Rheumatoid arthritis

Longitudinal patterns of obesity index changes and risk of incident rheumatoid arthritis: evidence from a population-based cohort

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

The findings suggest that specific dynamic changes in obesity indices are associated with an increased risk of RA

Study context

Population
UK Biobank participants aged 40–73 years with at least two obesity index measurements354 incident rheumatoid arthritis (RA)
Participants
68,061 participants
Exposure
Longitudinal patterns of change in body mass index (BMI), waist-to-hip ratio (WHR) and body roundness index (BRI) and incident RA
Outcome
Incident RA
Follow-up
Median 4.06 years
Methodological detailspopulation-based, Cox regression, restricted cubic spline models
  • Population-based
  • Cox regression
  • Restricted cubic spline models

Main finding

As reported in the abstract

Hazard ratio (95% CI)
Stable overweight
1.45(1.12–1.88)
Stable abdominal obesity
1.48(1.12–1.96)
Stable high BRI
1.46(1.12–1.89)
Non-abdominal obesity to abdominal obesity39% increase in RA risk
1.39(1.00–1.91)

Observational data: associations, not effects.

Further findings

Annual average rate of change (AARC) in BMI and RA risk (RCS model)

Non-linear association; RA risk increasing when AARC exceeded 1.106
P for non-linearity = 0.019

Original publication

Longitudinal patterns of obesity index changes and risk of incident rheumatoid arthritis: evidence from a population-based cohort. Arthritis Res Ther. Published 29 September 2025. doi:10.1186/s13075-025-03655-z

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