Professional Documents
Culture Documents
Management of musculoskeletal
conditions is multidisciplinary:
rheumatologists, or orthopaedic
surgeons, rehabilitation, physiotherapy
and occupational therapy, supported
by specialist nurses, orthotics,
prosthetics, podiatry, dietetics and all
the other relevant disciplines.
Osteoporosis is a condition in
which the bones become less
dense and more likely to
fracture.
Radiation therapy to
treat cancers of the
pelvic area is known to
make bones more fragile.
Rheumatoid arthritis is a
chronic systemic inflammatory
arthritis of auto-immune origin
that affects primarily the
synovial joints, usually in a
symmetrical pattern.
Gout Diet
Nutritional
Status
and
Dietary
Manageme
nt
Essential Components
of Nutritional
Assessment
Nutritional status is
determined by assessing an
individuals nutrition and
health related ABCDEFs.
Anthropometric Measurements
Biochemical Indices
Clinical Indices
Dietary Intake
Environmental Factors
Functional Status
Specific Aspects of Nutritional
Status Assessment for Various
Arthritic and Rheumatoid
Diseases
Environmental Factors
[Environmental factors may
influence intake and
contribute to over- or
malnutrition in individuals,
including the identification
of physical and social
influences on intake]
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases
Patients with RA are often
underweight and
malnourished. Indicators of
malnutrition also include
rheumatoid cachexia, which
involves muscle wasting
that is often replaced with
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases
Medication-related effects
on biochemical indices of
folic acid and iron status are
also common. Some
medications such as
methotrexate also affect
calcium and vitamin D
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases
Impact the ADLs and IADLs as
well as other aspects of
health-related quality of life.
Pain is a common problem in
RA, greatly affecting healthrelated quality of life.
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases:
GOUT
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases:
GOUT
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases:
GOUT
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases:
GOUT
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases:
GOUT
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases:
GOUT
Nutrition-related biochemical
indices: CRP may be elevated
when systemic inflammation
and fever are present.
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases;
GOUT
Patients with gout are often
prescribed medications for
inflammation and uric acid
control. Drugs that influence
uric acid synthesis or
excretion include probenecid,
sulfinpyrazone, and allopurinol
Specific Aspects of
Nutritional Status
Assessment for
Various Arthritic and
Rheumatoid Diseases;
GOUT
Specific Aspects of
Nutritional Status
GOUT
Overall balance of
carbohydrates, proteins,
and saturated and
unsaturated fats needs to
be optimal for both your
general health and the
control of gout.
Specific Aspects of
Nutritional Status
GOUT
These would include any
food high in purines: organ
meat, anchovy, some
pulses, beers and stouts,
herring, asparagus, and
the richer meats, to name
but a few.
Mechanisms of
Drug nutrient
Interactions
Alteration of
Pharmacokinetics by Food.
Modulation of Biological
Mediators of Rheumatic
Diseases by nutrients.
Change in Nutritional Status
by Drugs
Disease-modifying
Anti-rheumatic Drugs