Treatment With Specific Carbohydrate Diet in Children With Juvenile Idiopathic Arthritis (JIA)
Juvenile Idiopathic Arthritis
About this trial
This is an interventional treatment trial for Juvenile Idiopathic Arthritis focused on measuring juvenile, arthritis, diet
Eligibility Criteria
Inclusion Criteria:
- Participants should fulfill criteria for JIA according to the ILAR criteria
- Participants should not be older than 16 years at onset of disease
- Participants should have a low-medium disease activity with an E-SR of 30 at the most and/or no more than two active joints at inclusion.
- DMARD and bDMARD should not have been changed within the last 12 weeks before inclusion.
- Any gastro- intestinal complaints should be investigated before inclusion.
- Fecal calprotectin should be normal.
- The child as well as the parents need to be motivated for the child to try a dietary intervention for at least four weeks, preferably longer.
Exclusion criteria:
- Children with the systemic category of JIA.
- Children with an unstable inflammatory situation with > 2 inflamed joints and/or an E-SR of more than 30.
Sites / Locations
- Unit of Pediatric Rheumatology, Akademiska hospitalRecruiting
Arms of the Study
Arm 1
Experimental
Children with juvenile idiopathic arthritis
The specific carbohydrate diet has been shown to have beneficial effects on IBD and has been implemented in Seattle Children's IBD centre, with some patients using SCD either as primary or complementary therapy. The SCD is a nutritionally balanced diet focused on removing many complex carbohydrates such as grains, dairy products except for yoghurt fermented over 24 hours, vegetables rich in starch and sugars except for monosaccharides like in honey. Participants can eat meat but since it has to be unprocessed food the investigator's experience is that the amounts of meat are not very big. Fish, eggs, sea-food is allowed. Bread is baked from nut and almond flour.