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Defeating disease: arthritis strategies

        DEFEATING DISEASE: ARTHRITIS STRATEGIES

This piece of information may not make your day, but there are more than 100 kinds of arthritis inflicting their brand of pain on the joints of some 17 million American men (and 23 million women).
In osteoarthritis (the most common), the underlying bone of a joint degenerates because the protective cartilage has broken down over time. Rheumatoid arthritis, on the other hand, can affect younger people because the inflammation is the result not of wear and tear but of the body's own immune cells doing a Benedict Arnold act on the joints.
Doctors treat arthritis with anti-inflammatory drugs and physical therapy. But you can do some things on your own to reduce the need for their services.

Ease the burden. Research shows what common sense dictates: Your joints do better if you put less weight on them. "On average, population surveys indicate that for every 10 pounds you lose, you decrease the occurrence of arthritis by 50 percent," says David Pisetsky, M.D., Ph.D., professor of medicine and chief of research at the Duke University Arthritis Center in Durham, North Carolina. "If you're overweight, get back as close to your normal body weight as you can."

Don't be too smashing. Play rough and you push up your risk for arthritis. "If you play football, to use an extreme example, you're subject to joint injury all the time," Dr. Pisetsky says. "That increases the likelihood of arthritis." But that doesn't mean that you should go motionless. "Exercise is likely to decrease the symptoms of arthritis," Dr. Pisetsky says. Make that moderate exercise. Go easy on those extreme sports.

Take your vitamins. Research indicates that vitamin B12 stimulates bone-generating osteoblasts, which could stem the forward march of arthritis. Vitamins E and ? have also received some support for pain relief and cartilage repair because of their antioxidant qualities. "We know that oxidative damage occurs in the joints, and studies have indicated that people who have increased their intake of antioxidants may have less arthritis," Dr. Pisetsky says. "There's a lot of interest in it, but it's not at a point yet where we can make definite recommendations." In the meantime, Dr. Pisetsky recommends packing your diet full of antioxidant-rich foods and for older men to take add a multivitamin to their diets.

Up your fish ante. The oils in fish contain the friendly polyunsaturated fats called omega-3 fatty acids. Scientists can measure a significant drop in inflammatory immune substances if there's enough fish oil in your diet. That means less morning stiffness and tender joints if you have rheumatoid arthritis. Fish with the most omega-3 to offer include herring, salmon, mackerel, and tuna.

Rout the gout. Gout is one form of arthritis more common in men than women. You get it from too much uric acid, so cut down on anything that creates uric acid, says Dr. Pisetsky. That includes alcohol, and purine-rich foods such as anchovies, mussels, fish roe, and organ meat.

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