A STUDY ON THE INFLUENCE OF ENVIRONMENTAL FACTORS IN RHEUMATOID ARTHRITIS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 36
Abstract
BACKGROUND Rheumatoid arthritis is a common rheumatological disorder of unknown cause. The development of rheumatological disorders like rheumatoid arthritis depends on the interaction between genetic background and number of environmental factors. Number of environmental factors have been implicated in the aetiology of rheumatic diseases which include infections like Epstein Bar Virus (EBV) Mycobacterium tuberculosis, Escherichia coli, Proteus mirabilis, and parvovirus B19. The other environmental factors include sunlight, cold climate, smoking, drugs and adjuvants, diet, exercise, occupation, radiation exposure, drinking water, psychological status, air pollution, chemicals, drugs, socioeconomic status, geographic location, hot and cold climate, occupation and alcohol. MATERIALS AND METHODS Cross sectional observational study. The sample selected was of 152 patients with rheumatoid arthritis fulfilling the ACR-EULAR 10 criteria. The tools used were clinical profile, 2010 ACR–EULAR 10 criteria, serology and acute phase reactants. The data was analyzed using SPSS-8 software. RESULTS In the study, most of the rheumatoid arthritis patients were females. In the study, the majority of the patients with rheumatoid arthritis resided in high ranges, were smokers and non-alcoholics. Rheumatoid arthritis is common in patients taking nonvegetarian diet, manual labours, those with low level of education and low socio-economic status. Most of the patients had aggravation of symptoms following exposure to cold and stress. CONCLUSION In the study, most of the rheumatoid arthritis patients were females. Environmental factors like smoking, alcoholism, diet, occupation, educational status, socioeconomic status, place of residence, climatic conditions and stress significantly influenced the occurrence and progression of symptoms in rheumatoid arthritis patients.
Authors and Affiliations
Satish Kumar, UshaKulangara Aravind
Keywords
Related Articles
- EP ID EP572135
- DOI 10.18410/jebmh/2018/543
- Views 71
- Downloads 0
COMPARATIVE EVALUATION OF TRANSUMBILICAL AND INFRAUMBILICAL 5 MM BLIND TROCAR INSERTION FOR CAMERA PORT IN LAPAROSCOPIC CHOLECYSTECTOMY
BACKGROUND Transumbilical 10 mm camera port insertion through the umbilical fossa is enthusiastically practiced for laparoscopic cholecystectomy throughout the world considering its advantages of hidden scar and better c...
EXTENT OF IMPROVEMENT IN BINOCULARITY AND STEREOPSIS IN CONSTANT CONCOMITANT HORIZONTAL STRABISMUS AFTER SURGICAL MANAGEMENT AND ITS ASSOCIATION WITH THE POSTOPERATIVE OCULAR ALIGNMENT
BACKGROUND The gradual decrease in binocularity and stereopsis in patients with concomitant strabismus decreases the depth perception of the patients and adversely affects the reading speed and the motor dexterity skills...
CLINICAL PROFILE AND OUTCOME OF DENGUE INFECTION IN AND AROUND KURNOOL
The relationship of India with dengue has been long and intense. The first recorded epidemic of clinically dengue like illness occurred at Madras in 1780, and the dengue virus was isolated for the first time almost simul...
RED BLOOD CELL ABNORMALITIES IN DECOMPENSATED CHRONIC LIVER DISEASE (DCLD)
BACKGROUND: Liver plays an important role in normal erythropoiesis, especially in formation and destruction of RBC’s. Chronic liver diseases are frequently associated with hematological abnormalities. Anemia of diverge e...
BLOOD PRESSURE RESPONSE TO COLD PRESSOR TEST AMONG CHILDREN OF HYPERTENSIVE AND NORMOTENSIVE PARENTS
BACKGROUND Hypertension is one of the leading causes of premature death worldwide and the problem is growing. It is a risk factor for coronary heart disease and the single most important risk factor for stroke. Inheritan...