Managing Osteoarthritis: Nutrition Tips and Supplement Guidance - Nutrition

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Degenerative arthritis


Hello! Last month, I sought medical attention due to pain in my left hand.
After X-rays and MRI scans, the doctor diagnosed me with degenerative arthritis.
Since multiple joints have bone spurs, surgery is not an option.
Therefore, the physician recommended physical therapy and advised me to increase my intake of calcium-rich supplements and glucosamine.
I also remember that during a health screening at the hospital last year, my bone density was measured at 2.2, and the nurse said it was excellent and encouraged me to maintain it! I find these two conclusions puzzling.
Should I still take calcium supplements? Or do I only need to supplement with glucosamine? If I need to take glucosamine, which type should I choose? Additionally, I prefer food sources over supplements; what foods can I eat more of? Thank you!

Amy, 50~59 year old female. Ask Date: 2013/03/18

Dr. Shi Guimei reply Nutrition


Dear Amy,
Hello! Based on your condition, you should increase your intake of calcium-rich foods.
It is recommended to drink 1.5 to 2 cups of low-fat or non-fat milk daily (each cup being 240cc).
Other good sources of calcium include legumes such as soybeans and black beans, as well as tofu, dried tofu products, seafood, black sesame seeds, sweet potato balls, brown sugar, curry powder, and seaweed.
You may also consider supplementing with commercially available calcium tablets.
Wishing you health and happiness!
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2013/03/18

More Info


Managing osteoarthritis (OA) can be a complex process, especially when it comes to nutrition and supplementation. Given your recent diagnosis and the recommendations from your healthcare provider, it's essential to understand the role of nutrition and supplements in managing your condition effectively.


Calcium and Bone Health
You mentioned that you have a bone density score of 2.2, which is indeed a positive indicator of bone health. However, maintaining adequate calcium intake is still crucial, especially as we age. Calcium is vital for bone strength and can help prevent further deterioration of bone density. Foods rich in calcium include:
- Dairy Products: Low-fat or fat-free milk, yogurt, and cheese.

- Leafy Greens: Kale, collard greens, and broccoli.

- Fortified Foods: Some cereals and plant-based milk alternatives are fortified with calcium.

- Fish: Sardines and salmon (with bones) are excellent sources.

If you find it challenging to meet your calcium needs through diet alone, a calcium supplement may be beneficial. However, it's essential to consult with your healthcare provider before starting any new supplements to ensure they are appropriate for your specific situation.


Glucosamine and Joint Health
Glucosamine is a popular supplement often recommended for osteoarthritis. It is believed to help maintain cartilage health and may reduce joint pain and stiffness. There are different forms of glucosamine available, including glucosamine sulfate and glucosamine hydrochloride. Research suggests that glucosamine sulfate may be more effective, particularly for knee osteoarthritis. The typical dosage ranges from 1500 mg to 2000 mg per day, but it’s best to follow the advice of your healthcare provider regarding the specific type and dosage that would be most beneficial for you.


Dietary Approaches to Managing Osteoarthritis
Since you prefer food-based solutions over supplements, there are several dietary strategies you can adopt to help manage osteoarthritis:
1. Anti-Inflammatory Foods: Incorporate foods known for their anti-inflammatory properties, such as:
- Fatty Fish: Salmon, mackerel, and sardines are rich in omega-3 fatty acids, which can help reduce inflammation.

- Nuts and Seeds: Walnuts, flaxseeds, and chia seeds are also good sources of omega-3s.

- Fruits and Vegetables: Berries, cherries, spinach, and kale are packed with antioxidants that combat inflammation.

2. Whole Grains: Choose whole grains like brown rice, quinoa, and oats over refined grains. They provide fiber and nutrients that can help reduce inflammation.

3. Healthy Fats: Use olive oil or avocado oil as your primary cooking fats. These oils contain healthy monounsaturated fats and antioxidants.

4. Limit Processed Foods: Try to reduce your intake of processed foods, sugars, and trans fats, as these can promote inflammation and worsen symptoms.

5. Hydration: Staying well-hydrated is essential for joint health. Aim to drink plenty of water throughout the day.


Conclusion
In summary, while your bone density is commendable, continuing to ensure adequate calcium intake is essential. Glucosamine can be a beneficial supplement for joint health, particularly glucosamine sulfate. Additionally, focusing on a diet rich in anti-inflammatory foods, whole grains, and healthy fats can significantly aid in managing osteoarthritis symptoms. Always consult with your healthcare provider or a registered dietitian before making significant changes to your diet or starting new supplements to ensure they align with your health needs.

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