Patterns and changes in lifestyle habits of patients with rheumatoid arthritis during the first three years post-diagnosis

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OBJECTIVES: This study aimed to in patients with RA (Rheumatoid Arthritis) describe patterns and changes in healthy lifestyle habits (HLHs'-alcohol use, smoking, and physical activity-from diagnosis of RA to three years post-diagnosis, and to identify factors associated with having multiple HLHs. METHODS: Patients' data were collected from the Swedish Epidemiological Investigation of RA (EIRA).Physical activity (PA) was categorized to be on a healthy level if > 120 min/week at moderate intensity. Smoking was categorized as smoking/non-smoking. Alcohol consumption of < 120 g/week was deemed healthy. Participants were grouped by number of HLHs: none, one, two, or three. Factors associated with having three HLHs at year three were analysed using logistic factor regression. RESULTS: Among 1,097 participants, 56% had three HLHs at baseline, increasing slightly to 58% at year three. Non-smoking increased from 77% to 83%, and healthy alcohol use from 85% to 97%. However, the proportion of participants who achieved a healthy level PA decreased from 84% to 71%. Having three HLHs at year three was associated with younger age (OR = 2.45 (95% CI = 1.50-4.00) for < 35 vs. 55-65 years), living with another adult age (OR = 1.68 (95% CI = 1.25-2.26). CONCLUSION: More than half of the participants had three HLHs at diagnosis and maintained them after three years. Smoking and alcohol habits improved, but the proportion of participants who achieved a healthy level PA decreased. Older patients may need more support in adopting and maintaining HLHs.

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