Rheumatoid Arthritis Diet Plan and Foods To Avoid

Rheumatoid Arthritis diet plan consists of high-fiber foods like fruits, vegetables, and whole grains that reduce inflammation around the joints that cause pain.

  • Early morning drink @ 6:30 am: Ginger tea with tulsi and honey
  • Breakfast @ 9 am: Finger millet dosa with tomato chutney
  • Mid-morning meal @ 11 am: Mango-almond-banana salad
  • Lunch @ 1 pm: Brown rice with bottlegourd methi curry and curd rice with cut fruits
  • Evening snack @ 4 pm: Custard apple-chia seed smoothie
  • Dinner @ 7 pm: Jowar roti with chickpeas curry and beetroot salad

Consult 19 years experienced Chief Nutritionist Vasanthi for expert advice and a personalized diet plan. In-person consultation at HSR, Koramangala, Bellandur, Haralur, and video consultation across India.

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Rheumatoid Arthritis

Table of Contents

What is Rheumatoid Arthritis?

Rheumatoid Arthritis is a chronic inflammatory disease that affects the joints in the hands and legs. In rheumatoid arthritis, the skin, heart, lungs, and blood vessels may be affected in severe conditions. The joints in the fingers of the hands and toes are affected during the early stages of rheumatoid arthritis which may extend to the other joints as the disease progresses.

Rheumatoid arthritis can affect people of all ages but it is more common among middle-aged and above. Women are at increased risk of rheumatoid arthritis when compared to men. Excess weight can put the joints under pressure. Maintaining a healthy weight and an active lifestyle can reduce your risk of rheumatoid arthritis.

Physical examination and X-rays are the methods used to diagnose rheumatoid arthritis. The earlier the treatment, the lesser the progression of the disease. Treatment for rheumatoid arthritis involves the use of medicines and a nutritious diet that reduces pain and disability.

Rheumatoid Arthritis Diet Plan and Foods To Avoid

What are the symptoms of Rheumatoid Arthritis?

The symptoms of Rheumatoid Arthritis start gradually and worsen with time. Stress and overactivity may flare up the symptoms. Sometimes, the same joints on both sides of the body may be the victim of rheumatoid arthritis. Some of the common symptoms of rheumatoid arthritis are

  • Pain and swelling of joints in the hands and legs
  • Stiffness in the joints, especially in the morning
  • Tenderness of the joints
  • Fatigue and loss of appetite
  • Loss of weight
  • Weakness
  • Fever

What are the stages of Rheumatoid Arthritis?

The 4 stages of Rheumatoid Arthritis are

  • Synovitis or the early stage
  • Pannus or the moderate stage
  • Fibrous Ankylosis or the severe stage
  • Bony Ankylosis or the end stage

What is Synovitis or the early stage of Rheumatoid Arthritis?

Synovitis or the early stage is the stage where the patient experiences mild symptoms like stiffness in the joints and joint pain. The immune system starts attacking the joints in the hands and legs and causes inflammation. The joint lining starts to get damaged at this stage.

What is Pannus or the moderate stage of Rheumatoid Arthritis?

Pannus or the moderate stage is the stage where the damage extends from the joint lining to the cartilage that guards the surface of the bones. Cartilages act as cushions for the bones that start thinning at this stage making the joint pain and weakness more severe. The risk of bone erosion increases with damage to joints.

What is Fibrous Ankylosis or the severe stage of Rheumatoid Arthritis?

Fibrous Ankylosis or the severe stage is the stage where the bones adjoin to fuse to cause a lack of movement and friction. The damaged area fuses with connective fibrous tissue and causes pain in the joints while moving.

What is Bony Ankylosis or the end stage of Rheumatoid Arthritis?

Bony Ankylosis is the stage in which the bones and bone tissue fuse instead of the connective tissue. The pain may subside, but the flexibility reduces, making bending and moving difficult. When the patient is at stage 4, doing normal activities may be troublesome.

What are the types of Rheumatoid Arthritis?

Three main types of Rheumatoid Arthritis are

  • Seropositive rheumatoid arthritis
  • Seronegative rheumatoid arthritis
  • Overlapping conditions

What is Seropositive rheumatoid arthritis?

Seropositive rheumatoid arthritis is a condition when the blood test positive for the presence of rheumatoid factor. The body produces an immune reaction against normal tissues which causes changes in the molecular structure of proteins. Anti-cyclic Citrullinated peptides (CCPs) are formed in 60-80% of the people diagnosed with seropositive RA.

