Factors associated with dietary practices and beliefs on food of patients with rheumatic and musculoskeletal diseases: A multicentre cross-sectional study

Domitille Renard; Sophie Tuffet; Philippe Dieudé; Pascal Claudepierre; Laure Gossec; Bruno Fautrel; Anna Molto; Corinne Miceli-Richard; Pascal Richette; Emmanuel Maheu; Claire Carette; Sébastien Czernichow; Chloé Jamakorzyan; Alexandra Rousseau; Francis Berenbaum; Catherine Beauvais; Jérémie Sellam

doi:10.1016/j.jbspin.2024.105778

Factors associated with dietary practices and beliefs on food of patients with rheumatic and musculoskeletal diseases: A multicentre cross-sectional study

Joint Bone Spine. 2024 Sep 18;92(1):105778. doi: 10.1016/j.jbspin.2024.105778. Online ahead of print.

Authors

Domitille Renard¹, Sophie Tuffet², Philippe Dieudé³, Pascal Claudepierre⁴, Laure Gossec⁵, Bruno Fautrel⁶, Anna Molto⁷, Corinne Miceli-Richard⁸, Pascal Richette⁹, Emmanuel Maheu¹, Claire Carette¹⁰, Sébastien Czernichow¹⁰, Chloé Jamakorzyan¹¹, Alexandra Rousseau², Francis Berenbaum¹², Catherine Beauvais¹³, Jérémie Sellam¹⁴

Affiliations

¹ Department of Rheumatology, Saint-Antoine Hospital, Assistance publique-Hôpitaux de Paris (AP-HP), 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.
² Department of Clinical Pharmacology-Clinical Research Platform Paris-East (URCEST-CRC-CRB), Hôpital Saint-Antoine, Sorbonne University (AP-HP), 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.
³ Inserm UMR1152, Deparment of Rheumatology, DMU Locomotion, Hôpital Bichat - Claude-Bernard (AP-HP), Université de Paris, 46, rue Henri-Huchard, 75018 Paris, France.
⁴ Department of Rheumatology, Henri-Mondor University Hospital (AP-HP), 1, rue Gustave-Eiffel, 94010 Créteil, France.
⁵ Inserm, institut Pierre-Louis d'épidémiologie et de santé publique, Sorbonne université, 56, boulevard Vincent-Auriol, 75013 Paris, France; Department of Rheumatology, Pitié-Salpêtrière Hospital (AP-HP), 47-83, boulevard de l'Hôpital, 75013 Paris, France.
⁶ Department of Rheumatology, Pitié-Salpêtrière Hospital, Sorbonne Université (AP-HP), 47-83, boulevard de l'Hôpital, 75013 Paris, France; CRI-IMIDIATE Clinical Research Network, Paris, France; Inserm UMR 1136, Pierre-Louis Institute of Epidemiology and Public Health, 56, boulevard Vincent-Auriol, 75013 Paris, France.
⁷ Deparment of Rheumatology, Hôpital Cochin (AP-HP), Paris Centre University, 27, rue du Faubourg Saint-Jacques, 75014 Paris, France; Inserm U-1153 ECAMO Team, CRESS, Paris-Cité University, 27, rue du Faubourg Saint-Jacques, 75014 Paris, France.
⁸ Deparment of Rheumatology, Paris Centre University, Hôpital Cochin (AP-HP), 27, rue du Faubourg Saint-Jacques, 75014 Paris, France.
⁹ Department of Rheumatology, Lariboisière Hospital (AP-HP), 2, rue Ambroise-Paré, 75010 Paris, France.
¹⁰ Department of Nutrition, Specialized Obesity Center, hôpital européen Georges-Pompidou (AP-HP), université de Paris, 20, rue Leblanc, 75015 Paris, France.
¹¹ Department of Rheumatology, hôpital d'instruction des Armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé cedex, France.
¹² Inserm UMRS_938, Department of Rheumatology, Centre de Recherche Saint-Antoine, Paris Center for Microbiome Medicine (PaCeMM) FHU, Saint-Antoine Hospital (AP-HP), Sorbonne Université, 184 rue du Faubourg Saint-Antoine, 75012 Paris, France.
¹³ Department of Rheumatology, Saint-Antoine Hospital, Sorbonne University (AP-HP), 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.
¹⁴ Department of Rheumatology, Saint-Antoine Hospital (AP-HP), 184, rue du Faubourg Saint-Antoine, 75012 Paris, France; Inserm UMRS_938, Paris Center for Microbiome Medicine (PaCeMM) FHU, Centre de recherche Saint-Antoine, Sorbonne université, 184, rue du Faubourg Saint-Antoine, 75012 Paris, France. Electronic address: [email protected].

PMID: 39303938
DOI: 10.1016/j.jbspin.2024.105778

Abstract

Objectives: To investigate dietary practices and beliefs of patients with rheumatic and musculoskeletal diseases (RMDs) and associated factors.

Methods: In 2019-2020, a cross-sectional multicentre study enrolled patients with inflammatory arthritis (IA) (rheumatoid arthritis [RA], axial spondyloarthritis [axSpA]) or hand osteoarthritis (HOA) from secondary- and tertiary-care centres. A self-administered questionnaire explored dietary practices and patients' perceived effects of diet, foods and beverages on symptoms. Univariable and multivariable analyses investigated factors associated with diets and patients' views.

Results: Of 448 included patients, data for 392 were analysed (123 with RA, 161 with axSpA, 108 with HOA), 26% were on or had been on at least one exclusion diet (mostly cow's milk- and gluten-free diets in IA, mostly cow's milk-free diet and detox/fasting in HOA). Only 5% of patients followed the Mediterranean diet. Among patients who had tried a diet, 51% reported a decrease in pain. Overall, 42% of patients identified at least one food or beverage that increased or decreased pain. On multivariable analyses, dieting or the perceived effect of food on pain was associated with health beliefs (positive or negative), the use of complementary and alternative medicines, and lack of support or information from healthcare professionals. Patients had received little dietary information from their physicians.

Conclusions: This study provides insights into patients' dietary practices and factors associated with these practices, including patients' health beliefs and insufficient support by health professionals, in RMDs.

Keywords: Diet; Heath beliefs; Nutrition; Osteoarthritis; Rheumatoid arthritis; Spondyloarthritis.