Evidence mapPaperPMID 42443604Full record

ReviewRheumatology international2026

Mechanisms and clinical evidence of dietary patterns in axial spondyloarthritis.

Gülay Sezgin, Aysun Yuksel

Abstract readReview
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In one paragraph

Review in Rheumatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Gülay SezginDepartment of Nutrition and Dietetics, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6309-7725
Aysun YukselDepartment of Nutrition and Dietetics, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul, Turkey. aysun.yuksel@medeniyet.edu.tr.ORCID http://orcid.org/0000-0002-6580-0207

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Axial spondyloarthritis (axSpA) is a chronic inflammatory disease that significantly impairs quality of life. Despite pharmacological advances, there is increasing interest in adjunctive nutritional interventions. This review evaluates the efficacy, mechanisms, and safety of dietary models-including low-starch, gluten-free, dairy-free, vegan/vegetarian, and Mediterranean diets-for axSpA management. A comprehensive literature search was conducted across Medline/PubMed, EMBASE, Scopus, Web of Science, and the Directory of Open Access Journals (DOAJ) databases for peer-reviewed articles published up to June 1, 2026. The search strategy utilized Boolean operators (AND, OR) to combine Medical Subject Heading (MeSH) terms and free-text keywords encompassing concepts of 'axial spondyloarthritis' and various dietary interventions (e.g., Mediterranean, gluten-free, and low-starch diets). Studies focusing on isolated nutrient supplementations without a broader dietary framework were excluded. Restrictive diets (e.g., low-starch or gluten-free) offer theoretical anti-inflammatory benefits via gut microbiota modulation but pose risks for unsupervised micronutrient deficiencies. While the Mediterranean diet is a feasible and safe option for general health, evidence for specific dietary interventions in axSpA remains limited and predominantly observational, with few randomized controlled trials available. Integrating personalized nutritional counseling into the multidisciplinary management of axSpA may help safely prevent deficiencies, optimize body weight, and improve patient well-being. However, current evidence remains insufficient to universally recommend a specific dietary model for axSpA.

Indexed as

Axial SpondyloarthritisDiet, Gluten-FreeDiet, MediterraneanGastrointestinal MicrobiomeHumansQuality of LifeAnkylosing spondylitisAxial spondyloarthritisDiet therapyDysbiosisGut microbiomeMediterranean diet

Identifiers

What Socratic holds

Textmetadata
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.