9543nyaIriZYVXlDbydTemuCKYkJWsOBbsSXFJiBRlI6ofT_-7XxTXIdxhjCtKOKvY8-KC8lrKvC-L39tRt3CfdAT0zkHU_gF9TtE7GCPajlH_BORG9FXHGQnou4s9-tZDOug4uRatfey9iy7MrN2UYn-CEMHn4gQtjG_QGm38FEK5AxvdNOoB7WJqH14Uzzo9BLh-PK-K2w_vbzefypsvH7eb9U1pGa5jyW1tjWRtrgh0ghiKWy50hbumk02GujYDxkgpOKsxZ8wSa2piuMkNRq-K7SLbTvpOHb075B-qSTv1F5j8XmkfnR1AYcJMIzgYKxsmDRiqKRdS2IbzOktlrXLRCic4JnOmtk9HlaF9UgEUrWQlZOa_XfiZfIDWZgO9Hs6enXdG16v99EtJwvPCWeDVo4Cf7lP2VR1csDAMeoQpBUVEU9ekZnyehReqnc320P0bU2E1x0XNcVFzXNQSF_oHqBm1gQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2687727459</pqid></control><display><type>article</type><title>Inadequate Dietary Nutrient Intake in Patients With Rheumatoid Arthritis in Southwestern Sweden: A Cross-Sectional Study</title><source>PubMed Central Free</source><creator>Turesson Wadell, Anna ; Bärebring, Linnea ; Hulander, Erik ; Gjertsson, Inger ; Lindqvist, Helen M. ; Winkvist, Anna</creator><creatorcontrib>Turesson Wadell, Anna ; Bärebring, Linnea ; Hulander, Erik ; Gjertsson, Inger ; Lindqvist, Helen M. ; Winkvist, Anna</creatorcontrib><description>BackgroundPatients with rheumatoid arthritis (RA), who suffer from impaired physical function and fatigue, may have difficulties with grocery shopping and preparing meals. Also, to improve symptoms, patients often experiment with diets but seldom consult a dietitian. Although this could lead to a nutritiously deprived diet, an up-to-date, thorough description of the nutrient intake in Swedish patients with RA is absent. Here, we investigated the habitual dietary energy and nutrient intake in patients with RA living in southwestern Sweden. Materials and MethodsThree-day food records performed at two time points during the ADIRA (Anti-inflammatory Diet In Rheumatoid Arthritis) trial, were used. The intake of energy and nutrients was analyzed using The Swedish Food Composition Database. ResultsA total of 62 participants (50 females, 12 males) were included in the study, where 18 participants completed one 3-day food record and 44 participants completed two 3-day food records. Median (IQR) intake of total fat was above or in the upper range of recommendations (females: 37.1 [32.5, 41.7] energy percent (E%), and males: 40.3 [37.5, 42.9] E%). Median (IQR) intake of saturated fatty acids exceeded recommendations (females: 14.9 [12.5, 17.0] E% and males: 15.4 [12.2, 17.0] E%), while median (IQR) carbohydrate and fiber intakes were below recommendations (females: 41.7 [36.3, 45.4] E% and 17.2 [12.8, 20.9] g, respectively, and males: 38.8 [35.2, 40,3] E% and 18.5 [15.7, 21.0] g, respectively). The reported intake of other macronutrients was in line with recommendations. For several micronutrients, e.g., vitamin A and D, folate, and calcium, median intake was below recommended intake. Vitamin A intake was especially low and did not reach lower intake level (LI) for 14 and 17% of females and males, respectively. For females, about 10% did not reach LI for vitamin D, calcium, and riboflavin. ConclusionWe found that patients with RA residing in southwestern Sweden reported a high intake of saturated fatty acids and low intake of fiber and several micronutrients. Clinical Trial Registration[https://clinicaltrials.gov/ct2/show/NCT02941055?term=NCT02941055&amp;draw=2&amp;rank=1], identifier [NCT02941055].