2023-09-22 08:46:08
Smoking and obesity are the factors most closely related to worse outcomes and more comorbidities in people with rheumatic diseases. Hence the importance of these types of patients leading a healthy life.
The Spanish Society of Rheumatology (SER) recently celebrated the XII SER Rheumatopics Coursein which he recalled the importance of patients with rheumatic diseases wearing some healthy lifestyle habits.
Thus, the general recommendations for people who suffer from any pathology in this area are to maintain a healthy and balanced diet based on foods of plant origin, do adapted physical exercise and avoid tobacco and alcohol.
“Smoking and obesity are the factors most closely related to worse outcomes and more comorbidities in people with rheumatic diseases,” according to Dr. Lucía Silva, rheumatologist at the University Hospital Complex of A Coruña.
One warning sign of rheumatic diseases is hand pain or stiffness. Hands. EFE/Kai Försterling
What are the main consequences?
At the same Congress, held virtually and with the collaboration of the pharmaceutical company Menarini, the main consequences of carrying out bad habits were explained, especially if it is the frequent consumption of tobacco and alcohol.
As stated by Dr. Lucía Silva, derived obesity is associated with the presence of constant pain and fatigue, as well as worse function and greater progression of rheumatic diseases. Especially for arthritis and osteoarthritis.
On the other hand, tobacco is associated with greater activity of certain diseases. Among them, rheumatoid arthritis, lupus or spondyloarthritis. This indicates that it not only predisposes to greater comorbidity, but also has negative effects on radiographic progression and disability.
Specific complications: Tobacco and alcohol
In addition to the fact that obesity and problems derived from tobacco and alcohol consumption worsen general health, there are specific complications associated with rheumatic diseases.
Dr. Silva explains that obesity is associated with a more rapid progression of pathologies such as rheumatoid arthritis and arthritis. Also to greater pain and fatigue.
On the other hand, habitual tobacco consumption is associated with an accelerated progression of diseases such as lupus, spondyloatritis and also rheumatoid arthritis.
In this sense, it not only predisposes to greater comorbidity, especially cardiovascular, but also has negative effects on radiographic progression and disability.
The refractory drop
Finally, it is worth highlighting the management of refractory gout as one of the most discussed in Congress, since it is highly prevalent in Spain.
The disease has an incidence of 2.4% of the adult population, which is equivalent to approximately 800,000 people affected, according to the results of the EPISER 2016 study carried out by the SER.
Dr. Fernando Pérez Ruiz, head of the Rheumatology Service at the Cruces University Hospital, explained that “refractory gout defines a group of patients in whom the result is not obtained.”
desirable therapeutic. The management of this situation involves a correct diagnosis, a prescription of uricemia-reducing medications in adequate dosage and choice to achieve therapeutic uricemia objectives, with prevention of attacks with medications of proven efficacy and in adequate doses for the necessary time.”
“We must also take into account prescription on demand and considering the comorbidities of the treatment of gout attacks that could still occur in the initial phases of treatment, even despite adequate prevention and correction of uricemia,” adds the optional.
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