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01 Dec 2020
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Highly physically active women at low risk of rheumatoid arthritis

11 Aug 2019

High physical activity levels reduce the risk of developing rheumatoid arthritis (RA) in women, a study has found.

The study involved 113,366 participants from the Nurses' Health Study II, among whom 506 developed RA (67.0 percent had seropositive RA) over 2,428,573 person‐years of follow‐up. Every participant completed biennial questionnaires to determine physical activity exposures and covariates.

Researchers evaluated the long‐term cumulative average number of hours spent in recreational physical activity 2–8 years prior to the RA diagnosis. This time span was chosen to reduce the potential for reverse causation bias, given that early RA affects physical activity prior to diagnosis.

Multivariable Cox regression analysis revealed that increasing cumulative average total hours of recreational physical activity had a protective association with the risk of RA. Relative to women engaging in <1 hour of physical activity per week, those who were more physically active had up to about a 30-percent lower risk of developing RA (2 to <4 hours/week: hazard ratio [HR], 0.92, 95 percent CI, 0.72–1.17; 4 to <7 hours/week: HR, 0.84, 0.63–1.12; ≥7 hours/week: HR, 0.67, 0.47–0.98; p-trend=0.02).

Body mass index mediated some of the effect of physical activity on all RA (14.0 percent; p=0.002) and on seropositive RA (20.0 percent; p=0.001), suggesting that both physical activity and weight-loss interventions could delay or even prevent the onset of seropositive RA, according to the researchers.

The present data contribute to the increasing evidence that metabolic factors play an important role in RA pathogenesis, they added.

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Most Read Articles
01 Dec 2020
Tetanus toxoid 5 Lf, diphtheria toxoid 2 Lf, pertussis toxoid 2.5 mcg, filamentous haemagglutinin 5 mcg, fimbriae types 2 and 3 5 mcg, pertactin 3 mcg
Dr. Hsu Li Yang, Dr. Tan Thuan Tong, Dr. Andrea Kwa, 08 Jan 2021
Antimicrobial resistance has become increasingly dire as the rapid emergence of drug resistance, especially gram-negative pathogens, has outpaced the development of new antibiotics. At a recent virtual symposium, Dr Hsu Li Yang, Vice Dean (Global Health) and Programme Leader (Infectious Diseases), NUS Saw Swee Hock School of Public Health, presented epidemiological data on multidrug-resistant (MDR) gram-negative bacteria (GNB) in Asia, while Dr Tan Thuan Tong, Head and Senior Consultant, Department of Infectious Diseases, Singapore General Hospital (SGH), focused on the role of ceftazidime-avibactam in MDR GNB infections. Dr Andrea Kwa, Assistant Director of Research, Department of Pharmacy, SGH, joined the panel in an interactive fireside chat, to discuss challenges, practical considerations, and solutions in MDR gram-negative infections. This Pfizer-sponsored symposium was chaired by Dr Ng Shin Yi, Head and Senior Consultant of Surgical Intensive Care, SGH.
Jairia Dela Cruz, 3 days ago
Spending too much time sitting cannot be good for the body, and rising to one's feet breaks up such a behaviour and yields small, but meaningful, reductions in certain cardiovascular disease (CVD) risk factors, according to the results of a meta-analysis.
3 days ago
Use of thyroid hormone therapy does not seem to protect older adults with subclinical hypothyroidism against mortality, but it appears to confer survival benefits to those aged <65 years, results of a study have shown.