Rheumatoid arthritis

Elevated plasma monounsaturated fatty acids and their associations with disease activity, adiposity and sex in patients with rheumatoid arthritis: a cross-sectional study

RMD OpenPublished Cross-sectional study

Main findingResult — go to the resultΒ (oleic acid, RA status) 1.4 95% CI 0.33–2.5

Authors' conclusion

Circulating MUFAs are associated with RA status, adiposity and disease activity after adjusting for diet, supporting a role for endogenous lipid metabolism in RA.

Study context

Population
Individuals with rheumatoid arthritis (RA) and matched controls, recruited 2017–2022
Participants
52 vs 30
Exposure
RA vs matched controls
  • RAn = 52
  • Controlsn = 30reference
Outcome
Plasma MUFAs and SCD-1 index (adjusted for age, sex and diet)
Methodological detailsmatched controls, multivariable regression with false discovery rate correction
  • Matched controls
  • Multivariable regression with false discovery rate correction

Main finding

As reported in the abstract

Β (oleic acid, RA status)

1.4

95% CI 0.33–2.5

Observational data: associations, not effects.

Further findings

Oleic acid and waist-to-hip ratio

β (oleic acid, waist-to-hip ratio), 95% CI 6.9 to 21
14
  • Adjusted for age, sex and diet

Among RA: Monounsaturated fatty acids (MUFAs) and DAS28-CRP, sex

Higher oleic acid and gondoic acid associated with DAS28-CRP
Palmitoleic acid higher in women, not associated with DAS28-CRP

Metabolic parameters

RA had lower insulin sensitivity, higher triglycerides and lower physical activity

Original publication

Elevated plasma monounsaturated fatty acids and their associations with disease activity, adiposity and sex in patients with rheumatoid arthritis: a cross-sectional study. RMD Open. Published 16 June 2026. doi:10.1136/rmdopen-2026-006777

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