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Current Nutritional Approaches in Autoimmune Diseases

Year 2023, , 484 - 491, 30.12.2023
https://doi.org/10.51754/cusbed.1204124

Abstract

Autoimmune diseases are a set of diseases characterized by an abnormal immune response against the normal tissues of the body. These diseases are estimated to affect 3-5% of the population. The etiology of autoimmune diseases is not fully understood but has been associated with genetic, hormonal and environmental factors. Various pharmaceutical drug treatments are applied to autoimmune diseases in the clinic, but the high costs of these treatments have led to the search for different treatment methods. One of the different treatment methods is nutrition and dietary interventions. Research suggests that a healthy dietary pattern intervention can help both prevent and treat autoimmune diseases. Many studies have reported that dietary compounds such as omega-3 and omega-6 fatty acids, vitamin D, food eliminations in some autoimmune diseases, by showing anti-inflammatory and immunomodulatory effects, have therapeutic effects in autoimmune diseases. Diet as a modifiable factor has promising potential in the prevention and treatment of autoimmune diseases. The aim of this review is to address current nutritional and dietary approaches that are thought to be effective in the prevention and treatment of the most prominent autoimmune diseases, and to present perspectives on the role of nutrition in the treatment of autoimmune diseases.

References

  • Abdelhamid, L., & Luo, X. M. (2021). Diet and Hygiene in Modulating Autoimmunity During the Pandemic Era. Frontiers in Immunology, 12, 749774. https://doi.org/10.3389/fimmu.2021.749774
  • Abdulrazaq, M., Innes, J. K., & Calder, P. C. (2017). Effect of ω-3 polyunsaturated fatty acids on arthritic pain: A systematic review. Nutrition, 39-40, 57-66. https://doi.org/10.1016/j.nut.2016.12.003
  • Akamizu, T., & Amino, N. (2017). Hashimoto’s Thyroiditis. Içinde Endotext [Internet]. MDText.com, Inc. https://www.ncbi.nlm.nih.gov/books/NBK285557/
  • Alves da Costa, T., Lang, J., Torres, R. M., & Pelanda, R. (2019). The development of human immune system mice and their use to study tolerance and autoimmunity. Journal of Translational Autoimmunity, 2, 100021. https://doi.org/10.1016/j.jtauto.2019.100021
  • Angum, F., Khan, T., Kaler, J., Siddiqui, L., & Hussain, A. (2020). The prevalence of autoimmune disorders in women: a narrative review. Cureus, 12(5), e8094. doi:10.7759/cureus.8094
  • Aniwan, S., Park, S. H., & Loftus, E. V. (2017). Epidemiology, Natural History, and Risk Stratification of Crohn’s Disease. Gastroenterology Clinics of North America, 46(3), 463-480. https://doi.org/10.1016/j.gtc.2017.05.003
  • Asik, M., Gunes, F., Binnetoglu, E., Eroglu, M., Bozkurt, N., Sen, H., Akbal, E., Bakar, C., Beyazit, Y., & Ukinc, K. (2014). Decrease in TSH levels after lactose restriction in Hashimoto’s thyroiditis patients with lactose intolerance. Endocrine, 46(2), 279-284. https://doi.org/10.1007/s12020-013-0065-1
  • Beecham, J. E., Seneff, S., Beecham, J. E., & Seneff, S. (2017). Autoimmune Disease: Budget-buster or Enlightened Solutions?<br> <small>(The coming epidemic and the new administration in Washington)</small>. Archives of Community Medicine and Public Health, 3(1), 032-040.
  • Bjørnevik, K., Chitnis, T., Ascherio, A., & Munger, K. L. (2017). Polyunsaturated fatty acids and the risk of multiple sclerosis. Multiple Sclerosis (Houndmills, Basingstoke, England), 23(14), 1830-1838. https://doi.org/10.1177/1352458517691150
  • Calder, P. C. (2013). n-3 fatty acids, inflammation and immunity: New mechanisms to explain old actions. The Proceedings of the Nutrition Society, 72(3), 326-336. https://doi.org/10.1017/S0029665113001031
