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array:22 [ "pii" => "S1699258X09002599" "issn" => "1699258X" "doi" => "10.1016/j.reuma.2009.06.003" "estado" => "S300" "fechaPublicacion" => "2010-05-01" "aid" => "137" "copyright" => "Elsevier España, S.L. All rights reserved" "copyrightAnyo" => "2009" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Reumatol Clin. 2010;6:183-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5732 "formatos" => array:3 [ "EPUB" => 137 "HTML" => 4676 "PDF" => 919 ] ] "itemAnterior" => array:18 [ "pii" => "S1699258X09002046" "issn" => "1699258X" "doi" => "10.1016/j.reuma.2009.04.011" "estado" => "S300" "fechaPublicacion" => "2010-05-01" "aid" => "112" "copyright" => "Elsevier España, S.L" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Reumatol Clin. 2010;6:182-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 13961 "formatos" => array:3 [ "EPUB" => 151 "HTML" => 12608 "PDF" => 1202 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Osteopoiquilosis: un hallazgo radiológico casual" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "182" "paginaFinal" => "183" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Osteopoichylosis: An incidental radiological finding" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig1" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1917 "Ancho" => 1438 "Tamanyo" => 246549 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pedro Gargantilla Madera, Emilio Pintor Holguín, Benjamín Herreros Ruiz-Valdepeñas" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Pedro" "apellidos" => "Gargantilla Madera" ] 1 => array:2 [ "nombre" => "Emilio" "apellidos" => "Pintor Holguín" ] 2 => array:3 [ "Iniciales" => "B." "nombre" => "Benjamín" "apellidos" => "Herreros Ruiz-Valdepeñas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X09002046?idApp=UINPBA00004M" "url" => "/1699258X/0000000600000003/v1_201305061829/S1699258X09002046/v1_201305061829/es/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "What is the importance of nutrition in rheumatoid arthritis?" "tieneTextoCompleto" => true "saludo" => "Sr. Editor" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "183" "paginaFinal" => "184" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Gustavo Duarte Pimentel, Juliane Costa Silva Zemdegs" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Gustavo" "apellidos" => "Duarte Pimentel" "email" => array:1 [ 0 => "gpimentel@unifesp.br" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Juliane" "apellidos" => "Costa Silva Zemdegs" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), Campus São Paulo, São Paulo, Brasil" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Cuál es la importancia de la nutrición en la artritis reumatoide?" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1658 "Ancho" => 2667 "Tamanyo" => 302999 ] ] "descripcion" => array:1 [ "en" => "<p class="elsevierStyleSimplePara elsevierViewall">The possible effects of some components of the diet on the prevention and treatment of rheumatoid arthritis. RvCSd: an oriental herbal mixture (Rv: <span class="elsevierStyleItalic">Rhus verniciflua</span> Stokes, C: <span class="elsevierStyleItalic">Cinnamomum cassia</span>, Sd: <span class="elsevierStyleItalic">Saposhnikovia divaricata</span>), LT: leucotriene, PG: prostaglandin, IL: interleukin, TXB: thromboxane, COX: cyclooxygenase, TNF: tumor necrosis factor, LOX: lipoxygenase, NSAID: non-steroidal anti-inflammatory drug.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p class="elsevierStylePara elsevierViewall">Historically, nutritional therapy for rheumatoid arthritis (RA) has been very appreciated by the medical community. Moreover it has always been a topic of great interest to patients. It follows from this that medical practitioners need information on how best to respond the patients’ questions about what they should be eating in an attempt to control RA.</p><p class="elsevierStylePara elsevierViewall">RA and musculoskeletal disorders are among the most common medical disorders. This disease is characterized by a chronic inflammation of the synovial tissue leading to cartilage and bone damage. Several environmental factors have been recognized as increasing the risk of developing RA and emerging scientific evidence supports the relationship between nutrition and RA. For instance, a consistent prospective, double-blind, and randomized trial found that olive oil supplementation was associated with lower risk of RA.