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Diet Chart For osteoarthritis

Last Updated: Apr 25, 2024

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Arthritis is quite common in adults and old age people. It is caused due to inflammation in one or more joints, and results in pain and stiffening of the tissues. Osteoarthritis is a part of arthritis that causes due to wearing down of the flexible tissues at the corners of the bones. The breakdown of cartilage in the joint results in the abnormal changes of the bone. The disease causes stiffness in the joints and thus results in pain while that joint is active and also sometimes while it is at rest. This chronic disease cannot be cured but can be treated. Including a osteoarthritis diet from the beginning or during the initial stages will help to reduce the effects of osteoarthritis. The person affected with osteoarthritis should take care of their diet which requires to include certain food items in the diet and to exclude other food items that might cause harm and ill-effects to the diet. The osteoarthritis diet should include antioxidant food items like fruits and vegetables, ginger in the form of ginger tea, turmeric is a solution to various health problems and can be considered for this as well. Try to avoid inorganic food items and include organic food items in your kitchen. Along with following a diet plan, do not do intense workout, instead minor exercise will help in long run.

Diet Chart

Sunday
Breakfast (8:00-8:30AM)Egg sandwich(4 slice bread) + 1 cup skimmed milk.
Mid-Meal (11:00-11:30AM)1 portion Fruits(Pineapple, Blueberry, Orange, Apple, cherries.)
Lunch (2:00-2:30PM)Tomato Veg pulav rice 1.5 cup+ 1 cup Low fat curd.
Evening (4:00-4:30PM)1 cup light black/green tea+ 2 biscuit
Dinner (8:00-8:30PM)3 roti/ Chapathi+ Ladies finger subji 1/2 cup.
Monday
Breakfast (8:00-8:30AM)chappati-3+ Egg roast 1/2 cup/ 1cup egg curry( 2 egg)
Mid-Meal (11:00-11:30AM)green gram sprouts 1 cup
Lunch (2:00-2:30PM)4 Roti+1/2 cup salad + Fish curry (Salmon 75g).
Evening (4:00-4:30PM)1 portion Fruits(Pineapple, Blueberry, Orange, Apple, cherries.)
Dinner (8:00-8:30PM)3 Roti / chappathi.+ Tomato subji 1/2 cup.
Tuesday
Breakfast (8:00-8:30AM)Wheat dosa 3 +Tomato /green chutney + 1 glass skimmed milk.
Mid-Meal (11:00-11:30AM)1 portion Fruits(Pineapple, Blueberry, Orange, Apple, cherries.)
Lunch (2:00-2:30PM)1 cup rice+Palak dal 1/2 cup + 1/2 cup Beetroot subji
Evening (4:00-4:30PM)1 glass lemon juice + Brown rice flakes poha with nuts 1 cup.
Dinner (8:00-8:30PM)Wheat dosa 3 + 1 cup Bitter guard subji.
Wednesday
Breakfast (8:00-8:30AM)Besan cheela 3 + 1 tbs green chutney+ 1 boiled egg
Mid-Meal (11:00-11:30AM)1 portion Fruits(Pineapple, Blueberry, Orange, Apple, cherries.)
Lunch (2:00-2:30PM)1 cup brown rice +Tomato with coconut curry 1/2 cup+ Spinach subji 1/2 cup.
Evening (4:00-4:30PM)1 cup skim milk.
Dinner (8:00-8:30PM)Broken weat upma 1 cup+ 1/2 cup green beans subji
Thursday
Breakfast (8:00-8:30AM)Mushroom Paratha 2 + Tomato chutney.
Mid-Meal (11:00-11:30AM)plane Yoghurt with raw vegetables / grilled vegetables -1 cup
Lunch (2:00-2:30PM)1 cup rice+ Tuna curry ( 80 gm Tuna)+ 1/2 cup kale salad.
Evening (4:00-4:30PM)1 portion Fruits(Pineapple, Blueberry, Orange, Apple, cherries.)
Dinner (8:00-8:30PM)3 Roti/ chapati+ 1/2 cup mix veg curry
Friday
Breakfast (8:00-8:30AM)Oats upma 1 cup + 1 boiled egg.
Mid-Meal (11:00-11:30AM)1 portion Fruits(Pineapple, Blueberry, Orange, Apple, cherries.)
Lunch (2:00-2:30PM)1 cup rice+ Mushroom curry 1/2 cup + Ladies finger subji 1/2 cup+ celery salad 12 cup
Evening (4:00-4:30PM)1 cup milk with walnuts
Dinner (8:00-8:30PM)3 Roti / chappathi+Ridge guard subji 1/2 cup.
Saturday
Breakfast (8:00-8:30AM) Paneer Paratha 3+ Green chutney.
Mid-Meal (11:00-11:30AM)1 cup boilled black channa.
Lunch (2:00-2:30PM)1/2 cup rice + 2 medium chappati+ Fish masala 1 cup( Mackerel 75 g)+ Snake guard subji 1/2 cup.
Evening (4:00-4:30PM)1 Portion fruit salad+ Yoghurt
Dinner (8:00-8:30PM)Broken wheat upma 1 cup+ 1/2 cup green beans subji

