{"id":358,"date":"2020-05-24T17:22:17","date_gmt":"2020-05-24T15:22:17","guid":{"rendered":"https:\/\/soigneralzheimer.com\/?p=358"},"modified":"2020-05-25T15:16:13","modified_gmt":"2020-05-25T13:16:13","slug":"polyarthrite-et-alimentation-une-recherche-bibliographique","status":"publish","type":"post","link":"https:\/\/soigneralzheimer.com\/fr\/polyarthrite-et-alimentation-une-recherche-bibliographique\/","title":{"rendered":"Polyarthrite et alimentation, une recherche bibliographique"},"content":{"rendered":"\n<p>Aujourd&rsquo;hui je me suis plong\u00e9e dans la recherche d&rsquo;articles sur la polyarthrite rhumato\u00efde et ses causes. Et je n&rsquo;ai pas \u00e9t\u00e9 d\u00e9\u00e7ue&nbsp;! Je cherchais des r\u00e9sultats concernant l&rsquo;influence de l&rsquo;alimentation sur cette maladie. Une revue<span class=\"abt-citation\" id=\"5bc999d6-baa5-4b09-8bdc-5ff110218494\" contenteditable=\"false\" data-has-children=\"true\" data-items='[\"374099361\"]'><sup>\u200b1\u200b<\/sup><\/span> datant de 1993  d\u00e9crivait deux approches possibles&nbsp;: (i) la th\u00e9rapie de suppl\u00e9mentation et (ii) la th\u00e9rapie d&rsquo;exclusion. Dans la th\u00e9rapie de suppl\u00e9mentation, on introduit un aliment sens\u00e9 apporter un effet th\u00e9rapeutique tandis que dans la th\u00e9rapie d&rsquo;exclusion, on cherche \u00e0 exclure des aliments probl\u00e9matiques. Je me suis concentr\u00e9e sur la seconde approche.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Les th\u00e9rapies d&rsquo;exclusion<\/h4>\n\n\n\n<p>Pour \u00eatre faite dans les r\u00e8gles de l&rsquo;art, cette approche comporte trois \u00e9tapes&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>On \u00e9limine tous les aliments pouvant poser probl\u00e8me;<\/li><li>Si une am\u00e9lioration de l&rsquo;\u00e9tat de sant\u00e9 a \u00e9t\u00e9 observ\u00e9e, on r\u00e9introduit un par un les aliments en observant s&rsquo;il y a des r\u00e9actions;<\/li><li>On teste \u00e0 nouveau les aliments probl\u00e9matiques en double-aveugle.<\/li><\/ul>\n\n\n\n<p>Une \u00e9tude de 1987 effectu\u00e9e sur des patients souffrant de polyarthrite rhumato\u00efde a montr\u00e9 qu&rsquo;une partie des patients pr\u00e9sentent une am\u00e9lioration de leurs sympt\u00f4mes, lorsqu&rsquo;on supprime certains aliments. En t\u00eate des aliments probl\u00e9matiques, on retrouvent les c\u00e9r\u00e9ales, et plus particuli\u00e8rement le bl\u00e9 et le ma\u00efs. Le lait, le beurre, le caf\u00e9 et le soja faisant aussi partie de la liste.<\/p>\n\n\n\n<p>Le bl\u00e9 semble bien poser probl\u00e8me dans certains cas pour les personnes atteintes de polyarthrite rhumato\u00efde. Dans une \u00e9tude<span class=\"abt-citation\" id=\"a9dde842-f195-4966-85a4-96ed2821e7ac\" contenteditable=\"false\" data-has-children=\"true\" data-items='[\"1078954278\"]'><sup>\u200b2\u200b<\/sup><\/span> de 1988, 93 patients atteints de polyarthrite rhumato\u00efde, on \u00e9t\u00e9 test\u00e9s sur la pr\u00e9sence d&rsquo;anticorps contre la gliadine, une des prot\u00e9ines constituant le grain de bl\u00e9. Pr\u00e8s de la moiti\u00e9 avait un taux \u00e9lev\u00e9 de ces anticorps et pr\u00e9sentaient une atrophie des villosit\u00e9s dans l&rsquo;intestin gr\u00eale.