What is Seronegative rheumatoid arthritis?

In Seronegative rheumatoid arthritis, the blood tests are negative for the presence of rheumatoid factor. However, certain other tests like X-rays, clinical symptoms, and other laboratory tests can be additionally helpful to assess the condition.

What are Overlapping conditions?

Autoimmune conditions can show a combination of symptoms which can make the diagnosis of rheumatoid arthritis trickier. Some people with a particular autoimmune disease may show symptoms of another autoimmune condition.
Some of the symptoms of anemia, chronic fatigue syndrome, Lyme disease, Lupus, Fibromyalgia, and Sciatica have common overlapping symptoms. Osteoarthritis may also have common symptoms like wear and tear of joints which can be confused with rheumatoid arthritis.

Rheumatoid Arthritis Diet Plan

The Rheumatoid Arthritis Diet Plan consists of anti-inflammatory foods like whole grains, healthy fruits like avocados, and spices like turmeric and ginger. Cutting down on refined foods can benefit your arthritis condition. Fiber-rich vegetables can help you shed extra kilos that pressurize your joints.

A Mediterranean diet that is fully composed of healthy foods like vegetables, nuts, and sea foods is best suited for rheumatoid arthritis patients. Raw vegetables and semi-cooked vegetables, fruits, and spices like ginger and turmeric provide relief from rheumatoid arthritis.

  • Early morning drink @ 6:30 am: White tea
  • Breakfast @ 9 am: Bajra whole moong dal khichdi with any seasonal fruit
  • Mid-morning meal @ 11 am: Vegetable lentil soup
  • Lunch @ 1 pm: Whole grain rice with cauliflower curry and amaranth sabzi
  • Evening snack @ 4 pm: Quinoa salad with avocado and bell peppers
  • Dinner @ 7 pm: Spinach idly with sambar and turmeric-cumin drink
Rheumatoid Arthritis Diet Plan

Foods to avoid with Rheumatoid Arthritis

Foods to avoid with Rheumatoid Arthritis are fried foods, sugary foods, red meat, processed foods, and gluten-rich foods. These foods trigger the symptoms of rheumatoid arthritis that can worsen inflammation and increase the risk of chronic lifestyle conditions like obesity, diabetes, and cardiac problems.

What makes fried foods bad for rheumatoid arthritis?

Fried foods and meats are high-fat foods that increase the oxidation of cells in the body due to the presence of advanced glycation end (AGEs) products. Fried foods promote inflammation in the joints and muscles which can aggravate the condition. Try baking/air-frying/grilling/roasting food items instead of deep frying in oil.  

What are the effects of sugary foods and refined carbohydrates on rheumatoid arthritis?

A rise in blood sugar stimulates the synthesis of pro-inflammatory chemicals called cytokines. These cytokines act as toxins that worsen inflammation that affects the joints. Sugary foods and refined carbohydrates increase the risk of obesity which pressures your joints. A high intake of sugary beverages raises your risk of inflammation and chronic lifestyle diseases.  

How do salty foods affect rheumatoid arthritis?

Excessive consumption of salty foods increases blood pressure and the risk of autoimmune diseases like rheumatoid arthritis. Salty foods can flare up rheumatoid arthritis symptoms and may affect the health of the kidneys and heart.

How does red meat intake affect rheumatoid arthritis?

Red meats are rich in saturated fats that exacerbate inflammation and lead to obesity. Foods rich in omega-6 fatty acids are not good for rheumatoid arthritis which contributes to inflammation. Cutting down the intake of red meats and swapping it for plant-based foods is beneficial for rheumatoid arthritis patients.

Why processed foods are not good for rheumatoid arthritis?

Processed foods are made with loads of sugar, salt, butter, refined flour, preservatives, and additives that cause inflammation. Processed foods are high in saturated fats, trans fats, and hydrogenated fats that deteriorate the overall health of individuals. These ingredients make the foods unhealthy and increase the risk of lifestyle disorders.

What are the effects of inflammatory foods on rheumatoid arthritis patients?

Foods rich in omega-6 fatty acids like sunflower oil, safflower oil, corn oil, red meats, and packaged foods cause inflammatory reactions in rheumatoid arthritis patients. Consumption in moderate amounts may not impact your health but consistent intake of these foods can lead to chronic illnesses.