<a class="elsevierStyleCrossRef" href="#bib1"><span class="elsevierStyleSup">1</span></a> Besides, well-designed and meta-analysis studies suggest that patients with RA should consume 3–6<span class="elsevierStyleHsp" style=""></span>g of omega 3 fatty acids (n-3) daily throughout ≥12 weeks. After taking n-3 supplements for this period, patients have reported reduction in joint pain intensity and in non-steroidal anti-inflammatory drugs dose.<a class="elsevierStyleCrossRefs" href="#bib2"><span class="elsevierStyleSup">2,3</span></a> Recently, Dawczynski et al<a class="elsevierStyleCrossRef" href="#bib4"><span class="elsevierStyleSup">4</span></a> in a randomized, double-blind, placebo-controlled and cross-over study showed that the effects of dairy products moderately supplemented with n-3 have not improved the RA activity. However, the long-term consumption of dairy products acts against the cartilage and bone destruction in RA.</p><p class="elsevierStylePara elsevierViewall">Concerning other nutrients, a population-based prospective study revealed that the daily intake of one glass of orange juice (containing β-cryptoxanthin, a potent anti-inflammatory component of the diet) is associated with lower risk of developing RA.<a class="elsevierStyleCrossRef" href="#bib5"><span class="elsevierStyleSup">5</span></a> In line with this, other prospective cohort study with more than 29,000 women showed that the high intake of β-cryptoxanthin, zinc supplements and diets rich in fruits and cruciferous vegetables may also be protective against RA.<a class="elsevierStyleCrossRef" href="#bib6"><span class="elsevierStyleSup">6</span></a></p><p class="elsevierStylePara elsevierViewall">Broadly speaking, McCann<a class="elsevierStyleCrossRef" href="#bib7"><span class="elsevierStyleSup">7</span></a> summarized that the nutritional therapy for RA should include anti-inflammatory nutrients (minimum amount of meat and plenty of fish, whole grains, fruits, and vegetables). However, in the same year, Benito-Garcia et al<a class="elsevierStyleCrossRef" href="#bib8"><span class="elsevierStyleSup">8</span></a> in a prospective cohort study with 82,063 women in the Nurses’ Health Study reported that it is still uncertain to confirm that the red meat, poultry, fish, and iron consumption is associated with RA risk. Additionally, Rathore et al<a class="elsevierStyleCrossRef" href="#bib9"><span class="elsevierStyleSup">9</span></a> proposed that Indian herbal medicines, e.g. gingerol—<span class="elsevierStyleItalic">Zinziber officinalis</span>, chirayita—<span class="elsevierStyleItalic">Swertia chirayita</span>, bromelin—<span class="elsevierStyleItalic">Ananas comosus</span> and turmeric—<span class="elsevierStyleItalic">Curcuma longa</span> could act as potent therapeutics agents for RA. Moreover, Kim et al<a class="elsevierStyleCrossRef" href="#bib10"><span class="elsevierStyleSup">10</span></a> demonstrated that other anti-inflammatory components of the diet, particularly polyphenol compounds from green tea—<span class="elsevierStyleItalic">Camellia sinensis</span> including epicatechin, epigallocatechin, epicatechin-3-<span class="elsevierStyleItalic">O</span>-gallate, and epigallocatechin-3-<span class="elsevierStyleItalic">O</span>-gallate,<a class="elsevierStyleCrossRef" href="#bib10"><span class="elsevierStyleSup">10</span></a> have anti-inflammatory properties via the suppression of the pro-inflammatory cytokine IL-17 and of the antibodies to Bhsp65 (a mycobacterial heat shock protein of 65<span class="elsevierStyleHsp" style=""></span>kDa that has been invoked in the pathogenesis of RA) and the increase of the anti-inflammatory cytokine IL-10.</p><p class="elsevierStylePara elsevierViewall">Additionally, further foods, nutrients and nutritional components such as resveratrol, α-tocopherol, β-carotene, selenium, zinc, phosphatidylcholine, Mediterranean-type diet, borage oil (starflower), soy isoflavones, cherry (<span class="elsevierStyleItalic">Prunus avium</span> L), and an oriental herbal mixture called RvCSd (Rv: <span class="elsevierStyleItalic">Rhus verniciflua</span> Stokes, C: <span class="elsevierStyleItalic">Cinnamomum cassia</span>, Sd: <span class="elsevierStyleItalic">Saposhnikovia divaricata</span>) are being studied and may offer possible new targets to prevent and/or treat RA. <a class="elsevierStyleCrossRef" href="#fig1">Fig. 1</a> summarizes the up-to-date data regarding nutrients and the prevention or treatment of RA, as well as its possible anti-inflammatory mechanisms.