</description><identifier>ISSN: 2296-861X</identifier><identifier>EISSN: 2296-861X</identifier><identifier>DOI: 10.3389/fnut.2022.915064</identifier><identifier>PMID: 35799579</identifier><language>eng</language><publisher>Frontiers Media S.A</publisher><subject>dietary ; dietary fiber ; energy intake ; fatty acids ; fiber ; micronutrients ; nutrients ; Nutrition ; Nutrition &amp; Dietetics ; Nutrition and Dietetics ; nutritional requirements ; nutritional-status ; Näringslära ; quality ; questionnaire ; recommendations ; rheumatoid arthritis ; symptoms</subject><ispartof>Frontiers in nutrition (Lausanne), 2022-06, Vol.9, p.915064-915064</ispartof><rights>Copyright © 2022 Turesson Wadell, Bärebring, Hulander, Gjertsson, Lindqvist and Winkvist. 2022 Turesson Wadell, Bärebring, Hulander, Gjertsson, Lindqvist and Winkvist</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43</citedby><cites>FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255550/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255550/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://gup.ub.gu.se/publication/319169$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Turesson Wadell, Anna</creatorcontrib><creatorcontrib>Bärebring, Linnea</creatorcontrib><creatorcontrib>Hulander, Erik</creatorcontrib><creatorcontrib>Gjertsson, Inger</creatorcontrib><creatorcontrib>Lindqvist, Helen M.</creatorcontrib><creatorcontrib>Winkvist, Anna</creatorcontrib><title>Inadequate Dietary Nutrient Intake in Patients With Rheumatoid Arthritis in Southwestern Sweden: A Cross-Sectional Study</title><title>Frontiers in nutrition (Lausanne)</title><description>BackgroundPatients with rheumatoid arthritis (RA), who suffer from impaired physical function and fatigue, may have difficulties with grocery shopping and preparing meals. Also, to improve symptoms, patients often experiment with diets but seldom consult a dietitian. Although this could lead to a nutritiously deprived diet, an up-to-date, thorough description of the nutrient intake in Swedish patients with RA is absent. Here, we investigated the habitual dietary energy and nutrient intake in patients with RA living in southwestern Sweden. Materials and MethodsThree-day food records performed at two time points during the ADIRA (Anti-inflammatory Diet In Rheumatoid Arthritis) trial, were used. The intake of energy and nutrients was analyzed using The Swedish Food Composition Database. ResultsA total of 62 participants (50 females, 12 males) were included in the study, where 18 participants completed one 3-day food record and 44 participants completed two 3-day food records. Median (IQR) intake of total fat was above or in the upper range of recommendations (females: 37.1 [32.5, 41.7] energy percent (E%), and males: 40.3 [37.5, 42.9] E%). Median (IQR) intake of saturated fatty acids exceeded recommendations (females: 14.9 [12.5, 17.0] E% and males: 15.4 [12.2, 17.0] E%), while median (IQR) carbohydrate and fiber intakes were below recommendations (females: 41.7 [36.3, 45.4] E% and 17.2 [12.8, 20.9] g, respectively, and males: 38.8 [35.2, 40,3] E% and 18.5 [15.7, 21.0] g, respectively). The reported intake of other macronutrients was in line with recommendations. For several micronutrients, e.g., vitamin A and D, folate, and calcium, median intake was below recommended intake. Vitamin A intake was especially low and did not reach lower intake level (LI) for 14 and 17% of females and males, respectively. For females, about 10% did not reach LI for vitamin D, calcium, and riboflavin. ConclusionWe found that patients with RA residing in southwestern Sweden reported a high intake of saturated fatty acids and low intake of fiber and several micronutrients. Clinical Trial Registration[https://clinicaltrials.gov/ct2/show/NCT02941055?term=NCT02941055&amp;draw=2&amp;rank=1], identifier [NCT02941055].