What gluten-rich foods are not suitable for rheumatoid arthritis patients?

Some foods like wheat, barley, and rye are rich in gluten which is difficult for some people to tolerate. When there is a flare-up of rheumatoid arthritis symptoms with the ingestion of gluten-rich foods, it is better to stay away from them.

Best Fruits for Rheumatoid Arthritis

The best Fruits for Rheumatoid Arthritis are

  • Apples
  • Oranges
  • Watermelon
  • Papaya
  • Grapes
  • Avocados
  • Strawberries
  • Bananas
  • Lemons

Fruits are packed with health benefits and immunity-boosting properties that fight against infections and inflammations. Fruits are rich sources of antioxidants that protect the body from the effects of free radicals and certain cancers.

Can watermelon be included in the diet of a rheumatoid arthritis patient?

Watermelon is a rich source of beta-cryptoxanthin that can reduce the risk of rheumatoid arthritis. Watermelon also contains lycopene that protects against heart diseases and lowers the prevalence of certain cancers. Watermelon is low-calorie fat-free fruit that aids in proper hydration and weight management.

Is papaya good for rheumatoid arthritis?

Papaya contains papain, an anti-inflammatory compound that reduces stiffness, pain, and weakness in the joints. Papaya is low in calories and can be consumed anytime in the day as a healthy snack or mid-day meal. Papaya does not rise your blood sugar levels and hence prevents you from the risk of diabetes.

How do grapes benefit rheumatoid arthritis patients?

Grapes are an excellent source of antioxidants, polyphenols, and resveratrol compounds. Resveratrol is an anti-inflammatory compound that reduces the side effects of rheumatoid arthritis.

What are the benefits of avocados for rheumatoid arthritis?

Avocados contain good amounts of vitamin E and monounsaturated fatty acids that are anti-inflammatory. Including these foods in the diet can reduce the risk of joint problems in rheumatoid arthritis. Avocados increase HDL levels and lower LDL levels and also aid in weight loss which benefits RA.

How do strawberries reduce the inflammatory reactions of rheumatoid arthritis patients?

Strawberries are an excellent source of vitamin C and antioxidants that reduce the CRP (C-Reactive protein) that causes inflammation and flare-up of symptoms of RA. Strawberries also contain folic acid that prevents the side effects of medications/steroids taken for rheumatoid arthritis.

Does eating apples help rheumatoid arthritis patients?

Apples contain phytochemicals that act against inflammation which is the main concern for RA. Apples also contain fiber and vit C that helps to lower cholesterol levels and help in maintaining a healthy weight and prevents the risk of obesity and other problems.

Are oranges good for rheumatoid arthritis?

Oranges are a rich source of beta-carotene and antioxidants that lessens inflammation and the effects of free radicals on the body. Consuming a whole fruit is advisable to make the fiber available to the body instead of juicing them which removes all the fiber in them.

Is banana good for rheumatoid arthritis?

Bananas are good sources of magnesium that alleviates arthritis symptoms. Bananas provide a lot of benefits as it is a rich source of potassium and B vitamins. Potassium reduces water retention that maintains a balance between calcium and phosphorus and prevents bone erosion and bone loss.

What are the benefits of lemons for rheumatoid arthritis patients?

Lemons are a good source of vitamin C, flavonoids, and antioxidants that contains anti-inflammatory effects. Vitamin C boosts the production of collagen which helps in tissue repair and the build-up of healthy ligaments and tendons. Drinking lemon juice increases water intake and prevents dehydration. Lemons have been found to reduce the progression of the disease.

Is pumpkin good for inflammation and joint pain?

Pumpkin is a rich source of beta carotene that possesses anti-inflammatory properties. Pumpkin seeds are also a good source of magnesium and other essential minerals that aid in reducing inflammation.

Best vegetables for Rheumatoid Arthritis

The best vegetables for Rheumatoid Arthritis are

  • Spinach
  • Beetroots
  • Carrots
  • Bell peppers
  • Mushrooms
  • Sweet potatoes
  • Shallots, onions, and garlic
  • Cruciferous vegetables
  • Bhindi
  • Plantain
  • Beans

Is spinach an anti-inflammatory green?

Spinach and other leafy greens are packed with fiber and antioxidants that fight inflammation caused by rheumatoid arthritis. Spinach contains Kaempferol, a potent antioxidant that lowers the effects of inflammatory agents related to rheumatoid arthritis.

