Friday September 21, 2018

Obesity And Smoking: Roadblocks In Arthritis Treatment

Rheumatoid arthritis is a chronic inflammatory disease

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Obesity And Smoking Becomes Roadblocks In Arthritis Treatment
Obesity And Smoking Becomes Roadblocks In Arthritis Treatment, Pixabay
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Obesity in women and smoking among men could be major factors behind not achieving remission in rheumatoid arthritis, despite early treatment, researchers say.

Rheumatoid arthritis is a chronic inflammatory disease that affects a person’s joints, causing pain and disability and can also affect internal organs.

The study showed that though early identification and aggressive treatment improve arthritis outcomes, six per cent of women and 38 per cent of men did not achieve remission in the first year despite receiving guideline-based care.

“Our results suggest that lifestyle changes — smoking cessation in men and weight reduction in women — as well as optimising methotrexate use may facilitate rapid reduction of inflammation, an essential goal of treatment in early rheumatoid arthritis,” said Susan Bartlett, professor of Medicine at McGill University in Canada.

The study, published in the journal Annals of the Rheumatic Diseases, included 1,628 adults with an average age of 55.

The analysis highlighted that obesity more than doubled the likelihood of not achieving remission in women.

obesity
obesity, Pixabay

In men, current smoking was associated with 3.5 greater odds of not achieving remission within the first year.

Further, almost all patients within the study were initially treated with conventional synthetic disease-modifying antirheumatic drugs (csDMARDs), with three quarters being treated with methotrexate.

Analysis demonstrated that not using methotrexate significantly increased the likelihood of not achieving remission in women by 28 per cent and in men by 45 per cent.

Also read: drug free compound can ease arthritis pain

“These results highlight the need to support physicians and empower patients to take advantage of the impact lifestyle changes can have on disease progression,” Johannes Bijlsma, President, European League Against Rheumatism (EULAR), said in a statement. (IANS)

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Exposure to Certain Disinfectants Can Cause Obesity in Kids: Research

The use of eco-friendly products may be linked to healthier overall maternal lifestyles and eating habits.

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Disinfectants
How common household cleaners could make kids overweight. Flickr

Early life exposure to certain disinfectants used at home could be making children overweight by altering the composition of their gut bacteria, suggests new research.

Babies living in households that used eco-friendly cleaners had different microbiota and were less likely to be overweight as toddlers, showed the findings published in CMAJ (Canadian Medical Association Journal).

For the study, the researchers analysed the gut flora of 757 infants from the general population at age 3-4 months and weight at ages 1 and 3 years, looking at exposure to disinfectants, detergents and eco-friendly products used in the home.

Disinfectants
Mother’s Lifestyle Choices Linked to Obesity Risk in Adolescents. Pixabay

The researchers looked at data from the Canadian Healthy Infant Longitudinal Development (CHILD) birth cohort on microbes in infant fecal matter. They used World Health Organization growth charts for body mass index (BMI) scores.

Associations with altered gut flora in babies 3-4 months old were strongest for frequent use of household disinfectants such as multi-surface cleaners, which showed lower levels of Haemophilus and Clostridium bacteria but higher levels of Lachnospiraceae.

The researchers also observed an increase in Lachnospiraceae bacteria with more frequent cleaning with disinfectants.

They, however, did not find the same association with detergents or eco-friendly cleaners.

“We found that infants living in households with disinfectants being used at least weekly were twice as likely to have higher levels of the gut microbes Lachnospiraceae at age 3-4 months,” said Anita Kozyrskyj, Professor at the University of Alberta in Canada.

Disinfectants
The researchers looked at data from the Canadian Healthy Infant Longitudinal Development (CHILD) birth cohort on microbes in infant fecal matter. Flcikr

“When they were 3 years old, their body mass index was higher than children not exposed to heavy home use of disinfectants as an infant,” Kozyrskyj said.

“Those infants growing up in households with heavy use of eco cleaners had much lower levels of the gut microbes Enterobacteriaceae,” she said.

Also Read: Asthma Ups The Chance of Obesity: Study

Kozyrskyj suggests that the use of eco-friendly products may be linked to healthier overall maternal lifestyles and eating habits, contributing in turn to the healthier gut microbiomes and weight of their infants. (IANS)