Diet for ankylosing spondylitis

There's no specific AS diet, but a Mediterranean eating pattern supports inflammation control, bone health (a concern with long-term AS), and a healthy weight.

Foods to favour

  • Oily fish for omega-3s
  • Olive oil as the main cooking fat
  • Wide variety of vegetables and fruit
  • Wholegrains, pulses, and seeds
  • Calcium and vitamin D for bone health

Foods to limit

  • Ultra-processed foods
  • Excess sugar and refined carbohydrates
  • Excess alcohol
  • Foods that personally appear to trigger your symptoms

This is general information, not a substitute for personalised medical advice.

Frequently asked questions

What is the best diet for ankylosing spondylitis?

A Mediterranean-style anti-inflammatory diet is the most evidence-backed eating pattern for ankylosing spondylitis. It emphasises vegetables, fruit, wholegrains, pulses, oily fish, olive oil, nuts and seeds, with limited ultra-processed food and sugar.

What foods should I avoid with as?

Limit ultra-processed foods, sugary drinks, excess alcohol, and large amounts of red or processed meat. Many people also notice individual triggers — a short food diary can help you spot them.

Can diet reduce ankylosing spondylitis inflammation?

Yes — an anti-inflammatory eating pattern, combined with maintaining a healthy weight, has been shown to reduce joint pain and inflammatory markers in ankylosing spondylitis. Diet works best alongside exercise and any prescribed medication.

Do supplements help with as?

Evidence is mixed. Omega-3 fish oil, vitamin D (where deficient), and turmeric/curcumin have the most supportive research for as. Speak to your GP or pharmacist before starting supplements, especially if you take other medication.

Is there a single food that triggers ankylosing spondylitis flares?

No single food causes ankylosing spondylitis, but ultra-processed foods, excess sugar, and (for gout in particular) high-purine foods and alcohol can worsen symptoms. Focus on overall pattern rather than individual "miracle" or "forbidden" foods.