Rheumatoid arthritis

Association of Healthy Lifestyle Behaviors and the Risk of Developing Rheumatoid Arthritis Among Women

Arthritis Care Res (Hoboken)Published Prospective cohort study

Main finding · Overall RA risk per higher (healthier) HLISResult — go to the resultHazard ratio 0.86 95% CI 0.82–0.90

Authors' conclusion

In this prospective cohort, healthier lifestyle was associated with a lower RA risk.

Study context

Population
Female nurses in the Nurses' Health Study (NHS) (1986–2016) and NHSII (1991–2017)4,467,751 person-years
Exposure
Higher healthy lifestyle index score (HLIS) vs lower HLIS
Outcome
Incident RA, overall and by seropositive/seronegative subtype
Methodological detailsCox regression adjusted for confounders, medical record–confirmed rheumatoid arthritis (RA) and serostatus
  • Cox regression adjusted for confounders
  • Medical record–confirmed RA and serostatus

Main finding

Overall RA risk per higher (healthier) HLIS

Hazard ratio

0.86

95% CI 0.82–0.90

Higher HLIS
HR 0.86 (95% CI 0.82–0.90)

Per higher, as printed

As reported in the abstract

Incident RA cases
1,219

Observational data: associations, not effects.

Further findings

Seropositive RA risk (776 cases)

HR (95% CI)
Higher HLIS0.85 (0.80–0.91)

Seronegative RA risk (443 cases)

HR (95% CI)
Higher HLIS0.87 (0.80–0.94)

RA risk with 5 healthy lifestyle factors (lowest risk)

HR (95% CI)
5 healthy lifestyle factors0.42 (0.22–0.80)

Population attributable risk for adhering to ≥4 lifestyle factors

PAR for RA
34%

Original publication

Association of Healthy Lifestyle Behaviors and the Risk of Developing Rheumatoid Arthritis Among Women. Arthritis Care Res (Hoboken). Published 11 October 2022. doi:10.1002/acr.24862

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