She Strengthens

The Complex Relationship Between Diet and Ankylosing Spondylitis

When it comes to managing ankylosing spondylitis (AS), a chronic inflammatory condition that affects the spine and other joints, diet plays a crucial role. While there is no single “best” diet for AS, research suggests that certain foods and nutrients may help alleviate symptoms and prevent complications.

Understanding Ankylosing Spondylitis

AS is a type of arthritis that causes inflammation between the vertebrae in the spine, leading to pain, stiffness, and limited mobility. The condition is often associated with gastrointestinal issues, vitamin D deficiency, and an increased risk of inflammatory bowel disease (IBD).

Foods That May Help

While more research is needed to determine the exact impact of diet on AS, some foods may help reduce inflammation and prevent complications.

• Fruits and Vegetables: Diets rich in fruits and vegetables may be beneficial for people with inflammatory conditions, including AS. Aim for a variety of colorful fruits and veggies, both raw and cooked.
• Calcium Sources: AS increases the risk of osteoporosis and bone fractures, making calcium-rich foods essential for bone health. Good sources include milk, calcium-fortified orange juice, yogurt, cheese, and leafy greens.
• Healthy Fats: Unsaturated omega-3 fats found in fatty fish, avocados, nuts, and seeds may help reduce inflammation and improve overall health.

Foods to Avoid

While there is no conclusive evidence to recommend avoiding specific foods, some studies suggest that certain foods may worsen symptoms in some people with AS. These include:

• Meat, Coffee, Sweets, and Citrus Fruits: Some people may experience worsened symptoms after consuming these foods, but more research is needed to confirm any connections.

Unproven Diets

Some diets have been suggested to help manage AS, but there is limited evidence to support their effectiveness.

• Low Starch Diet: This diet aims to reduce inflammatory bacteria in the gut by limiting starchy foods like bread, potatoes, and pasta. However, more research is needed to determine its effectiveness.
• Gluten-Free Diet: Some people with AS may benefit from a gluten-free diet, but there is currently no conclusive evidence to support this claim.
• Nightshade Vegetables: Cutting out nightshade vegetables like potatoes, peppers, and tomatoes is not recommended, as there is no evidence that they exacerbate inflammation.

Food Safety and Biologics

If you take biologics to manage AS, it’s essential to prioritize food safety to avoid infection. Avoid undercooked or unpasteurized foods, and ensure all meat is cooked to a safe temperature.

Takeaway

While there is no single “perfect” diet for AS, certain foods and nutrients may help alleviate symptoms and prevent complications. By working with a registered dietitian and keeping a food and symptom journal, you may be able to identify patterns and make informed food choices. Ongoing research is investigating the potential benefits of gluten-free and low starch diets, and may provide further guidance in the future.