<\/p>\n\n\n\n<p>Je me suis demand\u00e9e pourquoi ces deux derniers articles n&rsquo;\u00e9taient pas plus cit\u00e9s et pourquoi peu de recherches semblent avoir \u00e9t\u00e9 faites dans ce domaine. J&rsquo;ai trouv\u00e9 une r\u00e9ponse possible dans un article<span class=\"abt-citation\" id=\"dab4eb86-6b5c-4744-af9c-4ce5dbf8a021\" contenteditable=\"false\" data-has-children=\"true\" data-items='[\"3669937532\"]'><sup>\u200b3\u200b<\/sup><\/span> de 2000&nbsp;: Seule une partie des patients atteint de polyarthrite rhumato\u00efde semblent avoir un probl\u00e8me de susceptibilit\u00e9 alimentaire et plusieurs aliments \u00e9tant souvent en cause, on obtient probablement des r\u00e9sultats peu concluant si on n&rsquo;exclu pas tous les aliments incrimin\u00e9s.<\/p>\n\n\n\n<p>Dans une \u00e9tude datant de 2006, on a test\u00e9 le taux d&rsquo;anticorps contre certains antig\u00e8nes pr\u00e9sents dans des aliments donn\u00e9s, comme les c\u00e9r\u00e9ales et le lait de vache. Et l\u00e0 encore, on trouve des taux \u00e9lev\u00e9s chez beaucoup de patients atteints de polyarthrite rhumato\u00efde.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Les maladies auto-immunes<\/h4>\n\n\n\n<p>Ensuite, j&rsquo;ai un peu \u00e9largi ma recherche aux maladies auto-immunes en g\u00e9n\u00e9ral. Il est d\u00e9montr\u00e9 que certains g\u00e8nes pr\u00e9disposent aux maladies auto-immunes. Cependant, l&rsquo;influence due aux g\u00e8nes est inf\u00e9rieur \u00e0 50% pour plusieurs maladies auto-immunes, le reste venant de facteurs environnementaux (voir cet article<span class=\"abt-citation\" id=\"61a9abff-c3a8-42a3-b03c-9687702b8dce\" contenteditable=\"false\" data-has-children=\"true\" data-items='[\"4241428834\"]'><sup>\u200b4\u200b<\/sup><\/span> de 2015). Lorsque la polyarthrite de ma maman a d\u00e9but\u00e9, elle a un peu baiss\u00e9 les bras, se disant que c&rsquo;\u00e9tait dans la famille et qu&rsquo;on ne pouvait probablement rien y faire. Elle avait tort. Une partie est h\u00e9r\u00e9ditaire, c&rsquo;est vrai, mais il reste toute une partie li\u00e9e \u00e0 des facteurs environnementaux qu&rsquo;on peut influencer. Si on est dans le bon environnement, m\u00eame avec une susceptibilit\u00e9 g\u00e9n\u00e9tique, on ne tombera pas malade&nbsp;! Tout l&rsquo;art est de modifier son environnement autant que possible pour qu&rsquo;il soit g\u00e9n\u00e9rateur de sant\u00e9.<\/p>\n\n\n\n<p>Et quels sont donc ces facteurs environnementaux&nbsp;? Un facteur important est bien sur l&rsquo;alimentation&nbsp;! Ce fait est connu depuis longtemps et il commence \u00e0 \u00eatre reconnu par la m\u00e9decine conventionnelle, comme l&rsquo;illustre cette citation d&rsquo;Hippocrate<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><em>Que ta nourriture soit ton m\u00e9dicament et que ton m\u00e9dicament soit dans ta nourriture<\/em><\/p><cite>Hippocrates<\/cite><\/blockquote><\/figure>\n\n\n\n<p>trouv\u00e9e dans l&rsquo;introduction d&rsquo;une revue scientifique r\u00e9cente.