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Arthritis Patients Benefit from Weight Training

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A regular and systematic  weight-training regimen may help treat rheumatoid arthritis patients. A study of 28 patients found that weight training led to improvements in basic physical function, such as   lifting, carrying, walking, climbing stairs

Researchers said such high intensity exercising could play a key role in managing the condition.

BBC News reports:
“RA is mainly a disease affecting the joints, but a less well known symptom is that it also severely reduces muscle mass and strength and this occurs even among patients whose disease is well managed …

They found physical function improved by between 20 percent to 30 percent in the group doing weight training. Strength also increased by nearly 120 percent.”

Sources:
BBC News August 4, 2010
Arthritis and Rheumatism December 2009; 61(12):1726-34.

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Protein Intake Increases Hip Fracture Prevention

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Higher levels of protein intake may lower the risk of hip fractures in seniors, according to a study published in Osteoporosis International.
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A team of researchers from the Institute for Aging Research of Hebrew SeniorLife in Boston enrolled 946 elderly participants in the Framingham Osteoporosis Study, which examined the effects of consuming higher amounts of protein.

The results of the study showed that individuals who had the lowest protein intake were 50 percent more likely to suffer from hip fractures.

While other studies have found that protein intake is associated with an increase in bone mineral density, the researchers from this study stated that a higher intake of protein also builds strong muscles in the legs, which lowers the possibility of falling and suffering a hip fracture.

Marian T. Hannan, lead author and co-director at the Musculoskeletal Research Program at the Institute for Aging Research, stated that “[the] study participants who consumed higher amounts of protein in their diet were significantly less likely to suffer a hip fracture.”

People who wish to add more protein to their daily diet can benefit from consuming fish, leaner meats, dairy products, as well as different types of beans, which are all high sources of protein, according to the University of Pittsburgh Medical Center.


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Source :Better Health Research. July 22. 2010

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Tea Associated With Increased Risk of Rheumatoid Arthritis in Women

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According to a study, women who drink tea have an increased risk of developing rheumatoid arthritis compared with those who drink none (p=0.04). Further results from the same study showed no correlation between the amount of coffee consumption and rheumatoid arthritis incidence (p=0.16).

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The results of the US based longitudinal cohort study involving 76,643 women showed a positive association of incident rheumatoid arthritis in tea drinkers with an increasing Hazard Ratio (HR) observed alongside tea consumption (p=0.03). Consuming any amount of tea carried a significant risk of developing rheumatoid arthritis (HR 1.40 (95%CI 1.01-1.93) p=0.04) and women who drank ?4 cups of tea per day had an increased risk of developing rheumatoid arthritis compared to those who drank none (HR 1.78 (95%CI 0.83-3.82)). An analysis of the method of preparation of coffee (filtered vs unfiltered) and presence or lack of caffeine in the beverage did not show any significant associations with rheumatoid arthritis or Systemic Lupus Erythematosus (SLE, an autoimmune disease in which the immune system harms the body’s own healthy cells and tissues) (rheumatoid arthritis: filtered p=0.08, unfiltered p=0.38, SLE: filtered p=0.74, unfiltered p=0.97). No increase was shown in the risk of developing rheumatoid arthritis in participants who drank coffee compared to those that did not (rheumatoid arthritis: HR 1.09 (95%CI 0.77-1.54 p=0.63).

“We set out to determine whether tea or coffee consumption, or the method of preparation of the drinks was associated with an increased risk of rheumatoid arthritis or SLE – it is surprising that we saw such differences in results between tea and coffee drinkers,” said Professor Christopher Collins. “This does make us wonder what it is in tea, or in the method of preparation of tea that causes the significant increase in risk of developing rheumatoid arthritis.”

Data on women aged 50-79 were taken from the Women’s Health Initiative Observational Study database (a major 15-year research program to address the most common causes of death, disability and poor quality of life in postmenopausal women) where participants completed a self-administered questionnaire providing information on daily consumption of coffee and tea.

The relationships between drinking tea and coffee and the risk of rheumatoid arthritis or SLE were assessed in age-adjusted models and in multivariate Cox proportional hazard models (a statustical approach to estimating survival data). At three years follow up, the diagnosis of incident rheumatoid arthritis was determined using self-reporting and respondent’s feedback on use of disease modifying anti-rheumatic drugs (DMARDS). The variables studied in the rheumatoid arthritis population were also investigated in women with SLE, but no significant associations were found.

