Rheumatoid arthritis

Biomechanical determinants of rheumatoid arthritis severity and excess cardiovascular disease: common origins of two complex diseases

RMD OpenPublished Cross-sectional study

Authors' conclusion

Articular, arterial and skin stiffness correlated with each other and with RA severity.

Study context

Population
Patients with anti-CCP antibody (ACPA)-positive rheumatoid arthritis (RA) and controls
Participants
58 vs 57
Exposure
ACPA-positive RA vs controls
  • RAn = 58
  • Controlsn = 57reference
Outcome
Associations of articular, arterial and skin stiffness with RA severity

Main finding

As reported in the abstract

High radiographic rate associated with greater metacarpophalangeal (MCP) articular stiffness (t test)

p 0.014

High radiographic rate associated with greater arterial stiffness

p 0.044

High radiographic rate associated with greater skin stiffness, in RA <5 years duration

p 0.002

Observational data: associations, not effects.

Further findings

Determinants of arterial stiffness in RA

Arterial stiffness correlated with age (ß)
P < 0.005
Arterial stiffness correlated with articular stiffness (ß)
P < 0.001
Arterial stiffness correlated with skin stiffness (ß)
p 0.037
Arterial stiffness correlated inversely with alcohol consumption
p 0.035

Original publication

Biomechanical determinants of rheumatoid arthritis severity and excess cardiovascular disease: common origins of two complex diseases. RMD Open. Published 21 November 2024. doi:10.1136/rmdopen-2024-004524

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