Thursday, June 13, 2024

Does Beer Affect Rheumatoid Arthritis

Beer Is Worse Than Other Types Of Alcohol In Causing Gout

Rheumatoid Arthritis, How Does Alcohol Affect it?

While any alcohol can cause gout, beer is worse than other forms. This is because beer has more purines in it than other types of alcohol.

Other types of alcohol are not off the hook, though. Liquor has been shown to increase the risk of gout flares. The research on wine is more mixed: One study showed that wine didnt increase the risk of gout, while other studies showed that any type of alcohol, including wine, can cause gout flare-ups.

Keep in mind that purines are found in lots of different foods, and alcohol isnt the only cause of gout. You can still have a gout flare even if you dont drink alcohol.

A Closer Look At The Interplay Of Alcohol And Smoking In Ra Risk

Alcohol consumption is associated with a lower incidence of rheumatoid arthritis , partially explained by its effects on the innate and adaptative immune system, but smoking coupled with increased alcohol consumption may attenuate the potential protective effect of alcohol intake on RA incidence, study findings published in RMD Open suggest.

This analysis of the prospective Swedish National March Cohort study featured 41,068 participants who provided smoking and alcohol data at baseline in 1997. During a mean follow-up period of 17.7 years, the investigators identified 577 incident cases of RA through linkage to multiple nationwide and complete registers.

Researchers evaluated the association between alcohol intake and RA incidence in multivariate Cox proportional hazards models. The additive effect of smoking on alcohol consumption was also evaluated in relationship to RA incidence.

Average age at RA diagnosis was 66.8 years across the 577 participants with incident RA. Among these participants, the investigators found an association between alcohol consumption and a 30% reduction in RA incidence . Overall, there was a significant inverse dose-response relationship between weekly alcohol consumption amount and the incidence of RA . No significant difference was observed between participants who consumed wine exclusively vs those who drank other alcoholic beverages .


Stick With Your Treatment Plan

While there is evidence that food can help you manage symptoms, it should be thought of as complementary to the medication you and your doctor have determined is right for you. The changes I had made a positive impact on my health, but should not be a substitute for the treatment, says Montoya. Prescription medications that target inflammation are often at the core of treatment for rheumatoid arthritis due to the strong evidence supporting their success.

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How Does Alcohol Affect Rheumatoid Arthritis

Drinking alcohol in moderation is typically safe for people with rheumatoid arthritis .

According to the Arthritis Foundation, drinking alcohol in moderation is usually safe, and may even reduce certain types of inflammation. Some research says that small amounts of alcohol could reduce the risk of developing RA in the first place.

However, heavier drinking can cause problems. Also, alcohol can interfere with some RA medications, with serious health implications. Before drinking alcohol, people can speak to a doctor about the risks and benefits.

This article looks at the research behind how drinking alcohol can affect RA, as well as the interactions between RA drugs and alcohol, and other safety considerations.

Until recently, little research has directly assessed the effects of drinking on RA.

Currently, the research is mixed, and it appears that the link between alcohol and RA differs, depending on how much a person drinks and the medications they are taking.

The following sections of this article look at what the research says about alcohol and how it affects RA.

Alcohol Ra And Your Bones

Liver function isnt the only concern. Beer, wine, and spirits can also lower bone density, an extremely important issue for people with RA who are at risk for developing osteoporosis or already dealing with bone loss and joint pain. Excessive alcohol consumption compromises the strength of the skeleton by interfering with the breakdown and rebuilding of bone tissue. People who have RA are already at greater risk for osteoporosis, and alcohol consumption increases those odds, according to the National Institutes of Health Osteoporosis and Related Bone Diseases National Resource Center.

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How Do You Use Apple Cider Vinegar To Treat Rheumatoid Arthritis

The more common way of using apple cider vinegar as a treatment is by drinking it. However, vinegar is highly acidic. Before consuming, dilute it with water to prevent damage to your teeth.

