Evidence map›Paper›PMID 41934283›Full record

ArticleMusculoskeletal care2026

The Effect of an Autoimmune Protocol (AIP) Diet in Adults With Rheumatoid Arthritis: A Single Arm Crossover Pilot Feasibility Study.

Julianne J McNeill, Gael J Mearns, Rebecca Grainger, Caryn Zinn

Abstract read
In one paragraph

Article in Musculoskeletal care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Julianne J McNeillSchool of Sport & Recreation, Human Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-1110-7108
Gael J MearnsSchool of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0002-2397-767X
Rebecca GraingerDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.ORCID 0000-0001-9201-8678
Caryn ZinnSchool of Sport & Recreation, Human Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID 0000-0001-6185-7663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with rheumatoid arthritis (RA) often ask whether dietary changes or food exclusions can reduce symptoms. The Autoimmune Protocol (AIP) diet, an elimination-based approach, is popular on social media, with anecdotal reports of benefit, but lacks clinical evaluation in RA.

objectivesTo assess the feasibility and effectiveness of an AIP diet on patient-reported outcomes (PROs) in adults with RA.

methodsIn this single-arm, open-label pilot study, nine adults with RA followed their usual diet for 4 weeks and then an 8-week AIP diet in a free-living context. Weekly PRO measures included the Routine Assessment of Patient Index Data 3 (RAPID3) and RA Impact of Disease (RAID) as primary outcomes. Secondary outcomes included 3-day weighed food records and biometric measurements (weight and waist circumference) collected at baseline and every 4 weeks. Adherence and ease of implementation were recorded weekly.

resultsNine participants (7 females, 2 males, aged 40-63 years) completed the intervention. From baseline to end week 12, mean RAPID3 scores decreased from 2.73/10 (range 0.2-5.37) to 0.99 (0-2.5). Four participants demonstrated a clinically meaningful reduction and three others reached remission from low disease activity. Mean RAID scores decreased from 3.13/10 (0.1-6.35) to 1.02 (0-2.96). Fatigue, sleep and pain improved. Mean body mass index reduced from 26.3 kg/m

conclusionsAn 8-week AIP diet was associated with improvements in PROs in seven of nine participants. These pilot findings support further controlled trials to confirm efficacy and explore mechanisms as a potential adjunct therapy for RA.

trial registrationNumber ACTRN12624001391561. https://www.anzctr.org.au/ACTRN12624001391561.aspx.

Indexed as

Arthritis, RheumatoidAdultCross-Over StudiesElimination DietsFeasibility StudiesFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresPilot ProjectsAIP dietautoimmune protocol dietnutritionpatient‐reported outcomesRAIDRAPID3rheumatoid arthritis

Identifiers

PMID41934283
PMCPMC13049695

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.