Is pumpkin good for inflammation?

Pumpkin is a rich source of fiber and essential nutrients that helps to reduce inflammation in the joints. A natural source of beta-carotene, vitamin B6, vitamin C, and magnesium is found in pumpkins.

Is mushroom good for autoimmune disease?

Mushrooms are an excellent addition to rheumatoid arthritis. It fights inflammation and proves beneficial for gut health. Mushrooms contain l-ergothioneine, an antioxidant that reduces pain in the joints and strengthens your tissues in the joints.

What are the advantages of beetroot for rheumatoid arthritis?

Beetroots contain considerable amounts of nitrates which removes toxins from the body, thus reducing inflammation. The betalains and nitrates make beetroot a perfect choice for rheumatoid arthritis patients. Nitrates in beetroot are effective in reducing high blood pressure and improving heart health.

Are carrots anti-inflammatory?

Carrots are rich in antioxidants like zeaxanthin and lutein which reduces inflammation and pain in the joints. Carrots are high in fiber and low in calories which also aids in weight loss as obesity is a major risk factor for RA.   

Are sweet potatoes good for rheumatoid arthritis?

Sweet potatoes help in relieving joint pain and inflammation caused due to rheumatoid arthritis as sweet potatoes contain anti-inflammatory compounds. Sweet potatoes are a good source of beta-cryptoxanthin that reduces the risk of rheumatoid arthritis.

How can onions, shallots, and garlic naturally slow down rheumatoid arthritis?

Allium vegetables like onions, shallots, and garlic have been found to relieve arthritis pain. The sulfur compounds reduce the production of substances that cause inflammation in the body. Diallyl disulfide, an anti-inflammatory compound found in garlic reduces the effects of pro-inflammatory cytokines.

What are the benefits of cruciferous vegetables for rheumatoid arthritis?

Cruciferous vegetables like broccoli, cauliflower, bok choy, cabbage, and brussels sprouts contain sulforaphane that blocks the process of inflammation and may slow down cartilage damage. Cruciferous vegetables also play a main role in immune-boosting function.

What are the benefits of eating bhindi for rheumatoid arthritis?

Bhindi acts as an antioxidant that helps to keep inflammation at bay. Regular consumption of ladies’ fingers fights obesity which is one of the main causes of rheumatoid arthritis.

Are plantains good for rheumatoid arthritis patients?

Plantains are good sources of vitamin C which act as antioxidants to improve your immune system. The potassium and magnesium content of plantains helps in alleviating rheumatoid arthritis symptoms. The plantain leaves are used traditionally for reducing inflammation.

Is eating green beans good for rheumatoid arthritis?

Green beans are a rich source of fiber and antioxidants that maintains ideal weight, improves heart health, and lowers inflammation. The calcium and vitamin K content of green beans improves bone health. Green beans contain good amounts of folate and potassium that regulates blood pressure and improves inflammation.

Tips for Rheumatoid Arthritis

  • Including ghee in the diet of a rheumatoid arthritis patient helps in relieving joint pain and lubricates the joints, reduces stiffness, and soothes inflammation.
  • Avoid deep frying the foods in hot oil as it accounts for the additional calorie intake. Use air frier or shallow fry in little oil to escape the ill effects of extra fat intake.
  • Cooking vegetables in more quantities of water helps in the leaching of vitamins and minerals in the water which leads to loss of nutrients.
  • Heat and cold therapies help relieve pain, improve blood circulation, and relaxation of muscles.
  • Meditation and deep breathing can reduce the stiffness of the muscles.
  • Massaging your joints and muscles with essential oils soothes your mood and can provide temporary relief from pain.
  • Regular exercise and an active lifestyle can reduce the severity of your symptoms and prevent the progression of the disease. If the pain is severe, try some mild and gentle exercises to ease your pain.
  • Focus on a healthy diet and cut down the intake of refined and processed foods. Fill the plate with colorful fruits and vegetables that are rich in antioxidants and vitamins.
  • People with rheumatoid arthritis are mostly obese. Maintaining a healthy weight can reduce the pressure on your joints. Additional weight can reduce the effectiveness of RA medications.
  • Disturbed sleeping patterns can make the pain worse. Make sure to get a good night’s sleep to stay away from fatigue and depression.