</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><p class="elsevierStylePara elsevierViewall">At the same time we experience the growing knowledge about nutrition and RA, it was not possible for health care providers to acquire all aspects of the combination of the different components of the diet cited above. There is no “RA diet,” for example, the way there are diets for diabetes and cardiovascular diseases. The continuous discoveries represent a challenge for medical providers and scientific investigators, and also contentment for patients who are vulnerable to the misinformation that exists regarding diet and RA. Otherwise, health care providers are in the position of having to simplify much of the information provided by the scientific investigations, not disregarding that dietary supplement should not replace the diet, i.e. the standard nutritional therapy.</p><span class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Funding</span><p class="elsevierStylePara elsevierViewall">The authors receive a fellowship from the National Council of Technological and Scientific Development (CNPq, Brazil).</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:1 [ "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1658 "Ancho" => 2667 "Tamanyo" => 302999 ] ] "descripcion" => array:1 [ "en" => "<p class="elsevierStyleSimplePara elsevierViewall">The possible effects of some components of the diet on the prevention and treatment of rheumatoid arthritis. RvCSd: an oriental herbal mixture (Rv: <span class="elsevierStyleItalic">Rhus verniciflua</span> Stokes, C: <span class="elsevierStyleItalic">Cinnamomum cassia</span>, Sd: <span class="elsevierStyleItalic">Saposhnikovia divaricata</span>), LT: leucotriene, PG: prostaglandin, IL: interleukin, TXB: thromboxane, COX: cyclooxygenase, TNF: tumor necrosis factor, LOX: lipoxygenase, NSAID: non-steroidal anti-inflammatory drug.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.M. Kremer" 1 => "D.A. Lawerence" 2 => "W. 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2018 Enero | 55 | 7 | 62 |
2017 Diciembre | 55 | 7 | 62 |
2017 Noviembre | 44 | 8 | 52 |
2017 Octubre | 60 | 10 | 70 |
2017 Septiembre | 68 | 8 | 76 |
2017 Agosto | 53 | 3 | 56 |
2017 Julio | 60 | 12 | 72 |
2017 Junio | 67 | 6 | 73 |
2017 Mayo | 70 | 11 | 81 |
2017 Abril | 66 | 6 | 72 |
2017 Marzo | 65 | 4 | 69 |
2017 Febrero | 66 | 7 | 73 |
2017 Enero | 68 | 6 | 74 |
2016 Diciembre | 90 | 21 | 111 |
2016 Noviembre | 87 | 12 | 99 |
2016 Octubre | 85 | 11 | 96 |
2016 Septiembre | 73 | 8 | 81 |
2016 Agosto | 30 | 21 | 51 |
2016 Julio | 17 | 8 | 25 |
2016 Junio | 1 | 0 | 1 |
2016 Abril | 2 | 0 | 2 |
2016 Marzo | 1 | 0 | 1 |
2015 Diciembre | 1 | 0 | 1 |
2015 Noviembre | 1 | 11 | 12 |
2015 Octubre | 4 | 13 | 17 |
2015 Agosto | 1 | 0 | 1 |
2015 Julio | 35 | 5 | 40 |
2015 Junio | 35 | 7 | 42 |
2015 Mayo | 63 | 14 | 77 |
2015 Abril | 41 | 14 | 55 |
2015 Marzo | 26 | 11 | 37 |
2015 Febrero | 35 | 0 | 35 |
2015 Enero | 46 | 0 | 46 |
2014 Diciembre | 33 | 0 | 33 |
2014 Noviembre | 32 | 0 | 32 |
2014 Octubre | 41 | 0 | 41 |
2014 Septiembre | 17 | 0 | 17 |
2014 Agosto | 34 | 0 | 34 |
2014 Julio | 34 | 0 | 34 |
2014 Junio | 59 | 0 | 59 |
2014 Mayo | 46 | 0 | 46 |
2014 Abril | 53 | 0 | 53 |
2014 Marzo | 61 | 10 | 71 |
2014 Febrero | 34 | 12 | 46 |
2014 Enero | 45 | 5 | 50 |
2013 Diciembre | 37 | 7 | 44 |
2013 Noviembre | 22 | 3 | 25 |
2013 Octubre | 44 | 16 | 60 |
2013 Septiembre | 43 | 11 | 54 |
2013 Agosto | 35 | 11 | 46 |
2013 Julio | 32 | 3 | 35 |
2013 Junio | 46 | 4 | 50 |
2013 Mayo | 32 | 6 | 38 |
2013 Abril | 25 | 7 | 32 |
2013 Marzo | 42 | 10 | 52 |
2013 Febrero | 30 | 9 | 39 |
2013 Enero | 29 | 6 | 35 |
2012 Diciembre | 24 | 8 | 32 |
2012 Noviembre | 19 | 14 | 33 |
2012 Octubre | 10 | 7 | 17 |
2012 Septiembre | 9 | 7 | 16 |
2011 Mayo | 2 | 0 | 2 |
2011 Abril | 3 | 0 | 3 |
2011 Marzo | 18 | 0 | 18 |
2011 Febrero | 18 | 0 | 18 |
2011 Enero | 9 | 0 | 9 |
2010 Diciembre | 16 | 0 | 16 |
2010 Noviembre | 3 | 0 | 3 |
2010 Septiembre | 1 | 0 | 1 |
2010 Julio | 1 | 0 | 1 |
2010 Junio | 4 | 0 | 4 |
2010 Mayo | 16 | 0 | 16 |
2010 Abril | 6 | 0 | 6 |