Another recommended use for this product as a RA treatment is to apply it topically for local pain relief. Using a cotton ball, apply vinegar to the affected area twice a day. To prevent irritation, consider diluting the solution with an oil such as coconut oil or olive oil and massage it into your skin. If you notice an adverse reaction, stop using it immediately.

Many people believe that adding apple cider vinegar to your bath before bed can also help to relieve RA pain. Add one cup of the vinegar to your evening bath and sit in the solution for 20 to 30 minutes. This can help reduce overnight stiffness and swelling.

While theres research demonstrating the benefits of apple cider vinegar for mild coughs and antibacterial food preparation, theres not sufficient research to demonstrate its effectiveness for treating arthritis pain.

According to

Drinking Safely With Rheumatoid Arthritis

If you dont drink now, its wise not to start. Although moderate alcohol consumption may lower your risk of heart disease and may be associated with a reduced risk of RA, you shouldnt start drinking to improve your health because of its other risks. If you have RA and choose to drink alcohol, consider these steps to reduce your risk of complications.

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Does Alcohol Affect Inflammation

Inflammation causes the symptoms of RA, including joint pain, stiffness, and fatigue. Heavy alcohol use can increase inflammation in the body, while moderate drinking may actually reduce inflammation.

A 2015 review states that moderate drinking can reduce certain markers of inflammation, which may include c-reactive protein, interleukin-6, and tumor necrosis factor -alpha receptor 2. Binge drinking, on the other hand, increases inflammation.

When a person drinks excessively, alcohol can damage the gut and liver, leading to body wide inflammation. Scientists alcohol-related medical conditions with chronic inflammation.

When taken in moderation, however, alcohol should not negatively affect people with RA.

The Effect Is In The Mix

Rheumatoid arthritis – causes, symptoms, diagnosis, treatment, pathology

The study didnt look into why the results turned out as they did, but the researchers proposed a few factors. For one, as we all know, beer drinking can lead to a beer bellyweight around the middle that puts stress on the knees. But the study authors did not make correlations between weight and alcohol consumption. Beer also increases blood levels of uric acid, which can worsen osteoarthritis by crystalizing and settling in joints.

Regarding wineits antioxidant content may be cartilage-protective. Wine also contains substances that increase favorable bacteria in the gut, which support the immune system and reduce overall inflammation, according to the researchers.

Additional research is needed to confirm the study findings and really pinpoint why wine and beer drinkers have drastically different risk potentials for osteoarthritis. But the results also lend more weight to wines many health benefits.

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Central Nervous System Damage

Alcohol can cause severe negative effects on the brain and central nervous system. It hampers the ability to think and make rational decisions.

Along with this, people find it hard to maintain their balance and talk properly when drunk.

They also experience memory loss. Long term effects of these are dangerous to the health as it can damage the brain permanently.

Wine Or Beerwhich Is Worse For Osteoarthritis

Weiya Zhang, PhD, associate professor and reader in musculoskeletal epidemiology, faculty of medicine and health sciences, University of Nottingham, UK. His study appeared in Arthritis Research & Therapy.

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If you like to end the day with a cocktail or enjoy a glass of wine or a beer with your evening meal, you probably dont think about what that libation is doing to your joints. But your choice of drink can be a factor in whether osteoarthritis comes to plague you or not. Could the contents of your cocktail glass really be setting you up for bad hips or knees? According to a team of investigators from the University of Nottingham in the United Kingdom, wine might be a hero and beer a villain.

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How Does Alcohol Help

People who already suffer from rheumatoid arthritis may drink to suppress the sensation of pain.

Due to the lag in the advancement of the disease because of drinking, the patients decrease their alcohol intake.

This happens because they feel better and at ease, so dont feel the need to engage themselves in such activities, as reported by a study.

Alcohol has been proven to have anti-inflammatory effects. This is beneficial, especially in the case of people suffering from rheumatoid arthritis.