  • Cifu, D. X. (2020). Braddom’s Physical Medicine and Rehabilitation E-Book. Elsevier Health Sciences.
  • Deane, K. D., Demoruelle, M. K., Kelmenson, L. B., Kuhn, K. A., Norris, J. M., & Holers, V. M. (2017). Genetic and environmental risk factors for rheumatoid arthritis. Best Practice & Research. Clinical Rheumatology, 31(1), 3-18. https://doi.org/10.1016/j.berh.2017.08.003
  • Deuschl, G., Beghi, E., Fazekas, F., Varga, T., Christoforidi, K. A., Sipido, E., Bassetti, C. L., Vos, T., & Feigin, V. L. (2020). The burden of neurological diseases in Europe: An analysis for the Global Burden of Disease Study 2017. The Lancet. Public Health, 5(10), e551-e567. https://doi.org/10.1016/S2468-2667(20)30190-0
  • Di Franco, M., Barchetta, I., Iannuccelli, C., Gerardi, M. C., Frisenda, S., Ceccarelli, F., Valesini, G., & Cavallo, M. G. (2015). Hypovitaminosis D in recent onset rheumatoid arthritis is predictive of reduced response to treatment and increased disease activity: A 12 month follow-up study. BMC Musculoskeletal Disorders, 16, 53. https://doi.org/10.1186/s12891-015-0505-6
  • Dinu, M., Pagliai, G., Casini, A., & Sofi, F. (2018). Mediterranean diet and multiple health outcomes: An umbrella review of meta-analyses of observational studies and randomised trials. European Journal of Clinical Nutrition, 72(1), 30-43. https://doi.org/10.1038/ejcn.2017.58
  • Eaton, W. W., Rose, N. R., Kalaydjian, A., Pedersen, M. G., & Mortensen, P. B. (2007). Epidemiology of autoimmune diseases in Denmark. Journal of Autoimmunity, 29(1), 1-9. https://doi.org/10.1016/j.jaut.2007.05.002
  • Firestein, G. S., & McInnes, I. B. (2017). Immunopathogenesis of Rheumatoid Arthritis. Immunity, 46(2), 183-196. https://doi.org/10.1016/j.immuni.2017.02.006
  • Fletcher, J., Cooper, S. C., Ghosh, S., & Hewison, M. (2019). The Role of Vitamin D in Inflammatory Bowel Disease: Mechanism to Management. Nutrients, 11(5), E1019. https://doi.org/10.3390/nu11051019
  • Freeman, H. J. (2016). Endocrine manifestations in celiac disease. World Journal of Gastroenterology, 22(38), 8472-8479. https://doi.org/10.3748/wjg.v22.i38.8472
  • Fugger, L., Jensen, L. T., & Rossjohn, J. (2020). Challenges, Progress, and Prospects of Developing Therapies to Treat Autoimmune Diseases. Cell, 181(1), 63-80. https://doi.org/10.1016/j.cell.2020.03.007
  • Garg, N., & Smith, T. W. (2015). An update on immunopathogenesis, diagnosis, and treatment of multiple sclerosis. Brain and Behavior, 5(9), e00362. https://doi.org/10.1002/brb3.362
  • Habek, M., Hojsak, I., & Brinar, V. V. (2010). Nutrition in multiple sclerosis. Clinical Neurology and Neurosurgery, 112(7), 616-620. https://doi.org/10.1016/j.clineuro.2010.03.029
  • Ihnatowicz, P., Drywień, M., Wątor, P., & Wojsiat, J. (2020). The importance of nutritional factors and dietary management of Hashimoto’s thyroiditis. Annals of Agricultural and Environmental Medicine: AAEM, 27(2), 184-193. https://doi.org/10.26444/aaem/112331
  • Ihnatowicz, P., Wątor, P., Gębski, J., Frąckiewicz, J., & Drywień, M. E. (2021). Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases? Nutrients, 13(11), 3675. https://doi.org/10.3390/nu13113675
  • Illescas-Montes, R., Melguizo-Rodríguez, L., Ruiz, C., & Costela-Ruiz, V. J. (2019). Vitamin D and autoimmune diseases. Life Sciences, 233, 116744. https://doi.org/10.1016/j.lfs.2019.116744
  • Johansson, K., Askling, J., Alfredsson, L., Di Giuseppe, D., & EIRA study group. (2018). Mediterranean diet and risk of rheumatoid arthritis: A population-based case-control study. Arthritis Research & Therapy, 20(1), 175. https://doi.org/10.1186/s13075-018-1680-2
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Otoimmün Hastalıklarda Güncel Beslenme Yaklaşımları

