project manager


phd fellow

About the project

Patients with inflammatory joint disease have a significantly increased risk of cardiovascular disease. The most important risk factor for cardiovascular disease is cholesterol, and the first recommended preventive measure is to lower cholesterol levels through a heart-friendly diet. Traditionally, clinical nutritionists provide such dietary advice, but there are not enough resources to refer everyone who needs such advice to a clinical nutritionist. In a pilot study, a 4-minute brief information on heart-friendly diet given by a doctor resulted in comparable changes in diet and cholesterol levels as individually adapted 60-minute dietary counseling by a clinical nutritionist.

In a large randomized international study, we will assess whether 4-minute card information on heart-friendly diet has the same effect on changes in cholesterol levels, changes in diet and environmental impact as individually tailored 60-minute dietary guidance.

Who can participate?

Patients with rheumatoid arthritis, spondyloarthritis and psoriatic arthritis are recruited from the Preventive Cardiac Rheumatism Clinic at Diakonhjemmet Hospital and from the Department of Rheumatology at Umeå University Hospital in Sweden.

The study is ongoing.

Project arrangement

The project is a randomized, controlled study with two groups that both receive dietary guidance. At baseline, patients complete a dietary questionnaire (SmartDiet form) and weight, height and blood samples are taken. Patients are then randomly assigned to one of two groups:

1) 4-minute brief information given by a doctor

2) 60-minute individualized 60-minute dietary guidance by a clinical nutritionist

After 8 weeks, patients will again complete the SmartDiet dietary questionnaire and weight, height and blood samples will be taken. At the second visit, those participants who received brief dietary guidance will be offered extended dietary guidance by a clinical nutritionist. Finally, the carbon footprint of the different interventions will be analyzed in terms of resources, dietary changes and health services.


All rights reserved © REMEDY; Illustration/portrait images © Nicolas Tourrenc/Diakonhjemmet Hospital