Rheumatoid arthritis secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Effective measures for the secondary prevention of [[rheumatoid arthritis]] | Effective measures for the secondary prevention of [[rheumatoid arthritis]] include [[calcium]] and [[vitamin D]] supplementation to prevent [[osteoporosis]]. To prevent [[cardiovascular]] complications and recurrent attacks of [[RA]], effective methods include [[exercise]], [[smoking]] cessation, and [[dietary control]]. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
Effective measures for the secondary prevention of [[rheumatoid arthritis]] include: | Effective measures for the secondary prevention of [[rheumatoid arthritis]] include: | ||
*[[Bone]] protection is very important due to the prolonged use of [[glucocorticoids]]. | *[[Bone]] protection is very important due to the prolonged use of [[glucocorticoids]]. | ||
**Supplements of [[calcium]] 1000 to 1200 mg/day and [[vitamin D]] intake of 600 to 800 international units/day is recommended for patients using prolonged [[glucocorticoids]].<ref name="pmid28585373">{{cite journal |vauthors=Buckley L, Guyatt G, Fink HA, Cannon M, Grossman J, Hansen KE, Humphrey MB, Lane NE, Magrey M, Miller M, Morrison L, Rao M, Robinson AB, Saha S, Wolver S, Bannuru RR, Vaysbrot E, Osani M, Turgunbaev M, Miller AS, McAlindon T |title=2017 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis |journal=Arthritis Rheumatol |volume=69 |issue=8 |pages=1521–1537 |date=August 2017 |pmid=28585373 |doi=10.1002/art.40137 |url=}}</ref> | **Supplements of [[calcium]] 1000 to 1200 mg/day and [[vitamin D]] intake of 600 to 800 international units/day is recommended for patients using prolonged [[glucocorticoids]].<ref name="pmid28585373">{{cite journal |vauthors=Buckley L, Guyatt G, Fink HA, Cannon M, Grossman J, Hansen KE, Humphrey MB, Lane NE, Magrey M, Miller M, Morrison L, Rao M, Robinson AB, Saha S, Wolver S, Bannuru RR, Vaysbrot E, Osani M, Turgunbaev M, Miller AS, McAlindon T |title=2017 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis |journal=Arthritis Rheumatol |volume=69 |issue=8 |pages=1521–1537 |date=August 2017 |pmid=28585373 |doi=10.1002/art.40137 |url=}}</ref> | ||
* | *The following measures are helpful to prevent [[cardiovascular]] complications associated with [[rheumatoid arthritis]]:<ref name="pmid27697765">{{cite journal |vauthors=Agca R, Heslinga SC, Rollefstad S, Heslinga M, McInnes IB, Peters MJ, Kvien TK, Dougados M, Radner H, Atzeni F, Primdahl J, Södergren A, Wallberg Jonsson S, van Rompay J, Zabalan C, Pedersen TR, Jacobsson L, de Vlam K, Gonzalez-Gay MA, Semb AG, Kitas GD, Smulders YM, Szekanecz Z, Sattar N, Symmons DP, Nurmohamed MT |title=EULAR recommendations for cardiovascular disease risk management in patients with rheumatoid arthritis and other forms of inflammatory joint disorders: 2015/2016 update |journal=Ann. Rheum. Dis. |volume=76 |issue=1 |pages=17–28 |date=January 2017 |pmid=27697765 |doi=10.1136/annrheumdis-2016-209775 |url=}}</ref> | ||
**[[Smoking cessation]] | **[[Smoking cessation]] | ||
**Dietary control to prevent [[hyperlipidemia]], [[hypertension]]. | **Dietary control to prevent [[hyperlipidemia]], [[hypertension]]. | ||
Latest revision as of 14:15, 23 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Effective measures for the secondary prevention of rheumatoid arthritis include calcium and vitamin D supplementation to prevent osteoporosis. To prevent cardiovascular complications and recurrent attacks of RA, effective methods include exercise, smoking cessation, and dietary control.
Secondary Prevention
Effective measures for the secondary prevention of rheumatoid arthritis include:
- Bone protection is very important due to the prolonged use of glucocorticoids.
- Supplements of calcium 1000 to 1200 mg/day and vitamin D intake of 600 to 800 international units/day is recommended for patients using prolonged glucocorticoids.[1]
- The following measures are helpful to prevent cardiovascular complications associated with rheumatoid arthritis:[2]
- Smoking cessation
- Dietary control to prevent hyperlipidemia, hypertension.
- Exercise
References
- ↑ Buckley L, Guyatt G, Fink HA, Cannon M, Grossman J, Hansen KE, Humphrey MB, Lane NE, Magrey M, Miller M, Morrison L, Rao M, Robinson AB, Saha S, Wolver S, Bannuru RR, Vaysbrot E, Osani M, Turgunbaev M, Miller AS, McAlindon T (August 2017). "2017 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis". Arthritis Rheumatol. 69 (8): 1521–1537. doi:10.1002/art.40137. PMID 28585373.
- ↑ Agca R, Heslinga SC, Rollefstad S, Heslinga M, McInnes IB, Peters MJ, Kvien TK, Dougados M, Radner H, Atzeni F, Primdahl J, Södergren A, Wallberg Jonsson S, van Rompay J, Zabalan C, Pedersen TR, Jacobsson L, de Vlam K, Gonzalez-Gay MA, Semb AG, Kitas GD, Smulders YM, Szekanecz Z, Sattar N, Symmons DP, Nurmohamed MT (January 2017). "EULAR recommendations for cardiovascular disease risk management in patients with rheumatoid arthritis and other forms of inflammatory joint disorders: 2015/2016 update". Ann. Rheum. Dis. 76 (1): 17–28. doi:10.1136/annrheumdis-2016-209775. PMID 27697765.