Martin R H
Human Nutrition Research Group, University of Ulster, Coleraine, UK.
Proc Nutr Soc. 1998 May;57(2):231-4. doi: 10.1079/pns19980036.
Given the lack of understanding of the nutritional requirements in RA, plus the variability in its clinical course, it is difficult to produce specific dietary recommendations for RA. In general, sufferers should consume as varied a diet as possible, based on current Department of Health (1991) guidelines. Dietary counselling is important to help patients achieve this. Self-imposed elimination diets should be avoided and suspected food intolerance tested under strict clinical supervision. Nutrient megadosing is inadvisable, although dietary supplementation with Ca, vitamin D, folic acid or multivitamins and minerals should be recommended where necessary.
鉴于对类风湿关节炎（RA）营养需求缺乏了解，加上其临床病程的变异性，很难为RA制定具体的饮食建议。一般来说，患者应根据卫生部（1991年）的现行指南，尽可能摄入多样化的饮食。饮食咨询对于帮助患者实现这一点很重要。应避免自行实施的排除饮食，并在严格的临床监督下检测可疑的食物不耐受情况。不建议大剂量摄入营养素，不过在必要时应建议补充钙、维生素D、叶酸或多种维生素及矿物质。
