It has been established that the course of ankylosing spondylitis can be influenced by the vitamin-mineral balance and the assimilation of substances in the patient’s body. Therefore, with such a diagnosis, some changes in the diet are recommended. In this article, we will consider which diet for ankylosing spondylitis in men and women is optimal, we list the foods recommended for inclusion in the diet.
THE IMPORTANCE OF DIET
Different foods have different effects on the body. So, protein is an inflammatory agent, and when consumed in large quantities, the inflammatory process can develop more actively. Whereas other products can, on the contrary, slow down the development and reduce the severity of the inflammatory process. The significance of the diet for this diagnosis is as follows:
- Weight loss or control, since excess weight puts a strain on the spine and accelerates the development of the disease;
- Reduce the amount of protein intake, as this contributes to the growth of inflammation;
- Reduce salt intake for the same reason (or replace it with sea salt);
- An increase in the volume of fluid consumed helps to normalize metabolic processes in the body;
- Saturation of the body with vitamins and minerals through nutrition can restore the functions of the nervous tissue when they are infringed and protect it;
- Eating small meals often improves metabolism.
It is important to follow the general rules of the diet to preserve the proper functioning of the endocrine system – to avoid fried, smoked, fatty foods. Also reduce your intake of fat and simple carbohydrates.
It is better to give preference in nutrition to cereals, vegetables, not too fatty broths based on fish and meat. It is recommended to consume the first courses in small portions. Sea fish is preferable to river fish, lean. It is better to eat white poultry meat (chicken breasts) no more than 2-3 times a week, on the other days fish is recommended. You can eat a baked rabbit.
Black and whole grain bread is allowed, it is important to boil cereals thoroughly. Most of the diet should be plant-based foods. Vegetables are useful in any form: fresh, boiled, baked, boiled in a double boiler, in the form of salads with olive oil. Also, the following products are recommended for use with this diagnosis:
- Oils: flaxseed and olive, unsalted butter is also acceptable;
- Dairy products: small portions of hard low-fat cheese, milk diluted with water, low-fat fermented milk products – fermented baked milk, kefir, unsweetened yoghurt, cottage cheese;
- Fruits: citrus fruits, kiwi;
- Berries: strawberry, currant, sea buckthorn, blueberry, viburnum, plum, cherry, sweet cherry,
- Vegetables: broccoli, tomatoes, spinach, bell pepper, wild garlic, greens.
- Weaknesses: dried fruits, jam, gelatinous sweets (jelly, marmalade, candy, etc.) ;;
- Drink: fruit drinks, decoctions, herbal decoctions, and green tea, rosehips, natural juices.
In addition, soy products, steam omelet, soft-boiled eggs, sprouted wheat, nuts are recommended for consumption.
WHAT SHOULD BE EXCLUDED?
The diet for ankylosing spondylitis in men and women should not include a number of foods. They can have a negative impact on the course of pathology and accelerate its development. It is necessary to exclude from the diet:
- Vegetables: eggplant, beans, peas, chickpeas, beans, horseradish, lentils, sorrel;
- Fruits: figs, cranberries;
- Sauces and seasonings: mayonnaise, food salt, sugar, mustard, brewer’s yeast;
- Fatty dairy products: cream, sour cream, fatty fermented baked milk;
- Meat products: pork, beef, lard, pork liver, beef brains and liver, lamb, bacon, smoked sausage, duck, goose;
- Fish: any fried or smoked, red caviar, squid, shrimp, mussels and other seafood, mackerel;
- Drinks: alcohol, cola, coffee, black tea.
You can not eat ice cream, cakes, chocolate, potato chips, mushrooms, pasta, buns, jam, sweets, pastry cream, the use of animal and confectionery fat is not recommended (with the exception of low-fat butter in small quantities).
The disease is tied to the sex of the patient – it is much more common in men than in women. For them, it progresses faster and causes more serious symptoms. Therefore, the requirements for nutrition, as a method of preventing exacerbations, are different for men and women.
Nutrition for ankylosing spondylitis in women should almost completely exclude starch. Starch-free nutrition gives very good results, reducing the rate of progression of pathology and provoking a prolonged remission. Since women, unlike men, need less carbohydrates and protein, the transition to any type of diet recommended for this pathology is much easier for them.
But women are more likely to be overweight. Therefore, with their diet, weight control must be especially strict. It is also necessary to reduce your calorie intake, especially early in treatment.
For male patients, a starch-free diet is undesirable, since it will not cover their need for protein and carbohydrates. For them, a Mediterranean diet is preferable – the main emphasis is on vegetables, lean meat and fish. Some male patients have a difficult time switching to a diet. But this process can be facilitated by the fact that, in their case, it is usually not required to significantly reduce the calorie content of dishes.
Vitamins for ankylosing spondylitis are important, as they increase the body’s ability to fight pathology, thereby reducing the rate of its development.
- Vitamin D is effective in the treatment of any autoimmune diseases, and also normalizes vitamin metabolism;
- Vitamin B6 normalizes the state of the nervous tissue, which is also involved in the pathological process;
- Vitamin C improves blood circulation and the ability to fight inflammation.
Vitamins should preferably be taken in the form of complexes such as Osteo-Vit for bone health.
An approximate menu for this pathology is as follows:
- First breakfast: two eggs or an omelet of them, 30 g of any nuts, green tea (about 300 kcal);
- Second breakfast: 150 g of milk oatmeal, rosehip broth or compote (250 kcal);
- Lunch: 350 ml of vegetable broth or soup, 80 g of white poultry meat, a piece of whole grain bread (400 kcal);
- Afternoon snack: 100 g of prunes, 200 ml of natural juice (about 200 kcal);
- Dinner: sea fish baked in foil, garnish of cereals – 200 and 150 g each, respectively, a glass of vegetable juice (500 kcal);
90 minutes before going to bed, you can consume 200 ml of low-fat kefir.
Diet is of great importance in the treatment of pathology, and it cannot be neglected. It is necessary to carefully follow the recommendations of a dietitian in order to slow the progression of the disease, make the periods of remission longer, and reduce the severity of pathological symptoms.