Rheumatoid arthritis

Early-life animal and farming exposures and the risk of rheumatoid arthritis: findings from the E3N French cohort study

RMD OpenPublished Prospective cohort study

Authors' conclusion

Our results suggest a potential inverse association restricted to pet exposure at ages 1-2 years, but not at other ages, whereas exposure to farm animals was positively associated.

Study context

Population
Women of the E3N French cohort (Etude Epidémiologique auprès des femmes de la Mutuelle générale de l'Education Nationale)698 incident rheumatoid arthritis (RA) cases
Participants
78,473 women
Exposure
Childhood exposure to pets and farm animals vs no exposure
Outcome
Incident RA in adulthood
Methodological detailsCox models, confounders selected via directed acyclic graphs
  • Cox models
  • Confounders selected via directed acyclic graphs

Main finding

As reported in the abstract

Incident RA
Each group vs no exposureAdjusted hazard ratio (95% CI)
Pets at 1-2 yearsregardless of smoking status
0.57(0.34–0.95)
Farm animalsborderline; irrespective of age at exposure
1.26(1.00–1.59)

Observational data: associations, not effects.

Original publication

Early-life animal and farming exposures and the risk of rheumatoid arthritis: findings from the E3N French cohort study. RMD Open. Published 7 December 2025. doi:10.1136/rmdopen-2025-005954

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