Certain foods can worsen the rheumatoid arthritis inflammation that leads to joint pain. As part of your symptom management strategy, consider removing these foods from your menu.
here is no cure-all diet for rheumatoid arthritis. But if you suffer from RA symptoms such as joint pain and inflammation, it’s smart to stick to a nutritious diet and avoid foods that may make arthritis symptoms worse.
Where should you start? “You want to reduce inflammation [by avoiding inflammatory foods], and you want to avoid foods that can lead to being overweight,” says Marian T. Hannan, DSc, MPH, a professor of medicine at Harvard Medical School and the codirector of the Musculoskeletal Research Center at the Marcus Institute for Aging Research at Hebrew SeniorLife in Boston. Extra pounds put strain on your joints and cause further pain and injury, especially in the knees, hips, and ankles. Extra fat also interferes with muscle strength and can infiltrate underused muscle, reducing muscle “quality.”
Foods That May Worsen RA Symptoms
“There’s no proven diet that will do anywhere near as well as the current drug therapy,” says Vinicius Domingues, MD, a rheumatologist based in Daytona Beach, Florida, and a medical adviser to CreakyJoints. “There’s no diet that’s going to put your arthritis in remission.”
But what you eat — or don’t eat — can make a difference. Here are some foods to think twice about, because they contribute extra calories and provoke inflammation that worsens your RA symptoms.
1. Red Meat
Many cuts of red meat contain high levels of saturated fat, which can exacerbate inflammation and also contribute to obesity. Red meat also contains omega-6 fatty acids, which can contribute to inflammation if your intake is too high. Some people with RA have reported that their symptoms improve when they rid their diet of red meat.
On the other hand, lean cuts of red meat may provide protein and important nutrients for people with rheumatoid arthritis, without causing additional inflammation. “Fish is a good alternative protein source,” says Dr. Domingues. Some fish, such as salmon, mackerel, tuna, sardines, and herring, are good sources of omega-3 fatty acids, which have been linked to reducing inflammation and may help improve the feeling of tender and swollen joints, according to a study published in the June 2020 Mediterranean Journal of Rheumatology.
2. Sugar and Refined Flour
Your blood sugar levels can surge after you’ve eaten simple carbohydrates that are easily broken down by the body. Such foods include sugary snacks and drinks, white-flour bread and pasta, and white rice. A spike in your blood sugar prompts the body to produce pro-inflammatory chemicals called cytokines, which can worsen your RA symptoms if the inflammation affects your joints. These foods can also cause you to put on the pounds, stressing your joints. “There is no real replacement for these foods, but you can try gluten-free alternatives, which can be helpful,” says Domingues.
3. Fried Foods
Cutting out fried foods can reduce your levels of inflammation, according to researchers from the Mount Sinai School of Medicine. Their study, which was published in the Journal of Clinical Endocrinology and Metabolism, found that fried foods contain toxins called advanced glycation end products (AGEs), which can increase oxidation in the body’s cells. Fried foods are also high in fat and can contribute to obesity. As an alternative to fried foods, “try to use an air fryer whenever possible, and choose baked foods over fried ones,” says Domingues.