Evidence map›Paper›PMID 35654458›Full record

SynthesisRMD open2022

Effects of diet on the outcomes of rheumatic and musculoskeletal diseases (RMDs): systematic review and meta-analyses informing the 2021 EULAR recommendations for lifestyle improvements in people with RMDs.

James M Gwinnutt, Maud Wieczorek, Javier Rodríguez-Carrio, Andra Balanescu, Heike A Bischoff-Ferrari, Annelies Boonen, Giulio Cavalli, Savia de Souza, Annette de Thurah, Thomas E Dorner and 9 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Laboratory-selected, probioticFrontiers in nutrition · 2026
    Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Ambient green light reduces knee pain in osteoarthritis patients.Canadian journal of pain = Revue canadienne de la douleur · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 16 institutions in 12 countries.

James M GwinnuttCentre for Epidemiology Versus Arthritis, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0002-1435-8797
Maud WieczorekEA 4360 Apemac, Université de Lorraine, Nancy, France.ORCID 0000-0002-4528-9923
Javier Rodríguez-CarrioArea of Immunology, Department of Functional Biology, Universidad de Oviedo, Oviedo, Spain.ORCID 0000-0002-0011-5102
Andra BalanescuDepartment of Internal Medicine and Rheumatology, 'Sf Maria' Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.
Heike A Bischoff-FerrariCenter on Aging and Mobility, University of Zurich, Zurich, Switzerland.
Annelies BoonenDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0003-0682-9533
Giulio CavalliUnit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0001-8728-3004
Savia de SouzaCentre for Rheumatic Diseases, King's College London, London, UK.
Annette de ThurahDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0003-0103-4328
Thomas E DornerCentre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Vienna, Austria.
Rikke Helene MoeNational Advisory Unit for Rehabilitation in Rheumatology, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0001-7601-5346
Polina PutrikDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands.
Lucía Silva-FernándezRheumatology Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain.
Tanja StammSection for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3073-7284
Karen Walker-BoneMRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.
Joep WellingNVLE Dutch Patient Organization for Systemic Autoimmune Diseases, Utrecht, The Netherlands.
Mirjana Zlatković-ŠvendaInstitute of Rheumatology, University of Belgrade School of Medicine, Belgrade, Serbia.ORCID 0000-0002-7123-140X
Francis GuilleminEA 4360 Apemac, Université de Lorraine, Nancy, France.ORCID 0000-0002-9860-7024
Suzanne M M VerstappenCentre for Epidemiology Versus Arthritis, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK suzanne.verstappen@manchester.ac.uk.
Maastricht University · NLUniversity of Zurich · CHAarhus University · DKArthritis UK · GBCarol Davila University of Medicine and Pharmacy · RODiakonhjemmet Hospital · NOHospital Universitario Son Espases · ESInserm · FRKarl Landsteiner Society · ATKing's College London · GBManchester Academic Health Science Centre · GBStatistics Austria · ATUniversidad de Oviedo · ESUniversity of East Sarajevo · BAUniversity of Manchester · GBVita-Salute San Raffaele University · IT

Funding

Department of HealthMedical Research Council MC_PC_15015Medical Research Council MC_PC_21002Versus Arthritis 21755
6 · The paper itself

Abstract

backgroundA EULAR taskforce was convened to develop recommendations for lifestyle behaviours in rheumatic and musculoskeletal diseases (RMDs). In this paper, the literature on the effect of diet on the progression of RMDs is reviewed.

methodsSystematic reviews and meta-analyses were performed of studies related to diet and disease outcomes in seven RMDs: osteoarthritis (OA), rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis, psoriatic arthritis, systemic sclerosis and gout. In the first phase, existing relevant systematic reviews and meta-analyses, published from 2013 to 2018, were identified. In the second phase, the review was expanded to include published original studies on diet in RMDs, with no restriction on publication date. Systematic reviews or original studies were included if they assessed a dietary exposure in one of the above RMDs, and reported results regarding progression of disease (eg, pain, function, joint damage).

resultsIn total, 24 systematic reviews and 150 original articles were included. Many dietary exposures have been studied (n=83), although the majority of studies addressed people with OA and RA. Most dietary exposures were assessed by relatively few studies. Exposures that have been assessed by multiple, well conducted studies (eg, OA: vitamin D, chondroitin, glucosamine; RA: omega-3) were classified as moderate evidence of small effects on disease progression.

conclusionThe current literature suggests that there is moderate evidence for a small benefit for certain dietary components. High-level evidence of clinically meaningful effect sizes from individual dietary exposures on outcomes in RMDs is missing.

Indexed as

Arthritis, RheumatoidMusculoskeletal DiseasesOsteoarthritisRheumatic DiseasesDietHumansLife StyleMuscular Diseasesarthritisepidemiologypatient reported outcome measures

Identifiers

PMID35654458
PMCPMC9096533
OpenAlexW4281876005

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.