The question of diet is a pertinent one for the concerned parent of a child diagnosed with rheumatic disease or undergoing treatment for the same.
Many factors can affect the nutrition of such a child. Firstly, the disease itself, because of the chronic inflammation, leads to a decrease in body weight and loss of minerals from joint and bone. Secondly, the medications can also affect the nutritional status of the child.
In fact, some medications used in treatment of rheumatic diseases can cause an increase in appetite and weight gain, giving parents a false reassurance. But the obesity caused by medications, especially corticosteroids, should be discussed and handled as per the doctor's guidance.
Regular meals, a balanced diet and suitable portion sizes are the key for a child with chronic rheumatic disease. A calcium and vitamin-rich diet should be consumed, after discussions with a dietician. Iron, calcium and Vitamin D supplementation provided by the doctor should also be taken.
At present there is no evidence-based dietary recommendation for the treatment of rheumatic diseases. It is important parents educate themselves about fad diets and dietary supplements, and understand proper nutrition.
The best practice for chronic rheumatic disease is to maintain the child on a well-balanced, healthy diet with adequate vitamins and minerals, and to encourage as much physical activity as possible under the direction of the doctor and physiotherapist.