The Mosaic Of Autoimmunity In Ra And The Role Of Nutrition

The mosaic of autoimmunity was a term originally coined by Shoenfeld and Isenberg in 1989, and refers to the interplay between genetic, hormonal, immunological, and environmental factors in the pathogenesis of autoimmune diseases, including RA . In recent decades, our understanding of genetic factors in the development of autoimmune conditions has progressed remarkably. Studies in monozygotic twins have demonstrated very high levels of concordance in not just RA, but other autoimmune conditions such as type 1 diabetes mellitus, systemic lupus erythematosus, and multiple sclerosis . The discovery of human leukocyte antigen associations in multiple diseases has added to our understanding of the genetic basis of disease. However, the incomplete correlation in genotype and disease expression even in monozygotic twins highlights the fact that aetiology is due to more than just genetics .

Indeed, several recent studies report on a potential link between dietary factors and alterations in epigenetic pathways, providing compelling insight into the possible effects of environmental factors on fundamental biological processes and aetiology of autoimmune diseases . For example, among beverages, both tea and coffee have been suggested to play an important role in modulating disease risk in humans, mediated by changes in DNA methylation, thereby suppressing tumour progression, decreasing inflammation, and influencing oestrogen metabolism .

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What Lifestyle Factors Can Affect Rheumatoid Arthritis Risk

Your patients may wonder what steps they can take to reduce their risk for rheumatoid arthritis . As their health care professional, theres a lot you tell them about risk reduction.

There are risk factors for RA that are not related to genetics, as well as lifestyle choices that have the potential to increase the likelihood of getting the condition later in life. Some risk factors may come as little surprise to them, but others may be unexpected. You may want to discuss the following with them.


A 2021 study published in BMJ Open examined potential links between lifestyle factors such as smoking and RA incidence.¹ The researchers concluded that there is a consistent association between smoking and elevated risk for RA, both in former and current smokers. They also suggested that smoking may be a particular RA risk factor for women, especially those who have at least 10 pack-years of smoking in their history.

Other studies have posited that smoking may increase seropositive RA risk by increasing inflammation and citrullination, and suggested that smoking cessation may reduce this risk over time.²


It has been suggested that this may be due to the alcohol potentially decreasing proinflammatory cytokines.¹ However, its important to note that these effects are only observed with low-to-moderate consumption higher levels of alcohol consumption can be dangerous and potentially bring about other health problems.




Study: Alcohol May Fight Rheumatoid Arthritis


  • Nondrinkers more likely to have rheumatoid arthritis than those who drink 3, more days a week
  • Researchers believe alcohol reduces immune activity in the body
  • In rheumatoid arthritis, the immune system attacks the joints, causing inflammation, pain


— Moderate drinking has been linked to a variety of health benefits, including a reduced risk of heart disease, stroke, and diabetes. According to a new study, drinking alcohol may also ease the pain of — and lower the risk of developing — rheumatoid arthritis, a potentially crippling autoimmune disorder.

People who don’t drink alcohol are roughly four times more likely to have rheumatoid arthritis than people who have at least one drink three or more days per week, the study found.

The researchers also found that rheumatoid arthritis patients who drink alcohol tend to have less severe symptoms than their nondrinking counterparts. And the more often they drink, the milder their symptoms are.

An estimated 1.3 million adults in the U.S. have rheumatoid arthritis, a disorder in which the body’s immune system inappropriately attacks the joints, causing inflammation, pain, and swelling. Some people experience temporary or intermittent symptoms, but severe cases of the disorder can be disabling.

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Drinking Too Much Alcohol

Drinking too much is not good for anyone’s health, Dr. Friedman says. That’s especially true for people who are on medications to reduce the joint pain and swelling of rheumatoid arthritis and to slow its progression. The problem is that alcohol taxes your liver, and so can RA medications, including methotrexate, “so heavy drinking can be a double whammy,” Friedman says.