Year 2023, , 484 - 491, 30.12.2023
https://doi.org/10.51754/cusbed.1204124

Abstract

Otoimmün hastalıklar, vücudun normal dokularına karşı normal olmayan bağışıklık tepkisi ile karakterize edilen bir dizi hastalıktır. Bu hastalıkların nüfusun %3-5’ini etkilediği tahmin edilmektedir. Otoimmün hastalıkların etiyolojisi tam olarak anlaşılamamıştır ancak genetik, hormonal ve çevresel faktörlerle ilişkilendirilmiştir. Otoimmün hastalıklara klinikte çeşitli farmasötik ilaç tedavileri uygulanmakla birlikte bu konudaki önemli tedavilerden biri de beslenme ve diyet müdahaleleridir. Araştırmalar, sağlıklı bir diyet modeli müdahalesinin otoimmün hastalıkların hem önlenmesinde hem de tedavisinde yardımcı olabileceğini düşündürmektedir. Birçok çalışma omega-3 ve omega-6 yağ asitleri, D vitamini, bazı otoimmün hastalıklarda gıda eliminasyonları gibi diyet bileşiklerinin anti-inflamatuar ve immünomodülatör etki göstererek otoimmün hastalıklarda tedavi edici etkiler gösterdiğini bildirmiştir. Değiştirilebilir bir faktör olarak diyet, otoimmün hastalıkların önlenmesi ve tedavisinde umut verici bir potansiyele sahiptir. Bu derlemenin amacı, en bilinen otoimmün hastalıkların önlenmesi ve tedavisinde etkili olabileceği düşünülen güncel beslenme ve diyet yaklaşımlarına değinmek ve otoimmün hastalıkların tedavisinde beslenmenin rolüne ilişkin bakış açılarını sunmaktır.

