Rheumatoid arthritis

When does obesity exert its effect in conferring risk of developing rheumatoid arthritis (RA): a large study in cohorts of symptomatic persons at risk

RMD OpenPublished Cohort study

Main finding · Inflammatory arthritis development within CSA, obesity vs normal weight (pooled meta-analysis of four cohorts)Result — go to the resultHazard ratio 1.01 95% CI 0.93–1.08

Authors' conclusion

Obesity is not associated with RA development within CSA patients but BMI has already increased in CSA compared to the general population.

Study context

Population
Symptomatic persons at risk for RA with clinically suspect arthralgia (CSA) from four cohorts (CSA Leiden, CSA Rotterdam, SONAR and TREAT EARLIER placebo arm)
Participants
1,107 persons4 cohorts
Exposure
Obesity vs normal weight within CSA; Body mass index (BMI) at CSA onset vs age-/sex-matched general population
Outcome
(1) BMI at CSA onset vs general population; (2) association between BMI and inflammatory arthritis development within CSA
Follow-up
2 years
Methodological detailsfour cohorts, age-matched/sex-matched general population comparison, Cox regression, meta-analysis of cohorts
  • Four cohorts
  • Age-matched/sex-matched general population comparison
  • Cox regression
  • Meta-analysis of cohorts

Main finding

As reported in the abstract

Inflammatory arthritis development within CSA, obesity vs normal weight (pooled meta-analysis of four cohorts)

Hazard ratio

1.01

95% CI 0.93–1.08

Obesityvs Normal weight
HR 1.01 (95% CI 0.93–1.08)

Observational data: associations, not effects.

Original publication

When does obesity exert its effect in conferring risk of developing RA: a large study in cohorts of symptomatic persons at risk. RMD Open. Published 12 January 2024. doi:10.1136/rmdopen-2023-003785

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