Rheumatoid arthritis

Effects of air pollution on disease activity in patients with rheumatoid arthritis

Ann Rheum DisPublished Prospective cohort study

Main finding · RA flareResult — go to the resultAdjusted odds ratio 1.113 95% CI 1.017–1.218

Authors' conclusion

Exposure to air pollutants, particularly PM2.5, was associated with increased RA disease activity and flare risk.

Study context

Population
Patients with rheumatoid arthritis (RA) treated at a tertiary medical centre in South Korea, January 2021–December 2024
Participants
1,070 patients12,583 outpatient visits
Exposure
Higher vs lower air pollutant exposure
Outcome
RA disease activity and flare rate
Methodological detailssingle-centre (tertiary medical centre), linear and logistic generalised estimating equations, case-crossover sensitivity analysis
  • Single-centre (tertiary medical centre)
  • Linear and logistic generalised estimating equations
  • Case-crossover sensitivity analysis

Main finding

RA flare

Adjusted odds ratio

1.113

95% CI 1.017–1.218

Highervs lower air pollutant exposure (6 pollutants, monthly mean concentrations)
aOR 1.113 (95% CI 1.017–1.218)

As reported in the abstract

Observational data: associations, not effects.

Further findings

DAS28-CRP association with PM2.5 by subgroup

More pronounced among women and nonsmokers

Flare risk, case-crossover analysis (sensitivity)

Prolonged cumulative PM2.5 exposure over >2 weeks associated with increased risk of RA flare

Original publication

Effects of air pollution on disease activity in patients with rheumatoid arthritis. Ann Rheum Dis. Published 5 August 2026. doi:10.1016/j.ard.2026.06.018

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