<\/p>\n\n\n\n<section aria-label=\"Bibliography\" class=\"wp-block-abt-bibliography abt-bibliography\" role=\"region\"><ol class=\"abt-bibliography__body\" data-entryspacing=\"1\" data-maxoffset=\"3\" data-linespacing=\"1\" data-second-field-align=\"flush\"><li id=\"374099361\">  <div class=\"csl-entry\">\n    <div class=\"csl-left-margin\">1. <\/div><div class=\"csl-right-inline\">DARLINGTON LG, RAMSEY NW. REVIEW OF DIETARY THERAPY FOR RHEUMATOID ARTHRITIS. <i>Rheumatology<\/i>. Published online 1993:507-514. doi:<a href=\"https:\/\/doi.org\/10.1093\/rheumatology\/32.6.507\">10.1093\/rheumatology\/32.6.507<\/a><\/div>\n  <\/div>\n<\/li><li id=\"1078954278\">  <div class=\"csl-entry\">\n    <div class=\"csl-left-margin\">2. <\/div><div class=\"csl-right-inline\">O\u2019Farrelly C, Melcher D, Price R, et al. ASSOCIATION BETWEEN VILLOUS ATROPHY IN RHEUMATOID ARTHRITIS AND A RHEUMATOID FACTOR AND GLIADIN-SPECIFIC IgG. <i>The Lancet<\/i>. Published online October 1988:819-822. doi:<a href=\"https:\/\/doi.org\/10.1016\/s0140-6736(88)92784-5\">10.1016\/s0140-6736(88)92784-5<\/a><\/div>\n  <\/div>\n<\/li><li id=\"3669937532\">  <div class=\"csl-entry\">\n    <div class=\"csl-left-margin\">3. <\/div><div class=\"csl-right-inline\">Cordain L, Toohey L, Smith MJ, Hickey MS. Modulation of immune function by dietary lectins in rheumatoid arthritis. <i>Br J Nutr<\/i>. Published online March 2000:207-217. doi:<a href=\"https:\/\/doi.org\/10.1017\/s0007114500000271\">10.1017\/s0007114500000271<\/a><\/div>\n  <\/div>\n<\/li><li id=\"4241428834\">  <div class=\"csl-entry\">\n    <div class=\"csl-left-margin\">4. <\/div><div class=\"csl-right-inline\">Picascia A, Grimaldi V, Pignalosa O, De Pascale MR, Schiano C, Napoli C. Epigenetic control of autoimmune diseases: From bench to bedside. <i>Clinical Immunology<\/i>. Published online March 2015:1-15. doi:<a href=\"https:\/\/doi.org\/10.1016\/j.clim.2014.12.013\">10.1016\/j.clim.2014.12.013<\/a><\/div>\n  <\/div>\n<\/li><\/ol><\/section>\n","protected":false},"excerpt":{"rendered":"<p>Aujourd&rsquo;hui je me suis plong\u00e9e dans la recherche d&rsquo;articles sur la polyarthrite rhumato\u00efde et ses causes. Et je n&rsquo;ai pas \u00e9t\u00e9 d\u00e9\u00e7ue&nbsp;! Je cherchais des r\u00e9sultats concernant l&rsquo;influence de l&rsquo;alimentation sur cette maladie. Une revue\u200b1\u200b datant de 1993 d\u00e9crivait deux approches possibles&nbsp;: (i) la th\u00e9rapie de suppl\u00e9mentation et (ii) la th\u00e9rapie d&rsquo;exclusion. Dans la th\u00e9rapie [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_mo_disable_npp":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","_jetpack_memberships_contains_paid_content":false,"ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[3,14,15],"tags":[],"class_list":["post-358","post","type-post","status-publish","format-standard","hentry","category-alimentation","category-litterature","category-polyarthrite","entry"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/posts\/358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/comments?post=358"}],"version-history":[{"count":5,"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/posts\/358\/revisions"}],"predecessor-version":[{"id":398,"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/posts\/358\/revisions\/398"}],"wp:attachment":[{"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/media?parent=358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/soigneralzheimer.com\/fr\/wp-json\/wp\/v2\/categories?post=358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/soigneralzheimer.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