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Lifestyle factors in patients with rheumatoid arthritis—a cross-sectional study on two Scandinavian cohorts

Karstensen, Julie Katrine ; Primdahl, Jette ; Andersson, Maria L.E. LU orcid ; Christensen, Jeanette Reffstrup and Bremander, Ann LU (2022) In Clinical Rheumatology 41(2). p.387-398
Abstract

Introduction: The risk for cardiovascular diseases and other comorbidities increases with the number of unhealthy lifestyle factors in the general population. However, information on the combined number of unhealthy lifestyle factors in people with rheumatoid arthritis (RA) is scarce. Objectives: To study lifestyle factors and the association between disease impact and two or more unhealthy lifestyle factors in two Scandinavian cohorts with RA. Methods: We analysed data from two cohorts, Danish (n = 566; mean age 61.82 (SD 11.13) years; 72% women) and Swedish (n = 955; mean age 66.38 (SD 12.90) years; 73% women). Lifestyle factors (tobacco use, BMI, alcohol consumption and physical activity) were dichotomised as healthy vs. unhealthy... (More)

Introduction: The risk for cardiovascular diseases and other comorbidities increases with the number of unhealthy lifestyle factors in the general population. However, information on the combined number of unhealthy lifestyle factors in people with rheumatoid arthritis (RA) is scarce. Objectives: To study lifestyle factors and the association between disease impact and two or more unhealthy lifestyle factors in two Scandinavian cohorts with RA. Methods: We analysed data from two cohorts, Danish (n = 566; mean age 61.82 (SD 11.13) years; 72% women) and Swedish (n = 955; mean age 66.38 (SD 12.90) years; 73% women). Lifestyle factors (tobacco use, BMI, alcohol consumption and physical activity) were dichotomised as healthy vs. unhealthy (range 0–4 unhealthy factors). The association between disease impact and two or more unhealthy lifestyle factors was analysed using logistic regression. Results: Sixty-six percent of Danish and 47% of Swedish respondents reported two or more unhealthy lifestyle factors, most commonly, being overweight/obese and physical inactivity. For Danish participants, two or more unhealthy lifestyle factors were associated with (OR and 95% CI) male gender (1.86; 1.21–2.85), cardiovascular diseases (1.90; 1.28–2.82) and disease duration (0.97; 0.95–0.99). Corresponding findings for the Swedish cohort were male gender (1.42; 1.07–1.89), pain (1.10; 1.04–1.15), fatigue (1.09; 1.04–1.15), physical functioning (1.64; 1.28–2.10) and quality of life (0.35; 0.20–0.60). Conclusion: Many patients, most often male, in both cohorts had two or more unhealthy lifestyle factors. The number of unhealthy lifestyle factors indicates a multifaceted relationship with disease impact.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cardiovascular risk, Health behaviour, Lifestyle habits, Rheumatic diseases
in
Clinical Rheumatology
volume
41
issue
2
pages
387 - 398
publisher
Springer
external identifiers
  • scopus:85114651286
  • pmid:34505213
ISSN
0770-3198
DOI
10.1007/s10067-021-05905-2
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021, The Author(s).
id
1a68365e-dd7e-4ac4-9779-4c72bb3169c0
date added to LUP
2021-10-13 14:58:15
date last changed
2024-06-15 18:04:52
@article{1a68365e-dd7e-4ac4-9779-4c72bb3169c0,
  abstract     = {{<p>Introduction: The risk for cardiovascular diseases and other comorbidities increases with the number of unhealthy lifestyle factors in the general population. However, information on the combined number of unhealthy lifestyle factors in people with rheumatoid arthritis (RA) is scarce. Objectives: To study lifestyle factors and the association between disease impact and two or more unhealthy lifestyle factors in two Scandinavian cohorts with RA. Methods: We analysed data from two cohorts, Danish (n = 566; mean age 61.82 (SD 11.13) years; 72% women) and Swedish (n = 955; mean age 66.38 (SD 12.90) years; 73% women). Lifestyle factors (tobacco use, BMI, alcohol consumption and physical activity) were dichotomised as healthy vs. unhealthy (range 0–4 unhealthy factors). The association between disease impact and two or more unhealthy lifestyle factors was analysed using logistic regression. Results: Sixty-six percent of Danish and 47% of Swedish respondents reported two or more unhealthy lifestyle factors, most commonly, being overweight/obese and physical inactivity. For Danish participants, two or more unhealthy lifestyle factors were associated with (OR and 95% CI) male gender (1.86; 1.21–2.85), cardiovascular diseases (1.90; 1.28–2.82) and disease duration (0.97; 0.95–0.99). Corresponding findings for the Swedish cohort were male gender (1.42; 1.07–1.89), pain (1.10; 1.04–1.15), fatigue (1.09; 1.04–1.15), physical functioning (1.64; 1.28–2.10) and quality of life (0.35; 0.20–0.60). Conclusion: Many patients, most often male, in both cohorts had two or more unhealthy lifestyle factors. The number of unhealthy lifestyle factors indicates a multifaceted relationship with disease impact.</p>}},
  author       = {{Karstensen, Julie Katrine and Primdahl, Jette and Andersson, Maria L.E. and Christensen, Jeanette Reffstrup and Bremander, Ann}},
  issn         = {{0770-3198}},
  keywords     = {{Cardiovascular risk; Health behaviour; Lifestyle habits; Rheumatic diseases}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{387--398}},
  publisher    = {{Springer}},
  series       = {{Clinical Rheumatology}},
  title        = {{Lifestyle factors in patients with rheumatoid arthritis—a cross-sectional study on two Scandinavian cohorts}},
  url          = {{http://dx.doi.org/10.1007/s10067-021-05905-2}},
  doi          = {{10.1007/s10067-021-05905-2}},
  volume       = {{41}},
  year         = {{2022}},
}