Drinking also can reduce your bone density, and a lower bone density puts you at greater risk for complications from arthritis, including fractures. Love your merlot? Drink in moderation, and ask your doctor if the general health rule of one drink a day for women, two for men, is the right one to follow.

Can A Beer A Day Keep Rheumatoid Arthritis Away

What is Rheumatoid Arthritis? | Johns Hopkins Rheumatology

The claim:Its five oclock somewhere may be music to your joints. A study in Arthritis & Rheumatology finds moderate beer drinking comes with a reduced risk for rheumatoid arthritis in women.

The research: Researchers analyzed data on more than 238,000 women and divided them into three categories based on their alcohol consumption. After crunching the numbers, researchers found that women who reported moderate alcohol consumption had a 22% decreased risk of rheumatoid arthritis compared to women who dont drink. Women who drank beer two to four times a week had a 31% decreased risk compared with those who never drank beer.

What it means: Moderate alcohol consumption can already help your case for heart health and diabetes prevention. And while the mechanism between alcohol and rheumatoid arthritis is unclear, study author Bing Lu of Brigham & Women’s Hospital and Harvard Medical School points alcohols surprising anti-inflammatory affect. Alcohol has been shown to diminish the response to immunogens in animals and humans, while also suppressing pro-inflammatory proteins, he says.

Bottom line: In this case, moderate alcohol consumption can do you some goodbut go overboard and you could up your risk for certain cancers and put your liver at risk for damage. Stick with no more than one drink a day , government guidelines recommend.

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Can You Drink If You Have Ra

If you enjoy beer, wine, or a mixed drink now and then, it may be good for you even if you have RA. The catch: You need to limit how much you drink.

You could lower your risk of heart disease or even death if youâre a light to moderate drinker, even more than if you donât drink at all. Thatâs true even if you take methotrexate, a common RA treatment.

Whatâs moderate drinking? Itâs only about one small drink per day for women and two drinks per day for men. Thatâs about 14 grams of alcohol per drink, since every type of drink has other ingredients too, such as water or sugar.

Drink sizes really vary, but standard servings of alcohol are:

  • 12 ounces of beer
  • 8 ounces of malt liquor
  • 5 ounces of wine
  • 1.5 ounces of liquor or whiskey

Adjusting To Life With Ra

It’s easy to fall prey to bad health habits, especially when you’re busy with work and family demands. And you feel so tired at the end of most days that all you want to do is grab a fast-food meal, sit on the couch, and veg out. Beyond being generally unhealthy, that battle plan can increase your risk for developing rheumatoid arthritis or can make managing RA more difficult, if you already have it.

Whether you’re newly diagnosed with RA or have been dealing with the joint pain from RA for a while, here are seven bad health habits to kick to the curb once and for all. And because RA is a progressive disease, there’s no time like the present to make these changes.

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What Happens When I Drink Alcohol With Rheumatoid Arthritis

After I was diagnosed with rheumatoid arthritis, drinking was no longer enjoyable. I no longer felt the lightness and loss of inhibition that I used to feel when intoxicated there was no more liquid courage. Instead, it seemed like one sip would send me straight to a hangover, making me more exhausted and heightening the pain I already felt from my rheumatoid arthritis.

Ive heard friends say passing off a hangover gets harder the older they get, but they havent had to pass off a hangover while living with a chronic illness. That is a whole other challenge.

Some people say alcohol helps ease the pain caused by rheumatoid arthritis, but for me, it does the opposite. When I drink even a few sips of alcohol:

  • My legs and arms go heavy
  • My muscles tense up
  • My sleep becomes more fragmented than usual
  • My stomach hurts, often leading to diarrhea
  • My mood swings into a negative space

There are times when I can tolerate a little alcohol. Some days I am lucky enough to enjoy a few drinks as if my life is back to normal. But more often than not, a sip of booze quickly ruins my night and leaves me feeling like Ive been hit by a truck the following day.

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