References

  • Abdelhamid, L., & Luo, X. M. (2021). Diet and Hygiene in Modulating Autoimmunity During the Pandemic Era. Frontiers in Immunology, 12, 749774. https://doi.org/10.3389/fimmu.2021.749774
  • Abdulrazaq, M., Innes, J. K., & Calder, P. C. (2017). Effect of ω-3 polyunsaturated fatty acids on arthritic pain: A systematic review. Nutrition, 39-40, 57-66. https://doi.org/10.1016/j.nut.2016.12.003
  • Akamizu, T., & Amino, N. (2017). Hashimoto’s Thyroiditis. Içinde Endotext [Internet]. MDText.com, Inc. https://www.ncbi.nlm.nih.gov/books/NBK285557/
  • Alves da Costa, T., Lang, J., Torres, R. M., & Pelanda, R. (2019). The development of human immune system mice and their use to study tolerance and autoimmunity. Journal of Translational Autoimmunity, 2, 100021. https://doi.org/10.1016/j.jtauto.2019.100021
  • Angum, F., Khan, T., Kaler, J., Siddiqui, L., & Hussain, A. (2020). The prevalence of autoimmune disorders in women: a narrative review. Cureus, 12(5), e8094. doi:10.7759/cureus.8094
  • Aniwan, S., Park, S. H., & Loftus, E. V. (2017). Epidemiology, Natural History, and Risk Stratification of Crohn’s Disease. Gastroenterology Clinics of North America, 46(3), 463-480. https://doi.org/10.1016/j.gtc.2017.05.003
  • Asik, M., Gunes, F., Binnetoglu, E., Eroglu, M., Bozkurt, N., Sen, H., Akbal, E., Bakar, C., Beyazit, Y., & Ukinc, K. (2014). Decrease in TSH levels after lactose restriction in Hashimoto’s thyroiditis patients with lactose intolerance. Endocrine, 46(2), 279-284. https://doi.org/10.1007/s12020-013-0065-1
  • Beecham, J. E., Seneff, S., Beecham, J. E., & Seneff, S. (2017). Autoimmune Disease: Budget-buster or Enlightened Solutions?<br> <small>(The coming epidemic and the new administration in Washington)</small>. Archives of Community Medicine and Public Health, 3(1), 032-040.
  • Bjørnevik, K., Chitnis, T., Ascherio, A., & Munger, K. L. (2017). Polyunsaturated fatty acids and the risk of multiple sclerosis. Multiple Sclerosis (Houndmills, Basingstoke, England), 23(14), 1830-1838. https://doi.org/10.1177/1352458517691150
  • Calder, P. C. (2013). n-3 fatty acids, inflammation and immunity: New mechanisms to explain old actions. The Proceedings of the Nutrition Society, 72(3), 326-336. https://doi.org/10.1017/S0029665113001031
  • Cifu, D. X. (2020). Braddom’s Physical Medicine and Rehabilitation E-Book. Elsevier Health Sciences.
  • Deane, K. D., Demoruelle, M. K., Kelmenson, L. B., Kuhn, K. A., Norris, J. M., & Holers, V. M. (2017). Genetic and environmental risk factors for rheumatoid arthritis. Best Practice & Research. Clinical Rheumatology, 31(1), 3-18. https://doi.org/10.1016/j.berh.2017.08.003
  • Deuschl, G., Beghi, E., Fazekas, F., Varga, T., Christoforidi, K. A., Sipido, E., Bassetti, C. L., Vos, T., & Feigin, V. L. (2020). The burden of neurological diseases in Europe: An analysis for the Global Burden of Disease Study 2017. The Lancet. Public Health, 5(10), e551-e567. https://doi.org/10.1016/S2468-2667(20)30190-0
  • Di Franco, M., Barchetta, I., Iannuccelli, C., Gerardi, M. C., Frisenda, S., Ceccarelli, F., Valesini, G., & Cavallo, M. G. (2015). Hypovitaminosis D in recent onset rheumatoid arthritis is predictive of reduced response to treatment and increased disease activity: A 12 month follow-up study. BMC Musculoskeletal Disorders, 16, 53. https://doi.org/10.1186/s12891-015-0505-6
  • Dinu, M., Pagliai, G., Casini, A., & Sofi, F. (2018). Mediterranean diet and multiple health outcomes: An umbrella review of meta-analyses of observational studies and randomised trials. European Journal of Clinical Nutrition, 72(1), 30-43. https://doi.org/10.1038/ejcn.2017.58
  • Eaton, W. W., Rose, N. R., Kalaydjian, A., Pedersen, M. G., & Mortensen, P. B. (2007). Epidemiology of autoimmune diseases in Denmark. Journal of Autoimmunity, 29(1), 1-9. https://doi.org/10.1016/j.jaut.2007.05.002
  • Firestein, G. S., & McInnes, I. B. (2017). Immunopathogenesis of Rheumatoid Arthritis. Immunity, 46(2), 183-196. https://doi.org/10.1016/j.immuni.2017.02.006
  • Fletcher, J., Cooper, S. C., Ghosh, S., & Hewison, M. (2019). The Role of Vitamin D in Inflammatory Bowel Disease: Mechanism to Management. Nutrients, 11(5), E1019. https://doi.org/10.3390/nu11051019
  • Freeman, H. J. (2016). Endocrine manifestations in celiac disease. World Journal of Gastroenterology, 22(38), 8472-8479. https://doi.org/10.3748/wjg.v22.i38.8472
  • Fugger, L., Jensen, L. T., & Rossjohn, J. (2020). Challenges, Progress, and Prospects of Developing Therapies to Treat Autoimmune Diseases. Cell, 181(1), 63-80. https://doi.org/10.1016/j.cell.2020.03.007
  • Garg, N., & Smith, T. W. (2015). An update on immunopathogenesis, diagnosis, and treatment of multiple sclerosis. Brain and Behavior, 5(9), e00362. https://doi.org/10.1002/brb3.362
  • Habek, M., Hojsak, I., & Brinar, V. V. (2010). Nutrition in multiple sclerosis. Clinical Neurology and Neurosurgery, 112(7), 616-620. https://doi.org/10.1016/j.clineuro.2010.03.029
  • Ihnatowicz, P., Drywień, M., Wątor, P., & Wojsiat, J. (2020). The importance of nutritional factors and dietary management of Hashimoto’s thyroiditis. Annals of Agricultural and Environmental Medicine: AAEM, 27(2), 184-193. https://doi.org/10.26444/aaem/112331
  • Ihnatowicz, P., Wątor, P., Gębski, J., Frąckiewicz, J., & Drywień, M. E. (2021). Are Nutritional Patterns among Polish Hashimoto Thyroiditis Patients Differentiated Internally and Related to Ailments and Other Diseases? Nutrients, 13(11), 3675. https://doi.org/10.3390/nu13113675
  • Illescas-Montes, R., Melguizo-Rodríguez, L., Ruiz, C., & Costela-Ruiz, V. J. (2019). Vitamin D and autoimmune diseases. Life Sciences, 233, 116744. https://doi.org/10.1016/j.lfs.2019.116744
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There are 62 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Zeynep Kuzucu 0000-0003-1695-5541

Pınar Gobel 0000-0001-7152-1581

Early Pub Date December 26, 2023
Publication Date December 30, 2023
Published in Issue Year 2023

Cite

APA Kuzucu, Z., & Gobel, P. (2023). Otoimmün Hastalıklarda Güncel Beslenme Yaklaşımları. Instıtute of Health Sciences Journal, 8(3), 484-491. https://doi.org/10.51754/cusbed.1204124

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