</description><subject>dietary</subject><subject>dietary fiber</subject><subject>energy intake</subject><subject>fatty acids</subject><subject>fiber</subject><subject>micronutrients</subject><subject>nutrients</subject><subject>Nutrition</subject><subject>Nutrition &amp; Dietetics</subject><subject>Nutrition and Dietetics</subject><subject>nutritional requirements</subject><subject>nutritional-status</subject><subject>Näringslära</subject><subject>quality</subject><subject>questionnaire</subject><subject>recommendations</subject><subject>rheumatoid arthritis</subject><subject>symptoms</subject><issn>2296-861X</issn><issn>2296-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUk2P0zAUjBCIXS175-gjlxTHX4k5IFXlq9IKEF0JbpbtvDRe0qTrD8r-exyyQtSSZb9543nyaIriZYVXlDbydTemuCKYkJWsOBbsSXFJiBRlI6ofT_-7XxTXIdxhjCtKOKvY8-KC8lrKvC-L39tRt3CfdAT0zkHU_gF9TtE7GCPajlH_BORG9FXHGQnou4s9-tZDOug4uRatfey9iy7MrN2UYn-CEMHn4gQtjG_QGm38FEK5AxvdNOoB7WJqH14Uzzo9BLh-PK-K2w_vbzefypsvH7eb9U1pGa5jyW1tjWRtrgh0ghiKWy50hbumk02GujYDxkgpOKsxZ8wSa2piuMkNRq-K7SLbTvpOHb075B-qSTv1F5j8XmkfnR1AYcJMIzgYKxsmDRiqKRdS2IbzOktlrXLRCic4JnOmtk9HlaF9UgEUrWQlZOa_XfiZfIDWZgO9Hs6enXdG16v99EtJwvPCWeDVo4Cf7lP2VR1csDAMeoQpBUVEU9ekZnyehReqnc320P0bU2E1x0XNcVFzXNQSF_oHqBm1gQ</recordid><startdate>20220621</startdate><enddate>20220621</enddate><creator>Turesson Wadell, Anna</creator><creator>Bärebring, Linnea</creator><creator>Hulander, Erik</creator><creator>Gjertsson, Inger</creator><creator>Lindqvist, Helen M.</creator><creator>Winkvist, Anna</creator><general>Frontiers Media S.A</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><scope>DOA</scope></search><sort><creationdate>20220621</creationdate><title>Inadequate Dietary Nutrient Intake in Patients With Rheumatoid Arthritis in Southwestern Sweden: A Cross-Sectional Study</title><author>Turesson Wadell, Anna ; Bärebring, Linnea ; Hulander, Erik ; Gjertsson, Inger ; Lindqvist, Helen M. ; Winkvist, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>dietary</topic><topic>dietary fiber</topic><topic>energy intake</topic><topic>fatty acids</topic><topic>fiber</topic><topic>micronutrients</topic><topic>nutrients</topic><topic>Nutrition</topic><topic>Nutrition &amp; Dietetics</topic><topic>Nutrition and Dietetics</topic><topic>nutritional requirements</topic><topic>nutritional-status</topic><topic>Näringslära</topic><topic>quality</topic><topic>questionnaire</topic><topic>recommendations</topic><topic>rheumatoid arthritis</topic><topic>symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turesson Wadell, Anna</creatorcontrib><creatorcontrib>Bärebring, Linnea</creatorcontrib><creatorcontrib>Hulander, Erik</creatorcontrib><creatorcontrib>Gjertsson, Inger</creatorcontrib><creatorcontrib>Lindqvist, Helen M.</creatorcontrib><creatorcontrib>Winkvist, Anna</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in nutrition (Lausanne)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turesson Wadell, Anna</au><au>Bärebring, Linnea</au><au>Hulander, Erik</au><au>Gjertsson, Inger</au><au>Lindqvist, Helen M.</au><au>Winkvist, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inadequate Dietary Nutrient Intake in Patients With Rheumatoid Arthritis in Southwestern Sweden: A Cross-Sectional Study</atitle><jtitle>Frontiers in nutrition (Lausanne)</jtitle><date>2022-06-21</date><risdate>2022</risdate><volume>9</volume><spage>915064</spage><epage>915064</epage><pages>915064-915064</pages><issn>2296-861X</issn><eissn>2296-861X</eissn><abstract>BackgroundPatients with rheumatoid arthritis (RA), who suffer from impaired physical function and fatigue, may have difficulties with grocery shopping and preparing