Comorbidities of rheumatoid arthritis: Results from the Korean National Health and Nutrition Examination Survey

PLoS One. 2017 Apr 19;12(4):e0176260. doi: 10.1371/journal.pone.0176260. eCollection 2017.

Abstract

This study aimed to evaluate the prevalence of comorbidities in patients with rheumatoid arthritis (RA) compared with the non-RA population. The 2010-2012 Korea National Health and Nutrition Examination Survey (KNHANES), which assesses the general health status of populations in South Korea using interviews and basic health assessment, was analyzed retrospectively. Weighted prevalence and odds ratio (OR) of comorbidities were analyzed in patients with RA compared with the non-RA population. The overall weighted (n = 37,453,158) prevalence of RA was 1.5%. Patients with RA were older and more female predominant than subjects without RA. The prevalence of living in an urban area, college graduation, alcohol consumption and smoking was lower in patients with RA than non-RA. Patients with RA had more comorbidities including hypertension, dyslipidemia, myocardial infarction (MI) or angina, stoke, osteoarthritis, lung cancer, colon cancer, pulmonary tuberculosis, asthma, diabetes, depression, thyroid disease and chronic kidney disease. After adjusting socioeconomic and lifestyle characteristics, RA was associated with an increased prevalence of MI or angina (OR 1.86, 95% CI 1.17-2.96, p = 0.009), pulmonary TB (OR 1.95, 95% CI 1.24-3.09, p = 0.004), asthma (OR 1.97, 95% CI 1.05-3.71, p = 0.036), thyroid disease (OR 1.71, 95% CI 1.05-2.77), depression (OR 2.38, 95% CI 1.47-3.85, p < 0.001) and hepatitis B (OR 2.34, 95% CI 1.15-4.80, p = 0.020) compared with the non-RA population. Prevalence of solid cancer was not significantly associated with RA after adjustment.

MeSH terms

  • Alcohol Drinking / physiopathology
  • Angina Pectoris / diagnosis
  • Angina Pectoris / epidemiology*
  • Arthritis, Rheumatoid / diagnosis
  • Arthritis, Rheumatoid / epidemiology*
  • Comorbidity
  • Depression / diagnosis
  • Depression / epidemiology*
  • Female
  • Hepatitis B / diagnosis
  • Hepatitis B / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / epidemiology*
  • Nutrition Surveys / statistics & numerical data
  • Odds Ratio
  • Prevalence
  • Republic of Korea / epidemiology
  • Retrospective Studies
  • Risk Factors
  • Smoking / physiopathology
  • Social Class
  • Thyroid Diseases / diagnosis
  • Thyroid Diseases / epidemiology*
  • Tuberculosis, Pulmonary / diagnosis
  • Tuberculosis, Pulmonary / epidemiology*

Grants and funding

The authors received no specific funding for this work.