Food Items To Limit

The food stuffs that limit calcium absorption should be limited.

  1. Phytates: Found in nuts, seeds and grains. They easily bind to calcium therefore limiting its availability for absorption. Try not to eat phytate-containing foods and dairy foods together.
  2. Oxalates: Found in sweet potatoes, rhubarb, spinach and beetroot. Very reactive molecules. Bind to calcium therefore reducing its absorption. Interfere with calcium storage in cells. Don’t eliminate these food just be aware that they are not the best providers of calcium.
  3. Alcohol: Interferes with vitamin D activation by the liver and kidneys. Inhibits vitamin D activating enzymes in the liver. It is a diuretic therefore it increases calcium excretion through urine. Increases Parathyroid hormone (PTH) levels and therefore decreases calcium reserves in the body. Try to limit your alcohol intake.
  4. Caffeine: It is believed that caffeine decreases calcium absorption by interfering with vitamin D absoprtion. Caffeine is also a diuretic therefore it increases calcium excretion in the urine.

Do's And Dont's

Do's:

  1. Include high calcium rich foods (beans, milk, cheese, tofu, fish, dry fruits)
  2. Eat fresh, alkalizing vegetables and fruits every day, preferably organic.
  3. Prefer home made foods over outside foods.
  4. Do check for iodine content on food labels.
  5. Include omega-3 rich foods such as fish, walnuts, almonds, flax seeds, olive oil, canola oil.

Don'ts:

  1. Avoid consumption of caffeinated products.
  2. Limit the intake of phosphorus containing foods- meat, soft drinks. Never consume Iron rich foods along with calcium rich foods as that might lead to malabsorption.
  3. Foods with high levels of oxalic acid such as spinach, collard greens, sweet potatoes, rhubarb and beans prevent calcium absorption. So don't consume calcium rich foods along with these foods.

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Food Items You Can Easily Consume

  1. Cereals & cereal products: Ragi, bajra, whole wheat flour. Pulses & Legumes: Lentils, peas, kidney beans, chickpeas, toor daal, soy beans.
  2. Fruits & Vegetables: Custard apples, chikus, apple, white jamun, grapes, lemons, oranges, raw mangoes, carrots, beetroots, bottle gourd, bitter gourds, spinach, Indian spinach, colocasia, drumsticks, yam, taro, tapioca, coriander leaves, celery, spring onions, garlic, ginger.
  3. Milk & milk products: Milk liquid, curd, cottage cheese, ghee, chhach, lassi, custard.
  4. Meat, Fish & Poultry: Sweet and salt water fishes (especially beneficial if taken with bones), eggs, Chicken (lean and/or fowl).
  5. Nuts & Oils: Almonds, raisins, pista, walnuts, vegetable oil, mustard oil.
  6. Fortified breakfast cereals, juices, milk products, yogurt etc.,

References

  • Messier SP. Diet and exercise for obese adults with knee osteoarthritis. Clinics in geriatric medicine. 2010 Aug 1;26(3):461-77. [Cited 01 July 2019]. Available from:
  • Kowsari B, Finnie SK, Carter R, Love J, Katz P, Longley S, Panush RS. Assessment of the diet of patients with rheumatoid arthritis and osteoarthritis. Journal of the American Dietetic Association. 1983 Jun;82(6):657-9. [Cited 01 July 2019]. Available from:
  • Veronese N, Stubbs B, Noale M, Solmi M, Luchini C, Maggi S. Adherence to the Mediterranean diet is associated with better quality of life: data from the Osteoarthritis Initiative. The American journal of clinical nutrition. 2016 Sep 28;104(5):1403-9. [Cited 01 July 2019]. Available from:

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Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
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Reviewed ByDt. Triveni KovvadaDiploma In Diet & NutritionDietitian/Nutritionist

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