“These are very interesting findings and we hope that additional research will investigate this topic further. We do assert the need for caution in the interpretation of these findings as no strong causation effect has been confirmed, and encourage patients with rheumatic diseases to consult their physician before making any significant changes to their diet or caffeine intake” said Professor Paul Emery, President of European League Against Rheumatism.


Source: Elements4Health.June18.2010

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Alcohol Consumption Associated With Reduced Risk of Arthritic Conditions

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According to study results, alcohol consumption is associated with a significantly reduced risk of developing several arthritic conditions including rheumatoid arthritis, osteoarthritis, reactive arthritis, psoriatic arthritis and spondylarthropathy. Regardless of the type of arthritis, all patients reported drinking less alcohol than controls, leading to questions around the inflammatory pathways behind the effects seen.

In this Dutch study, alcohol consumption was associated with a significantly lower risk of developing rheumatoid arthritis (Odds Ratio (OR) 0.27 (0.22-0.34), Osteoarthritis (OR 0.31, (0.16-0.62), spondylarthropathy (OR 0.34, 0.17-0.67), psoriatic arthritis (OR 0.38, 0.23-0.62), and reactive arthritis (OR 0.27, 0.14-0.52). A particularly protective effect was shown in the rheumatoid arthritis population with the presence of Anti-Citrullinated Protein Antibodies (ACPA, potentially important surrogate markers for diagnosis and prognosis in rheumatoid arthritis), (OR 0.59, 0.30-0.99).

Interestingly, researchers also found that the degree of systemic inflammation in patients was shown to increase as the amount of alcohol consumed decreased (p=0.001) and that there was no dose response relationship (low 0.12 (0.08-0.18), moderate 0.46 (0.36-0.59), high 0.17 (0.12-0.25)) between the amount of alcohol consumed and the risk of arthritis development. Researchers hypothesize that there could be two explanations for this inflammatory effect; either that patients with more severe disease activity consume less alcohol due to associated changes in their lifestyle, or that the presence of alcohol in the system could protect against the development of systemic inflammation.

“We know from previous research that alcohol consumption may confer a protective effect against developing rheumatoid arthritis, our data have shown that this effect may apply to other arthritic conditions too,” said Dr Annekoos Leonoor Huidekoper, lead author of the study. “What intrigues us now is that the findings related to systemic inflammation, further research into the inflammatory pathways involved is needed to determine the exact nature of the association.”

Patients with arthritic conditions (n=997; rheumatoid arthritis n=651, reactive arthritis, spondylaropathy or psoriatic arthritis n=273, osteoarthritis n=73) were enrolled from the Leiden Early Arthritis Cohort and healthy controls (n=6,874) recruited from the Multiple Environmental and Genetic Assessment of risk factors for venous thrombosis study. Alcohol consumption was recorded at baseline (units per week), and the effect of alcohol consumption on risk of disease development was analysed by univariate and multivariate logistic regression (statistical tests that predict the probability of an event occurring). Odds ratios and confidence intervals (95%) were adjusted for age, sex, Body Mass Index (BMI) and smoking.

Professor Paul Emery said: “These are very interesting findings but we should assert the need for caution in the interpretation of these data. Alcohol should be consumed in moderation, with consideration for local public health recommendations. A number of social and medical problems are associated with increased consumption of alcohol; therefore any positive implications of its use must be understood within the wider health context.”

You may Clock to see:->Strong Thigh Muscles Reduce Knee Osteoarthritis Symptoms in Women

Source: Elements4HealthJune 16.2010

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Two Arthritis Powerhouses Even Stronger Together

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New research shows that omega-3 fats and glucosamine work together to provide additional benefits for people with osteoarthritis

Scientists gave 1500 mg of glucosamine sulfate to the study participants, but some also received 200 mg of omega-3 fats. Both groups had about the same number of participants who reported a 20 percent or less reduction in pain.

But according to Dr. Christiane Northrup:

“However, when researchers asked those who experienced an 80 percent reduction in pain, those in [the glucosamine plus omega-3 group] reported reduced morning stiffness and pain in the hips and knees by between 48.5 and 55.6 percent, compared to 41.7 to 55.3 percent for those in [the glucosamine only group].”

Resources:
Christiane Northrup, MD March 30, 2010
Advances in Therapy September 2009; 26(9):858-71

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