Rheumatoid arthritis Primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]


Effective measures for the primary prevention of rheumatoid arthritis include patient education, exercise, physical, and occupational therapy and cognitive behavioral therapies.

Primary Prevention

Effective measures for the primary prevention of rheumatoid arthritis include:[1][2][3]

  • Patient education
  • Cognitive-behavioral therapies help in reducing:
    • Functional disabilities
    • Joint involvement
    • Disease activity
    • Feelings of low self-esteem
  • Exercise
  • Physical and occupational therapy
  • Nutritional and dietary therapy such as increase intake of calcium rich food, high protein diet and high iron rich diet


  1. Häkkinen A, Sokka T, Kotaniemi A, Hannonen P (March 2001). "A randomized two-year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis". Arthritis Rheum. 44 (3): 515–22. doi:10.1002/1529-0131(200103)44:3<515::AID-ANR98>3.0.CO;2-5. PMID 11263764.
  2. Chalmers AC, Busby C, Goyert J, Porter B, Schulzer M (July 2000). "Metatarsalgia and rheumatoid arthritis--a randomized, single blind, sequential trial comparing 2 types of foot orthoses and supportive shoes". J. Rheumatol. 27 (7): 1643–7. PMID 10914845.
  3. Proudman SM, James MJ, Spargo LD, Metcalf RG, Sullivan TR, Rischmueller M, Flabouris K, Wechalekar MD, Lee AT, Cleland LG (January 2015). "Fish oil in recent onset rheumatoid arthritis: a randomised, double-blind controlled trial within algorithm-based drug use". Ann. Rheum. Dis. 74 (1): 89–95. doi:10.1136/annrheumdis-2013-204145. PMID 24081439.

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