Foods to prevent Rheumatoid Arthritis

  • Fresh fruits and vegetables contain good amounts of antioxidants that monitors the levels of free radicals that cause inflammation and damage to the cells and tissues. Vitamins, minerals, polyphenols, and flavonoids are the main components of fruits and vegetables which prevent the body from the risk of diseases.
  • Foods rich in vitamin C are rich in antioxidants that fight inflammation. Vitamin C can interfere with the absorption of medications. In such cases, take your juice/citrus fruit a few hours before/after your medication.
  • Foods rich in omega-3 fatty acids such as fatty fish, nuts, avocados, and olive oil are effective in controlling inflammation.
  • Nuts like almonds, walnuts, pistachios, and peanuts and seeds like flax seeds, chia seeds, and pumpkin seeds are excellent sources of monounsaturated fatty acids that promote heart health and aid in weight management. Nuts are high-calorie foods, so be wise to limit your portion sizes.
  • Including whole grains add a lot of fiber and nutrients that prevent the risk of inflammation and rheumatoid arthritis. Whole grains are healthful with zero added sugars and saturated fats.
  • Oleocanthal, a compound found in olive oil reduces inflammation and pain in rheumatoid arthritis patients. Substitute olive oil for salad dressings and cooking for other refined oils and fats for its health benefits.

FAQ

Is Rheumatoid Arthritis curable?

Rheumatoid Arthritis cannot be cured completely but treatment and lifestyle changes can reduce the severity of the condition. Treatments can help in alleviating pain and inflammation in the joints and lead an active life. A physiotherapist guides you in preventing injuries while exercising and the ways to protect your joints and muscles.

What are the best foods to eat for Rheumatoid Arthritis?

The best foods to eat for rheumatoid arthritis are citrus fruits, fresh vegetables, whole grains, coldwater fish, foods rich in omega-3 fatty acids, calcium-rich foods, and healthy oils such as olive oil and cold-pressed oils. Be cautious not to consume calcium-rich foods with foods containing oxalates like spinach, beetroot, and sweet potatoes.

What is the natural remedy for Rheumatoid Arthritis?

The natural remedy for Rheumatoid Arthritis is with the help of a healthy diet and physical exercises. Regular physical exercise can help in reducing the disability and increase the strength and flexibility of the joints and muscles.
Yoga and mild exercises have beneficial effects on rheumatoid arthritis. Turmeric, ginger, and green tea can be regularly included in the diet that contains anti-inflammatory properties.

How can I reduce Rheumatoid Arthritis?

Rheumatoid Arthritis can be reduced with adequate rest, exercises, heat therapies, and cold packs. The hot and cold packs reduce swelling around the joints and ease the pain to some extent. Massaging the affected areas may improve blood circulation through the joints and reduce swelling. Stress management can help you relax that aids in lowering the pain.

Are vitamins and calcium good for Rheumatoid Arthritis?

Vitamins and calcium are vital nutrients to maintain bone and joint health. Vitamin D promotes the immune system and curbs inflammation and pain in rheumatoid arthritis patients. Calcium is important for the maintenance of healthy joints and the prevention of loss of bone density.

What are the first signs of Rheumatoid Arthritis?

The first signs of Rheumatoid Arthritis are pain and stiffness in the joints and muscles in the hands, legs, and back. The person may feel anemic and fatigued. There may be lumps or redness in the skin. A dry mouth and prickling sensation can be some of the warning signs of rheumatoid arthritis.

Is Rheumatoid Arthritis a serious condition?

Rheumatoid Arthritis can cause physical disability, and pain and put a person at risk of chronic illness. Symptoms may flare up as the condition progresses. Joint replacement therapy and certain surgeries can extend the life expectancy of a person. Early treatment, proper sleep, and an active lifestyle can help to reverse the symptoms of rheumatoid arthritis.

How can I treat Rheumatoid Arthritis at home?

Rheumatoid Arthritis can be treated at home by shifting to a healthier diet, adequate rest, losing extra weight, getting good sleep, stress management, and exercises that can make your muscles and joints recover from stiffness and pain. Applying heat can reduce the pain and relax your painful muscles.

How to reverse Rheumatoid Arthritis?

Rheumatoid Arthritis cannot be reversed back to its original form but the severity of the condition can be reduced with the help of medications, diet, and lifestyle factors. Treatments can slow down the progression of the disease and makes you comfortable with daily chores. Regular exercises may increase your mobility and function.