meals. Also, to improve symptoms, patients often experiment with diets but seldom consult a dietitian. Although this could lead to a nutritiously deprived diet, an up-to-date, thorough description of the nutrient intake in Swedish patients with RA is absent. Here, we investigated the habitual dietary energy and nutrient intake in patients with RA living in southwestern Sweden. Materials and MethodsThree-day food records performed at two time points during the ADIRA (Anti-inflammatory Diet In Rheumatoid Arthritis) trial, were used. The intake of energy and nutrients was analyzed using The Swedish Food Composition Database. ResultsA total of 62 participants (50 females, 12 males) were included in the study, where 18 participants completed one 3-day food record and 44 participants completed two 3-day food records. Median (IQR) intake of total fat was above or in the upper range of recommendations (females: 37.1 [32.5, 41.7] energy percent (E%), and males: 40.3 [37.5, 42.9] E%). Median (IQR) intake of saturated fatty acids exceeded recommendations (females: 14.9 [12.5, 17.0] E% and males: 15.4 [12.2, 17.0] E%), while median (IQR) carbohydrate and fiber intakes were below recommendations (females: 41.7 [36.3, 45.4] E% and 17.2 [12.8, 20.9] g, respectively, and males: 38.8 [35.2, 40,3] E% and 18.5 [15.7, 21.0] g, respectively). The reported intake of other macronutrients was in line with recommendations. For several micronutrients, e.g., vitamin A and D, folate, and calcium, median intake was below recommended intake. Vitamin A intake was especially low and did not reach lower intake level (LI) for 14 and 17% of females and males, respectively. For females, about 10% did not reach LI for vitamin D, calcium, and riboflavin. ConclusionWe found that patients with RA residing in southwestern Sweden reported a high intake of saturated fatty acids and low intake of fiber and several micronutrients. Clinical Trial Registration[https://clinicaltrials.gov/ct2/show/NCT02941055?term=NCT02941055&amp;draw=2&amp;rank=1], identifier [NCT02941055].</abstract><pub>Frontiers Media S.A</pub><pmid>35799579</pmid><doi>10.3389/fnut.2022.915064</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2296-861X
ispartof Frontiers in nutrition (Lausanne), 2022-06, Vol.9, p.915064-915064
issn 2296-861X
2296-861X
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_024b865ebc9849beb3a35696c8557d43
source PubMed Central Free
subjects dietary
dietary fiber
energy intake
fatty acids
fiber
micronutrients
nutrients
Nutrition
Nutrition & Dietetics
Nutrition and Dietetics
nutritional requirements
nutritional-status
Näringslära
quality
questionnaire
recommendations
rheumatoid arthritis
symptoms
title Inadequate Dietary Nutrient Intake in Patients With Rheumatoid Arthritis in Southwestern Sweden: A Cross-Sectional Study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T16%3A48%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Inadequate%20Dietary%20Nutrient%20Intake%20in%20Patients%20With%20Rheumatoid%20Arthritis%20in%20Southwestern%20Sweden:%20A%20Cross-Sectional%20Study&rft.jtitle=Frontiers%20in%20nutrition%20(Lausanne)&rft.au=Turesson%20Wadell,%20Anna&rft.date=2022-06-21&rft.volume=9&rft.spage=915064&rft.epage=915064&rft.pages=915064-915064&rft.issn=2296-861X&rft.eissn=2296-861X&rft_id=info:doi/10.3389/fnut.2022.915064&rft_dat=%3Cproquest_doaj_%3E2687727459%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c407t-5c7cb94dc402ef62b30d56a10f8f982effd0d5bb9965470544c2cb72b5bd0d43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2687727459&rft_id=info:pmid/35799579&rfr_iscdi=true